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Home My WebLink About2015-00481 (roofing) . CITY OF ORONO * Z 0 1 5 - 0 0 4 8 1 * 2750 KELLEY PARKWAY DATE ISSUED: 04/27/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3865 BAYSIDE RD PIN : OS-117-23-23-0008 LEGAL DESC : AUDITOR'S SUBD.NO.203 : LOT 064 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-OTHER ACTIVITY : O/S BUILDING-UNDEFINED VALUATIOI�i : $ 992.00 NOTE: REPAIR ROOF SLOPE APPLICANT PERMIT FEE SCHEDULE 4330 STATE SURCHARGE(VALUATION) 0.50 NEW TOWN EXTERIORS MISC FEE 0.00 Minnesota State License#: BUIL-679621 TOTAL 43.80 Payment(s) CHECK 3042 43.80 OWNER DIANIS,DAVID 3865 BAYSIDE RD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 18 ime after work has commenced. The applicant is r si le for assuri all required inspections are requested' nformance with the te Building Code. _is permit may be revoke y for due c , �-Z7 / /S Applicant P mitee Signature Date Issua Signature Date . City of Orono ` Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O�O Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: y � 2750 Kelley Parkway Plan review fee: � G Orono, MN 55356 t�KFSH�� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: . � / Job Site Address: � , � f � / ' — Will this be a Parade of Homes, Remodelers howcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus rvice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/AP ICANT IN��2MATION: /' Name: �/� �� 7�1��' �� State License# �� (k � y(� ;� � Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) /,�-" / --(i�S�- (office) S��_ — �(E (P n,�j� Mailing Address: � �u,v� City: v ZIP: � Contact Person: (L Applicant is: Contractor� / Homeowner (Circle One) Email and/or Fax: �-- - �� ,- �� ,. PROPERTY OWNER IIxFORMATlO , Name: �:I/�-� � i Ct,s�1�� Phone (day): _ a--- Address: � ` (� °� � , � City: �� %✓tc� ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: ❑ Re-roof,asphalt �epair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roo� r(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ��c� � U � Window(s) www.minnehahacreek.org Estimated Constructio aluation of Project (excluding land) $ � APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; . Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is i ormation which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this in mation is to annually update our records and records of other governmental agencies required by law. If ou refuse to I th in lication ma not be issued. ApplicanYs Signature: Date: � Owner's Signature: Date: Last Updated:January 2015 DATE TIME� CITY OF ORONO CALLED IN INSPECTION N C� SCHEDULED PERMITNO.� �� `�� COMPLETED � -/ ADDRESS ' C� `J �y t c�v �A • OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION '"'�'l�r" f�� - o�f ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � a �'a w'�v�,�� f�n�0�t � r�dle:Gc ort,bE-� ��(c. w�� <s- •s watt� �r�.�:,�- �. � O .� /'o��.�.�i ✓ � �'�vv'�lj•c /��GL`'� ��S � W � Q ��-pQ.�w � a � .c.. -t �..��.� — � a � L�O a'►�r<GEo � � �!>v s. �C l t�v � o �-✓ ,r-�c jlI►/l��Ct3•Y.� d`lj e✓ Q/�.�sr� �U W Sl0/�!�' /'dU� c7 cL�'��c — d� �• r0G� W'�KSATISFACTORY:PROCEED ❑ PR JECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnerlCo or on site: Inspector. � White Copyllnspector's File Canary CopylSfte Notice � � DATE TIME CITY OF ORONO CALLED IN l,l INSPECTIO ��I��-��I SCHEDULED PERMIT NO. � CQMPLETED ADDRESS �� Id p ��. OWNER TELEPHONE NO. �Z �� J CONTRACTOR � c�� _/k� � DESCRIPTION '`��- l �� J ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT �•�LNAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � - - a �G',D�� r �!�✓ fvU� - /Gc + t.��c v � f,�rd V!t�� o/ ,�o�,r��r.e /o�✓ $layeO i✓v�r�-F- �. _ � ��LL� L{•�cS O�`Uv/�ei'J — ° r %4 ��y w�o.P .P�e��.y� k s ,�� •'� �te W � �.✓R��/� L�4..c ti 4t� r uo� `ib 4 r�5 — Q � 2 r � �i✓t7f K r�� r t�.e �r .t�fQ d+�/f �'!r vrl�'l�s�-� � r vrt c,� T �2�c�tGQ J � WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on.�ite: Inspector.��i� � t White Copyllnspector's File Canary CopylSite Notice