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Home My WebLink About2013-00560 CITYOFOR NO * Z013 - 00560 * 2750 KELLEY �A WAY DATE ISSUED: 06/24/2013 � ORONO, MN 55 56- (952) 249-4600 FAX: (9 2) 249-4616 ADDRESS : 4355 BAYSIDE RD PIN : 06-117-23-12-0007 LEGAL DESC : UNPLATTED 06 117 23 i : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS I PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 25,000.00 NOTE: VALUATION OF PERMIT: $25.000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF IN PECTIONS. (WE REQUIRE 24-48 NOTICE.PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES O A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING E TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. � � _ I APPLICANT PERMIT FE SCHEDULE 413.00 MITTELSTAEDT INC P O BOX 454 STATE SU CHARGE(VALUATION) 12.50 WATERTOWN, MN 55388- TOTAL 425.50 (612)716-9595 Minnesota State License#: 20012394 � OWNER WHITE, GREG&LYNN 4355 BAYSIDE RD MAPLE PLAIN,MN 55359- 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 not erant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming 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 d e e of issuance,or if uction is ' suspended for a of 180 da at a � after � as commenced. "1'he appli is responsible as mg r � spections are , �� req ed in conformanc it e St n ode. his i a be i r oked at any time f due ause � �� _ �'' C�y�u-r� d� �v/� `�� Applica erm'ee Signature � te Issued By Sign ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED ABOVE. City of Oro 0 Buildi.n� Permit Application for Maintenan e / Replacement / Renovation � (No structural expansion. Only windows, doors, siding, re-roof, etc.) �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: `� L Orono, MN 55356 �qkFSHo��` 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 req ired information must be submitted. Incomplete applications will be retur ed. (Please print) GENERAL INFORMATION: Job Site Address: � — ��2 � � . Will this be a Parade of Homes, Remodelers S owcase Home or ot er Display Home? ❑ Yes o If yes, a special event permit is required with Police Department and City Council app val 60 days prior to the event. Shuttle bus ervice will be required unless applicant demonstrates sufficient on-site parking is availa le. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: � ��7`� -�l � .c �� c , State License# � L; �j � � Expiration Date: , - Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) � �,?- 7 ; -- Sl5— i(offi ) w �1 � l G�- �S l S� Mailing Address: �� L� �� Cit f �.c-��v� ZIP: � Contact Person: �� t-�-� r��--�� App,ican is: ontractor ' Homeowner �c��ie o�e� Email and/or Fax: � PROPERTY OWNER INFORMATION: ' Name: �� __�� , r - i Phone (day): ��- ��/v� _ Y S^�S� ' Address: City: 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: roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) � 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) �iding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ r ✓ � APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Dep rtment; • Certifies that the information supplied is true and correct to the best ofi his/ er knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that pon 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 ap lication is classified by State law as either private or � confidential. Private data is information which ge erally cannot be giJ�en t the public but can be given to the subject of the data. Confidential data is informatiop. ge r can e given to ei#her e public or the subject of the data. Our purpose and intended use of this inf ation ' o upd 9ur ecords d reco ds of other governmental agencies required by law. If ou refuse to su the infor ati , - ApplicanYs Signature: � Da e: Owner's Signature: Da e: Last Updated:03/O6/2013 INSPECTION NOTICE DATE I TI � CITY OF �I�O�C� CALLED-IN SCHEDULED PERMIT NO. /�GY3 �� COMPLETED c3�� ADDRESS y S� �4 S�cP GP�• OWNER/CONTR. �� 4c�� Snc'. ❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION O CONC SLABS ❑MECHANICAL FINAL ❑ FOLLOW-UP ❑ FOOTING ❑INSULATION ❑COMPLAINT ❑ POURED WALL ❑ RATED ASSEMBLY ❑ FIREPLACE ❑ FOUND. DRAINAGE ❑BUILDING FINAL ❑SP NKLER SYST M ❑ FRAMING ❑SEPTIC INSTALL � -�oo � ❑SHEATFiING ❑SEPTIC FINAL ❑ ❑ PLUMBING RI ❑S&W HOOKUP ❑ � ❑ PLUMBING FINAL ❑GAS LINE MANOMETER ❑ o COMMENTS: z Q . � T � c� ,-� .K �O - l�-_`' J �- ll l � _ J � Z O � � W � � � O � O � W � Q � Z W � W � � C7 � FURTHER CORRECTIONS MAY BE REQUIRED ��RMIT FINALED W ❑ WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN p ❑ CORRECT WORK& PROCEED I U ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION IMMEDIATELY. I ❑ STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 , Metro West Inspection Services Inc. Owner/Contr. on site: Inspector: �r�•� �— DATE TIME Y CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �2��3'6��b COMPLETED ��Sr ADDRESS 3 S S 4 � I��. OWNER TELEPHONE NO. CONTRACTOR ��`� � � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAD� G/FI ING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOR�ETLA DS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER pEMO AL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMC AL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � . a { - n e � � cr e � � O , � 1'jo �fp�/-o �� r1S �c.�`-+'a.t. /`e�e r cQ O W � �/� t�r�. l� .� Q � � G r rN..� ��iuri� W � j O W� ❑WORK SATISFACTORY:PROCEED �BO.iF�T COMPLETE J � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF pCCU NCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENTI ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED I ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. I Call for the next inspection 24 hours in advance. (g52) 249-4 00 OwnerlContractor on site: � Inspector. • •^-� White Copyllnspector's File Canary CopylSite Notice