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Home My WebLink About2013-01187 - roofing � � CITY OF ORONO * 2 0 1 3 - 0 1 1 8 7 * 2750 KELLEY PARKWAY DATE ISSUED: 11/06/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 15 BROWN RD S PIN : 34-118-23-34-0010 LEGAL DESC : UNPLATTED 34 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,000.00 NOTE: VALUATION OP PERMI'I': $8,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPEC"I'ION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPGRTY DURING THE TIME THE ROOF IS BEING DONF. ONCE WORK IS COMPLETED THE SIGNS MUST BF REMOVED. APPLICANT PERMIT FEE SCHEDULE 16225 TODAYS EXTERIORS INC. STATE SURCHARGE(VALUATION) 4.00 11308 70TH PLACE N MAPLE GROVE,MN 55369- TOTAL 166.25 (763)425-0803 Minnesota State License#: 20387451 OWNER EISS, JOHN& BONNIE 15 BROWN RD S LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to d�c approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work dcscribed and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type oY work shall be compied with whether or not specified herein.This permit will erpire and become null and void if co��sVuction authorized is not commenced within 180 days of the date of issuance,or if co ction is suspended for a period of l80 days at any time afrer commenced. The applicant is re for assuring all req spections are requested� onformance th the State B � g Code.This permit may be rev d at any time f ue cause. �I � 06 � zor� , ,/ pplicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � r� City of Orono �uilding Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) O Mailing Address: Permit number: �.d��'�l� � 7 PO Box 66 / � � Crystal Bay, MN 55323-0066 Date received: ��—�.o—� Street Address: Received by: � G` 2750 Kelley Parkway Plan review fee: `� Orono, MN 55356 �qkFSHo�`` � lU �G'� 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: �� S • ��w.� �� Will this be a Parade of Homes, Remodelers Showcase 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 service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICAN�IyF RMATION: Name: / �J y S �X�rrarS l—r�` , State License# �� 3 a��5� Expiration Date: 3 3/ 2 0l 3 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (�lZ (o�(�(- o Z,�(o , _ (office) 763 Yz S - O�c� 3 Mailing Address: d � p - ,�L � City: � (',rmJ� Z�P� 6 f Contact Person: o� G�S� Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: �q�d,J .}.p�,,SEK,�J�`�rs . c�-+-- - PROPERTY OWNER INFORMATION: Name: � �(,�,J �i S$ Phone (day): �J-Z � �,j- 9/Y Z Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ D � ❑ Remodel ❑ Fire Damage MCWD review 8�permits: Re-roof,as ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd e-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation 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 information which enerally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information � annuall update our records ords of other governmental agencies required by law. If ou refuse to su I the i ation,the lication ma n ed. ApplicanYs Signature: Date: f� n S �d/3 Owner's Signature: Date: Last Updated: 03/06/2013 �� DATE TIME " CITY OF ORONO CALLED IN INSPECTION NOT E SCHEDULED PERMIT NO.o�.�1� ��7 COMPLEfED �� ADDRESS �5 ��rn /�-S OWNER TELEPHONE NO.ID�Z ��-1 C'Z3�o CONTRACTOR � �t � DESCRIPTION ��n� �� ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q p 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. ❑ FOLLOW-UP _ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: d��%�� aR� � W a � � O �. � O � W � Q � 2 W � W � J � ❑WORKSATISFACTORY:PROCEED �OJECT COMPIEfE w ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �� r� \ White Copyllnspector's File Canary CopylSite Notice