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Home My WebLink About2013-00735 - roofing � �r CITY OF ORONO * 2 0 1 3 - P1 0 7 3 5 * 2750 KELLEY PARKWAY DATE ISSUED: 07/29/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 195 BROWN RD S PIN : 03-117-23-21-0022 LEGAL DESC : KROGS ACRES : LOT 002 BLOCK 001 PERM[T TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 18,000.00 NOTE: VALUA'CION OF PERMIT: $18000.00 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 INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOV�D. APPLICANT PERMIT FEE SCHEDULE 309.75 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 9.00 6541 SYCAMORE CT N MAPLE GROVE, MN 55369- MISC FEE 0.00 (763)427-9696 TOTAL 318.75 Minnesota State License#: 20637010 OWNER ELDER,JAMES& BARBARA 195 BROWN RD S LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be pertbrmed according to the approved plans and specitications,applicable City approvals,and the S[ate Building Codc. This permit is for only the work described and does not 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 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� i 2G1 i i 3 � \7 i Z�'i �3 Applicant rmitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) O Mailing Address: Permit number: �.3 — �J� � �O PO Box 66 Crystal Bay, MN 55323-0066 Date received: � '2-� 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 required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: ( r,� �� Job Site Address: �� ! o �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit rs 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/APPLICANT INFORMATION: Name: l'�1�(��'e� � �' rr. I,�,S State License# R(�I(�� . Expiration Date: 3 �j • � j�- ' Lead Certification Number: ��;r�Z��p�� Expiration Date: yv,�y' �- �y/�' (for work on homes that were const�d prior to 1978 Phone: (cell) (office) �5'�Z �'�61�'� Mailing Address: - �- City: ✓�G�� ZIP: 3"�36 � Contact Person: �,i-f- � �� Applicant is: Co t ctor / Homeowner (Circle One) Email and/or Fax: V4,�,�-�.�-1 �,�y�� P�,�S.(�,M PROPERTY OWNER INFORMATION: Name: "- Phone (day): 2_ _ - $ Address: ,,.r 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&permits: ❑ Re-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) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ �,LY�Jl� 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 generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the information,the a lication ma not be issued. .-�, Applicant's Signature: Date: G Owner's Signature: Date: Last Updated:03/06/2013 � ��r TIME �j CITY OF ORON� ALLED IN �---� �l� � INSPECTION NOTI E SCHEDULED �,----�� , PERMIT NO. � 3— COMPLETED � ADDRESS �� i �C�—s OWNER TELEP N NO.�I�'7D�i�� CONTRACTOR � DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ fOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O � � O � W � Q � 2 W � W 2 � J d � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE 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 OfiDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO AFiRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �j�� DATE TIME � CITY OF ORONO CALLED IN 2- '�3 INSPECTIONNOTICE SCHEDULED ��0�3 y�� PERMIT NO.�L3^�D7�S COMPLETED ADDRESS � 9J� <t� S OWNER TELEP E NO. "T27-7�� CONTRACTOR G�!/`C�L7` � DESCRIPTION �� ' �L � � ❑ FOOTtNG ❑ PLUMBIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 REMOVA� J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a O � � LI V�l/� C� ,�l/�1 �. � 0 � W � Q � 2 W � w � j d ��r�� W LSJRl�il(SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O 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. White Copyllnspector's File Canary CopylSite Notice