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Home My WebLink About2014-01165 - roofing CITY OF ORONO * z 0 1 4 - 0 1 1 6 5 * . 2750 KELLEY PARKWAY DATE ISSUED: 10/08/2014 ` ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1135 BROWN RD S PIN : 10-117-23-24-0006 LEGAL DESC : UNPLATTED 10 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL ,�/ /,J� CONSTRUCTION TYPE : ROOFING-ASPHALT �l� �,�r�. 1-(�Y1�*��` f/ , VALUATION : $ 2,150.00 NOTE: VALUATION OF PERMIT:$ 2150.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECT[ONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SE1'OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIMG THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 88.50 STATE SURCHARGE(VALUATION) 1.08 TODAYS EXTERIORS INC. TOTAL 89.58 11308 70TH PLACE N Payment(s) MAPLE GROVE,MN 55369- CHECK 4071 89.58 (763)425-0803 Minnesota State License#: BU[L-20387451 OWNER GLEW, DUANE& PATRICIA 1 135 BROWN RD S WAYZATA, MN 55391- 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 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 specilied 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 a[any[ime afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This pennit may be revoked at any time for due cause. c�-,�-- (� � � �`� Applicant Permitee Signature Date Issued By Signature Date . City of Orono Buil�ing Permit Appiication for Maintenance / 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: yF 1 � 2750 Kelley Parkway Plan review fee: t �,�' Orono, MN 55356 � �KESH�� Total Fee: �'�'` � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �"I This appfication form must be completed in full and all required information must be submitted. fncomplete applications will be returned. (Please print) GENERAL INFORMATION: �j � Job Site Address: ��3� f��.�.1�, �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No /f yes, a special event permit is required with Police Department and City Council approva!60 days prior to the event. Shuttle bus s will be required unless appficant demonstrates sufficient on-site parking is avaitable. Non-permitted events wil!not be allowed. CONTRACTOR/APPLICANT IN,F/�RMATION: Name: �vcY�O� � ��[��!'S �� State License# "�C 3� '�Y S'/ Expiration Date: 03 oy� ��,� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) '� (o(L� (��(�j- 0�,3 E, (office) �6� Y Z S� ^ ��0 3 MaiiingAddress: t3o� '70 � •�L � City: ! d,,� ZIP: 3C'o Contact Person: �,2�,J So��S�- Applicant is: � ontractor / Homeowner (Cirde One) Email and/or Fax: �q� '76.� �2 S - � ��6� PROPERTY OWNER INFORMATION: / Name: >U A^S� �/6� Phone (day): `�SZ ZaO�O - �v'7 6 Address: City: ZIP: Email andlor Fax: n n PROJECT INFORMATION: Overall project description: K-oa��'� �-��` �� E- �J F ��q�� 'Type of Project: `1 ' �4ny earth movement ay also r uire ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: �Re-roof, asphalt epair ❑ 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) ❑Window(s) Estimated Construction Valuation of Project(excluding fand) $ APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Departmei • Certifies that the information supplied is true and correct to the best of hislher kr that they are solely responsible for submitting a compfete application being aware that upon fanure to ao so, tne statt nas no aiternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on t � application is ctassified by State faw as either private or confidential. Private data is information which generalfy cannot giv o the public but can be given to the subject of the data. Confidential data is information wh� ally cannot be giv either the public or the subject of the data. Our purpose and intended use of this informa is to annually update rds and records of other governmental agencies required by law. If ou refuse to su I the' ormation,the I ma be issued. AppficanYs Signature: Date: 6 ov 'w/� Jwner's Signature: Date: �ast lipdated: 03/06/20'3 � 1 � � � T TIME OF RONO CALLED IN / �-r��,, INSPECTION TICE �S►C—HEDULED � PERMIT NO. I �OMPLETED ADDRESS S V'� OWNER TELEPHONE NO ' �0 CONTRACTOR �� ; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO c�n CO MEN : � � W � � � O �. � O � W � Q � 2 W � W � � J W ❑WORKSATISFACTORY:PROCEED P JECT COMPIEfE � O CORRECT WORK 8 PROCEED I E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR N/4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspection 24 hours in advan -4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Cenary CopylSite Notice