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Home My WebLink About20114-01022 (roofing) ` - CITY OF ORONO PERMIT NO.: 2oii-oio22 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE�SSUEn: 09/07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3753 CASCO AVE PIN : 20-117-23-31-0009 LEGAL DESC : CASCO HEIGHTS : LOT 000 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEF[NED VALUATION : $ 10,000.00 NOTE: VALUATION OF PERMIT:$10,000.00 PARTIAL ROOP ROOF[NG PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TGAR 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 COMPLETF,D THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 191.75 S. ROBIDEAU CONSTRUCTION, INC. STATE SURCHARGE(VALUATION) 5.00 1 1044 INDUSTRIAL CR. NW ELK RIVER,MN 55330- MISC FEE 0.00 (612)462-9863 TOTAL 196.75 Minnesota State License#: 20130818 OWNER ARTEM[UK&ALISA M[LLER,JASON 3753 CASCO AVE 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[he work described and does not grant permission for additional or related work which requires separatc 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 after work has commenced. The applicant is resp nsible for assuring all required inspections are rcquesteyi-imsenfor anc wi the State Building Code.This permit may be revoke�at any ti e se. '' �'' �� / / A plidant Permi e i nat e Date Issued By S'g ture te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO �. � - City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: g,� PO Box 66 �O Q\ Crystal Bay, MN 55323-0066 Date received: �. I ��"`�:_,r� Received by: a � �.�„ �, Streef Address: ��, ��'i Gti 2750 Kelley Parkway Plan review fee: L9kESH�4� Orono, MN 55356 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;, C , � Job Site Address: �J ,� � � � , P � � � � �. Will this be a Parade of Homes, Remode ers Showcase ome r other D'splay Home? ❑ Yes o If yes, a specral event permit is required with Police Department and City Counci!approva/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: . � " State License# ��l �j �'( Expiration Date: 3 ;3% :� Lead Certification Numbe�r. Expiration Date: (for work on homes that were constructed prior to 1978 Phone: � j � - � — �( (office) (cell) Mailing Address: l./ �y,� * ��.. City: ` � ZIP: 3� Contact Person: a Applicant is: ontractdr '/ Homeowner (Cirde One) Email and/or Fax: ,��5�.�� 'Ct l.' � ('�,t� �'L PROPERTY OWNER INFORMATION: / Name: � ��i_SI��VL , t��`(� Phone (day): �- � ( � (�,� Address: �� ZIP:�_� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: �,,,��,t,(� Minnehaha Creek Watershed District(MCWD) Re-roof, asphalt epair torm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: 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 informati n which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this i orm tio is to annually update our records and records of other governmental agencies re uired b law. If ou r�use to s I e i o mation,the a lication ma not be issued. ApplicanYs Signature: � Date: l�l� Last Updated: 08-09-2011 �. ✓ � � � �Q�� IF ; TIME_ CITY OF ORONO CALLED IN � � � � �y��r INSPECTION NOTIC�E SCHEDULED i�---�-�=� � PERMIT N0.��Ul I I��G COMPLETED ADDRESS � 7� � �` �1"� `- � /T'✓ ' OWNER TELEPHONE I�O. � ��"7 � ��'� "�I�(Q,� CONTRACTOR `- ' ��1,/t�p��L, ; >; DESCRIPTION �� - � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FIN L ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W a � � O a � O � W � Q � 2 W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C, ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnedContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.o�// ' Oloa� COMP�ETED �o�a-/� ADDRESS _ 3 7S� C4 S�c . r�ve OWNER TELEPHONE NO. COPfTRACTOR S . /Pa��.�,st �b��- Z'�tc � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WpOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ 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 , � COMMENTS:� -1'� �so�,�. .-� � *OLD PERMIT - NO FINAL INSPECTION REQUESTED, � � � , � , . � tG L�/l��ro.t ,prvv� �/ O � W Q lrJa� !C so.e��if !'a,.��l�f� � z � ��..1�'�" �i/l�le� W � j � ❑WORKSATISFACTORY:PROCEED ,f '�ROJECT COMPLETE w ❑CORRECT WORK 8 PROCEED L] ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILI RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑ INSPECTION REQUIRED.CAL!TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: inspector.��... 9� White Copyllnspector's File Canary CopylSite Notice