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Home My WebLink About2012-00412 - roofing � . . � CITY OF ORONO * 2 0 1 z - 0 0 4 1 3 * � 2750 KELLEY PARKWAY DATE [SSUED: OS/16/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3852 CHERRY AVE PIN : 08-117-23-33-0088 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUAT[ON : $ 13,500.00 NOTE: VALUATION OF PERMIT:$13500.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFr INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL[NSPECTION MAY NOT BE[SSUED. SIGNS-ADVERTISING SIGNS MAY ONLY[3E ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK [S COMPLETED THL SIGNS MUST BE RGMOVED. APPLICANT PERMIT FEE SCHEDULE 250.75 ONE SOURCE CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 6.75 19950 177TH STREET NW SUITE I TOTAL 257.50 BIG LAKE, MN 55309- PAID WITH CC# 6672 (763)263-5766 Minnesota State License#: BC639075 OWNER LARSON, ALLAN&TERRI 3852 CHERRY AVE MOUND, MN 55364- 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. 7'his 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 shal)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 issuanee,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assurinb all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��Li(CLt��> � � / hl / � / / a-� Applicant Permitee ignature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ��`� -� - t3S i�,.0 5 � (r; . o�-t�.+o. ,r�+,ti+.� S . � City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) ��—�� Mailing Address: Permit number �.¢,O,�j:� PO Bax 66 %/ , \\ Crystal Bay, MN 55323-0066 Date received: ! �r` i' � Received by: ,� ,��`�,�,�,�:� �,Ij Street Address: ��',�, �� >�,� Gti�' 2750 Kelley Parkway Plan reviewfee: �lyk��.�,�/ Orono, MN 55356 �Esao�� Total Fee: Main: 952-249-46d0 Fax: 952-249-4616 wrrrw.ci.ar�no.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: �$��L. � �4.�. �"'��A a�10 Y�--N �"'3(�p� Will this be a Parade of Homes, Remodelers Showcase Home or other isplay Home? ❑Yes ❑ No lf yes, a special event permif is required with Polrce Department and City Counci/approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking rs avai/able. Non-permitted events will not be af/owed. CONTRACTOR/APPLICANT NFORMATION: Name: ,,,,y�� ., State License# �+�(g�yq�°�°�+�^— �Expiration Qate: '� Lead Certification Number: �f��'"� ��p�� Expiration Date: � (for work on homes that were canstructed prior to 9978 Phone: '�,., Z,,,Ld .. (otfce) �c,.dE�N (.rz�—�,---Z�,,,1 —• � (celq Mailing Address: tv► S �l/V,J c�' Cit : � �} C� ZIP; � Contact Person: � Applicant is: ontracto Homeowner �c�r�ie o�} Email and/or Fax: t^� �y�,e S'b�,v,t,� (�e,a,��y,�r��• �1 s„�, PROPERTY OWNE INFORMATION: Name: ,Lt,� Phone (day): �_ �"7 j .. S Address: � ��-� �NI..,�,�,�v �! City: j�4r��,� ZIP: � � Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) e-roof, asphalt ❑ Repair ❑Storm 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: 952-471-0662 ❑Window(s) www minnehahacreek.orq Overall Project Description: � � � Estimated Construction Valuation of Project(ex uding 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 informatio which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this i mation is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: Date: 'S �"7 Last Updated: OS-09-2011 DATE TIME � CITY OF ORON CA LE�� O � INSPECTION NOTICE� SCHEDULED Z-- � PERMIT NO��d - D�l �7 COMPIETED ADDRESS 3�52 a,lJ� OWNER LEPHONE NO. � �OZ °�'ZI 3/�2--' CONTRACTOR �-Q S'��'� �'� ' j; DESCRIPTION �i�c�G �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � t, � �v / t � �� O � W � Q � Z W � W � � � d W ❑WORK SATISFACTORY:PROCEED ,-.$�PROJECT COM PLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�0 OwnerlContractor on site: � Inspector. � White Copyllnspector's File Canary CopylSite Notice S �qTE TIME � / CITY OF ORONO CALLED IN � �� INSPECTION NOTICE SCHEDULED � PERMIT NO. 0?0/2'OdU/3 COMPLETED � ADDRESS .38�Z ��E/�/�7. �� OWNER TELEPHONE NO. 763 z�3 S 7�(0 CONTRACTOR �' `S��Ge- �N'G�""f"�'L�70�'l (��2 ZZ� 3��Z >; DESCRIPTION � E��L � � , l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � ^ O � �� _ �� `✓� � �,� � � O � W � Q � Z W � W � � � GW �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. G pHOTO TAKEN INSPECTOR WILL RETl1RN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� Owner/Contractor on s' : Inspector. White Copyllnspector's File Can� �CopylSite Notice