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Home My WebLink About2012-01137 (roof) ! CITY OF ORONO * Z012 - PJ 1 137 * 2750 KELLEY PARKWAY DATE ISSUED: 1U08/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4645 BAYSIDE RD PIN : 06-117-23-22-0009 LEGAL DESC : BAYVIEW FARMS 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 15,000.00 NOTE: VALUATION OF PERMIT:$15,0000 ROOFING PERMITS ISSUED WITHOUT GNOUGH NOTICE FOR TEAIt OFF INSPECTIONS. (WE REQU[RE 24-48 NO"I'ICE,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 BGING DONE. ONCL WORK IS COMPLETGD THG SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 265.50 INCL[NE EXTERIORS 1NC STATE SURCHARGE(VALUATION) 7.50 26175 BIRCH BLUFF RD SHOREWOOD, MN 55331 MISC FEE 0.00 (612)471-9065 TOTAL 273.00 Minnesota State License#: 20168831 OWNER SIMS, ERIC& ELIZABETH 4645 BAYSIDE RD MAPLE PLA[N, MN 55359- ACREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant pennission for additional or related work wl�ich 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 I 80 days at any[ime after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the te Building Code.This permit may be revoked at any 'me for due ca7e _f' ' /t � � � 1 � � ltin� ��l o l �� Applicant Permitee Signature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � a �� Q��-��c� yr.�� E�e�� ,��e��c�€� ��- ��e�r��r�� / �ar�c�� UIP6�lC�OM.°�, E�OUC�., SiE�ICI�, �'�-E'Ce�f, �rC.� M,ailrng Aaaress Permit number: o�� /�-0 <l �J �i��,� PO Box o6 � /(� (�� Crystal Bay, MN 55�23-0�06 Date received: //- �� i � � h>,°y_ i ��,� �14 4�� ! S'rreei Adaress: I Receiv�d by., � -� \��^��ry,,�,, ��/ 2750 Keliey Parkway I Plan review.fe ��.t� ��Y.� Orono, MN 55356 � � � ESHo � Total;r=e�: ;�7 3. (�� Main: �52-245-4000 Fax: 952-249-4010 www.�i.orono.mn.us Tnis appfication r"orm must be compl�ted in rull and all reauired informafion must be submitted. fncompfete appiicaiions will be returnec4. (P/ease prrnt) v��I�P.A� INFORMl�TIO►�: , � Job Site Address: �� ;� �� U,�CU ' Wiil ti�is be a Pa�ade of Homes, Remocfeiers Showcase Fiome or other isplay Fiome? ❑ Yes � P�o !f yes, a special event permit is required wifh Po(ice Depanmenf and City Council approval 60 days prior to fhe even±. Snuttie bus servrce wil!be required unless app(i;,ant demonstrates suffrcient or-site parlcing rs available. Non-permitPed events will not be aliowed. CONTRACTOR/APPLICANT INrOP,MATI f�: Name: nr �,�J\ . �� State License # �,��I � �c /• l�(�j�->� Expiraiion Cate: Lead Certir"icafion Number: �� xpiration Date: (ror work on homes that were construcfed prior io ?978 Pnone: �� _ �(�V (office) (ceil} Maiiing Addres : - (' �� ` City: , - �;��, ZiP; �"-�� Contact Person: n I A u�ant is: Contractor / Homeowner � �J� �f�C�,lN1�i c�.�s PP�" (�irde One� �mai! andior Fax: PROP�RTY OWNER INFOr2Ml�,TIO►�f: Name: �1�(� �- �,��. ��1 Phone(day): - � Address: l�[nLl� ��i� �U City: f" �(� ZfP: Email and/or =ax �R�.�� s�v�-o�nn��ion: Type of Project: I, � I Any earth movement m�ay require i MCWD review&permits: ! ❑ D or(s) � ❑ Remooel i ❑ Fire Qamage Ninnehana Creel:Waiershed District(MCWD) .. e-roof, asph i ❑ Repair I ❑ Storm Damage I' � 1E2G2 Ninnetonica Blvd i Re-roof, ceuar ! ❑V�at.,r Damage Deeohaven, MN 55391 ❑ Restoration I � A I Phone: 952-471-Q590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other. (sqecify) �� a>: 952-47i-On82 ❑Window(s) j www.minnehahacreek.orq I � � i Ove�all Froject Descripiiar,: �J_� � - =siirrateeE Cor�s"truciion �°afuarior. oL Project (exciucfina �and) � r� �� APPLI^l�I�T �.�FCi�EUV19L�D;��T: I � Agrees tc provide all inrormation required o�reques'ted by the Buifding Department; j I • �eriifies trat tne inTormafion suppiied is true and correci to tne best or' nis/ner icnowiedge. Tne appiicant recognizes tna� tney I� are soleiy resoonsible for submitfing a compfe'te appiication being aware that upon failure to do so, the siaff has no aliernarive I � but to rejec't it unfil it is compiete; i ie Some or al� of the informatior that you are askea to provide on tnis appiication is cassiTied 'by State iaw as eitn�r privat� or i conr'identia;. ?rivate da;a is inTormation wnicn generalfy cannot be given to the public but can be given to the subiect of the i ! aa�a. Conrideniial data is information which qene,aliy cannot b� giver to eitner the pubfic or tne sub,iect or tne aata. Our li purpose and intended use of this informaiion is tc annuall�� updat� our records anc re�ords or' otner govemmental aaencies reauired bv law. If vou reruse tc supaiv tne information. tne ao fi�atior mav no�be issue�. /',ppii�an{'s Siqraiur�: ��7 naL�: l�—� —/� Las;UoGateC: 0�-0�-2C1"�� - DATE TIME v CITY OF ORONO CALLED IN INSPECTION OTIC .?SCHEDULED � � Z PERMIT NO. � O {� COMPLETED ADDRESS �L � � � Q� `'�S �� OWNER TELEPHONE NO. CONTRACTOR �� i � � .�— �: DESCRIPTION �� l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a �' J O � � O � W � Q � Z W � W � � GW �VVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site- Inspector. ��CJ � White Copylinspector's File Canary CopylSite Notice t� � � � n � , � ,; �/"�� + DATE TIME CITY OF ORONO � CALLED IN f � ��- I I�— INSPECTION NOTICE SCHEDULED tl �'� '�_ PERMIT NO. ��J ��I� �C�I � �7 COMPLETED ADDRESS L��' y c� �-�� t �� I--r�I�.—��`� O W N E R T E L E P H O N E N O. ��-��' C�'1–�3 y D CONTRACTOR �� 1� � ' r� >; DESCRIPTION �I ✓� I �C�'� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q � POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y O FRAMING ❑ MECHANICAL FINAL ❑ TREE RLMOVAL ZO 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL � ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: ��r�,__; o� I.UQ:� � UY�(�__ W 0. � � O � � � t, v � O � W � Q � 2 W � W � � � � ❑WORK SATISFACTORY:PROCEED J/24.PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ��❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site- �� Inspector. " White Copyllnspector's File Canary CopylSite Notice