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Home My WebLink About2012-00412 - roofing � ` CITY OF ORONO � * 2 0 1 2 — P1 PJ 4 1 Z * 2750 KELLEY PARKWAY DATE ISSUED: OS/16/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4665 BAYS[DE RD PIN : 06-117-23-22-OO17 LEGAL DESC : BAYV[EW FARMS 2ND ADDN : LOT 001 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEF[NED VALUATION : $ 13,387.00 NOTE: VALUATION OF PERMIT: $13,387.00 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[S COMPLETED"I 1IE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 250.75 COMMUNITY CONSTRUCTION STATE SURCHARGE(VALUATION) 6.69 11827 EAKEN AVE SE TOTAL 257.44 DELANO, MN 55328- (952)220-3786 Minnesota State License#: 20573411 OWNER GEFFRE, IRVIN& MARJORIE 4665 BAYSIDE RD MAPLE PLAIN, MN ACREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicabie City approvals,and the State Building Code. This permit is for only the work described and does no[grant permission Yor additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied wi[h 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 i onsible for assuring all required inspections are requested in c form nce with the State B 'ding Code.This permit may be revoked at any ti f r due cause. S � l� i � Z l�=�a,v� � �� / �'- Applicant Permi ee Si ure i' Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . , Cit of Orono Y Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number. �Lq�— 6 igv 0,� PO Box 66 �� Q Crystal Bay, MN 55323-0066 Date received: v�; i �� ! N Py ��a �t �_s�y s, Street Address: Received by: .�� ` `�T��[ry � . �ti 2750 Kelley Parkway Plan review fee: L�kEsHo�� Orono, MN 55356 Total Fee: c��7 �� 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: �G,�,� u� ,c�Q Will this be a Parade of Homes, Remodefers Showc se Home or other Display Home? ❑ Yes `,[C] No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus servrce will be required unless applicant demonstrafes sufficient on-site parking is available. Non-permitted events wil!not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: \�j '�.'l ..�5 �-,v� State License# � l � Expiration Date: � --� j —/4 Lead Certification Number: Expiration Date: (for work on i►omes that were constructed prior to 1978 Phone: � r� - �a U — � � s3'� (office) (cell) Mailing Address: �� v 5 City: ��,4 y,v ZIP: S S Z` Contact Person: � �' (C� ��.�� Applicant is: Contracto / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: _Z',� iJ�`n �n--��-C - Phone(day): f� C Z — S `��--�j 5 '3 ° Address: L�6� S I�,q��'� .e �c� �/(,�q�(� N�City: ZIP: ��-�� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& ermits: ❑ Door(s} ❑ Remodel ❑ Fire Damage Minnehaha Creek Watersh d District(MCWD) �j Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-0590 ( p iy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 1��, �7j� . oU APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; � • Certifies that the intormation supplied is true and correct to the besf of hislher 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 re uired b law. If ou refuse to su e informatio , the a lication ma not be issued. ApplicanYs Signature: �"a -� Date: s —�� j � Last Updated: 08-09-2011 � D E TIME � CITY OF ORONO CALLED IN Z- / INSPECTION N TICE SCHEDULED �v L� PERMIT NO. �� COMPLETED ADDRESS S OWNER T ^E NE N . a ��-3 � CONTRACTOR � � - �; DESCRIPTION � L �`'-�- 6 ��1 � � ❑ 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 ❑ 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 Z OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W C � � O a � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK&PROCEED CJ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � �"�� White Copyllnspector's File Canary CopylSite Notice DATE TIME ✓ CITY OF ORONO CALLED IN � INSPECTION NOTICE ��SCHEDULED PERMITNO. a� -� ° COMPL ED ADDRESS OWNER TE EPH E NO �°3- �37 CONTRACTOR ��-nZ - >; DESCRIPTION ��t- � � ❑ 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 ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � / W 0. � J O � � O � W � Q � Z W � W � � d W� �yDRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice