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Home My WebLink About2015-01313 - roofing y CITY OF ORONO * z 0 1 5 - 0 1 3 1 3 * 2750 KELLEY PARKWAY DATE ISSUED: 10/12/2015 ` ORONO, MN 55356- (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 146 CHEVY CHASE DR PIN : 36-118-23-41-0045 LEGAL DESC : HILL O'WAY MANOR : LOT O11 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL COPISTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILD[NG-LJNDEFINED VALUATION : $ 8,628.96 NOTE: VALUATION OF PERMIT:$8,628.96 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECT[ONS. (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 THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 185.87 STATE SURCHARGE(VALUATION) 4.31 ALL AROUND ROOFING&RENOVATIONS TOTAL 190.18 701 DECATUR AVE W Payment(s) #201 CREDIT CARD 1175 190.18 GOLDEN VALLEY,MN 55427- (763)219-7181 Minnesota State License#: BUIL-BC635665 OWNER ANDERSON, RETA&STEPHEN 146 CHEVY CHASE DR WAYZATA, MN 55391 AGREEMENT AIVD 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. 'Chis permit is for only the work described and does not grant permission for additional or related work which requires separate permits. AI►provisions of laws and ordinances goveming 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 responsible for assuring all required inspections are re sted in conformance with the State Building Code.This permit may be r voke ny time for due cause. f 1 � �� +� 1S �. � � I��.�� s �� , �z , � s 'tee Signature Date Issued By Sign ure Date Oct 08 15 05:04p All Around 8004198422 p.1 . . , CITY (JF OR�NQ , BUILDING PERMIT APPLICATION FOR NEW STRUCTURES QR ADDITIONS �O A r Mailing Address� Permit number: �(j/5—p / �� ', �V� PO Sox 66 Crysial Bay, 14W 55323-0066 Date received: % D 4 Streef Address:' Received by: J-� 5- 1 2750 Kelley Parkway Pian review fee: /� �# `�t,� �,� Orono, MN 55350 �F S H d� / �D. Total Fee: (� iNain: 952-249�600 Fax: 952-249-4616 www,ci.o�ono.mn.us Th;s appEication `orm must be completed in full and al)required information must be submitted. ,�� `��a1�7 Incomplete applications will be returned. (P/ease print) �,y�qp GENERAL INFORMATfO(�: Job Site Address: �L�(� C4,�e�� ,,,,,� � W��2�� Mf,J �S3al Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No !f yes,a specia!evenr per,mit is requircd�vith Police Department and City Councif approva!80 days prior�o the event. Shuifle bus service r��iN be required unfess applicanf demor,straE2s su(ficient onsrte parking is available. Non-permitted evenfs wiN nof Ge allowed. CONTRACTOR f APPLICANT INFORMATION: Name: � Stafe License# � ; E iration Date: � 31 Phone: cell _ j�t_ office Mailing Address: � � {y � i , '� � ZIP: 5 � Contact Persor�: �"�o,�� {y,a Appiic t is: trac / meowner �cs«ieone� Email and/or Fdx: �- P• n ,", �- gyd PR�OPERTY OWN�R iNF�RMATION: `� Name: `�Ee_�h� a ��e.,. F+n�tt'4!�^ Phone (day): �la �3�E- Sy6S Address: lyl. (4,�5�. CG��usc [�� way�a(� � /''11.� SS"39( C�tY �n r�c.f� ZIP: SS�II Email and/or Fax 5��.Gn�y{r 2c„�,��,c�r.., ARCHITECT 1 ENGINEER EI�FORMATION: Name: Phone (aay); � Address: City: ZIP: Email and/or Fax: � PROJECT INFC?RMATI4N: Description of pro'ect� 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Dispasal& Water Supply , ❑ Netiv Construction [�Single Farnily with �Residence ' ❑Addiiion attached garage ❑ Garage 1Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Fa�nily with ❑ Deck ❑ Relocation �7 r7 detached garaye ❑ Office/Commercial ❑ Private Sewer � Other: (specify) r�ti-r�(x,� ❑ Multiple Family J Ccndo ! ❑ N�arehcuse I ❑ PubGc I ❑ Storage ❑ Public Water **Any earth movemenf may also require ❑Commercial I ❑ Other{specify) MCWD review E�permits. ❑ IndusCrial ❑ Private Well ti1innehaha Creek Watershed District(N1CWD) ❑Other. (speCify) 18242 Minnetorka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 ` www.m,n�ehanacreek.or Estimated Const�uction Valuation(excluding land) � `�j l•;� 0 . G� k � Oct 08 15 05:04p All Around 8004198422 p.2 Y � �STRUCTURE INFORMATION: � 1. Structure Dimensions 1.Structure Dimensions (continued) 2.'Fype of Construction a. Length(ft.j= Number of bedrooms= ❑Wood!Frame b.Width {ft.)= Number of garage stalls: ❑ Masonry � Areas in square feet Attached = � ❑ P�letal ❑ Pale Sidg. c.Basement= Detached= ❑ ICF d. 1"'Story = ❑On-site Prefab e, 2"`Story= I ❑ Off-sile Prefab f. '/Story = i ❑Other(please specifyj: g_Total Area= I REQUIRED SU�iN1177ALS: All of the information must be submitted in order for your application to be processed: t�€ot _.._.__--.---_- Enclosed A licabie ❑ ❑ Perm't P,pplication __.—__. .�.____ __ ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Ca{culations and Mechanical Gode Re uirements Form ❑ ❑ Surve meetin all re uirements) ..__.�_._—_ . _ ❑ ❑ Stormwater Pollution Prevention Plan ❑ 0 Hardcover Calculationjsj - —.__. ..____---------- ❑ O Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland BGffer Improvement Plan -------- . . _ _ ❑ ❑ En ineered Plans for Retainin V'JalEs 4 feei or above ❑ ❑ Minnehaha Creek Watersned Disirict Permit s ❑ fl Ptan Review Fee ❑ 0 ApplicaEior Escrow&Agreement Q � Other: -- - — -- - - ----- ------ APPLICANT/OWNER ACKNOWLEDGEMEN7: • Agrees to provide all information required or requested by the Build'mg Department; • Agrees to pay the City of Orono for engineering consultant re�iew costs in excess of$500; . Certifes that the informa:ion sUpplied is lrue and carrect to the best of his/her knowledge. The applicant recagnizes that they are solely responsible for submittiny a comple;e application being aware that upon Failure ko do so, the staff has no alternative but to reject it until ii is complete: � Acknowledges the Escro�v Agreement is compteted and signed; • Understands some or all of the information that you are asked to provide on this applicaiion is�lassified by State law as either i private or confidential. Privale data is information �vhich generally cannot be giwen to the public but can be given to the subject ' af the data. Confdential data is iniorma#ion which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of thi5 information is to annually update our records and records of oiher governmental agencies required by law. If you refuse to supply the information,the application may not be issued. . Agrees that in the event that weather or other conditians prevent the completion of an as-built survey at the tirne the Certificate of Occupancy is requesfed,a temporary Certificate of Occupancy may be issued upon receipt of a $'#0.004 escrow to ertsure completion of the as-built survey anci all site improvements. ApplicanYs Signature: date: �d` �` 1 ,� ,_ Owner's Signature: Date: � � �� CITY OF ORONO CALLED IN /G _,�—f j� ��T E INSPECTION N ICE SCHEDULED /�?�� PERMfT NO. �� OMPLETED ADDRESS �� l `L / ` - OWNER TEL PHONE NO.Il�"'��b Z CONTRACTOR ��`i"U,G(G� /�'/,C'1�1Gt°_o�-�-� � DESCRIPTION ��/��i7L;1 4� ❑ FOOTING ❑ DEMO-FINAL ✓� ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OYYNERlCONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W a � J O ). � O � W � Q � W � W - � J O W RK SATISFACTORY:PROCEED �PROJECT COMPLEfE � RRECT VYORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CO RECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52 � OwnerlContractor on site: Inspector: White Copyllnspector's Flls C�nary CopylSite Notke �� /D ATE /5 TIME CITY OF ORONO CALLED IN J INSPECTION NOT C SCHEDULED / �- S �-��P � PERMIT NO. � �� COMPLEfED ADDRESS OWNER TELEPHONE NO.�� - ��Z CONTRACTOR t�. � DESCRIPTION �d� ��"`� tL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOU DATION WATERPROOF ❑ PIUMBING FINAL ❑ TREE REMOVAL Z ❑ R ON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ AMING ❑ MECHANICAL FINAL ❑ RATED WALLS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �4 AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W a � � O � � O � W � Q � , /'�; a W w � � � J a W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED I SUE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR flEINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (9 �1249-46�0 OwnerlContractor on site: � r Inspector. � White Copyllnspector's File i� Canary CopylSlte Notice