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Home My WebLink About2012-00498 - roofing CITY OF ORONO * Z 0 1 Z - 0 0 4 9 8 * , 2750 KELLEY PARKWAY DATE ISSUED: 06/06/2012 � ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4245 CHIPPEWA LA PIN : 31-118-23-42-0001 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -OTHER ACTIVITY : O/S BU[LDING-UNDEFINED VALUATION : $ 77,000.00 NOTE: RECYCLED PLASTIC ROOF APPLICANT PERMIT FEE SCHEDULE 884.25 LORD&NELSON, LLC STATE SURCHARGE(VALUATION) 38.50 7091 CAREY LN TOTAL 922.75 MAPLE GROVE, MN 55369- (952)476-8372 Minnesota State License#: BC2801 l5 OWNER ADAMS,JOHN &CLEA 4245 CHIPPEWA LA MAPLE PLAIN, MN 55359- 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 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 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 l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in onform e with State Building Code.This permit may be revoked at any ' due ca s "� � � � (2 Ap icant P mitee Si r Date Issued By Si a re ate ) � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E. ��y o� Qro�o ' �'uil�ing Permit Appiicafior� for Mainter�ance / Renovation (windows, doors, siding, re-ro�f, etc.) M,ailing Address: Permit number: ��v D,hp PO Box 60 /o �\` � ` Crystal Bay, MN 55323-0066 Date received: , � a �,��" � ' Street Address: , Received by: ''"�, � �� 2750 Kelley Parkway Plan�rreview fee�: � � L9kEsH04 Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 wwv��.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incompfete appfications will be returned. (Please print) GENERAL INFORMATION: z� f Job Site Address: '"�.�-S `�� ,�l f� �Li Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o If yes, a spec�a/event permit is required with Polrce Departmenf and City Counci!approval 60 days prior to the event. Shuttle bus service wil/be required unless applrcant demonstrates suffrcient on-site parking is available. Non-permitted events wil/not be allowed. CONTRACTOR/A PLICANT I OR ATIOI�: Name: �--�� ar.3 � State License # o ' �j Expiration Date: '� Lead Certification Number. Expiration Qate: (for work on f�omes fhaf were constructed prior to 1978 Phone: 's`� �- C (office) (cell) Mailing Address: City: .c - `-�.71P: J Contact Person: � ��N Appfica�t i . Contractor l Homeowner (Circfe One) Email and/or Fax: ;�; � 9-�-' PROPERTY OWNER. INFORMATION: Name: ` �C �.�� Phone(day): 2 — �t�- ,_ L C�U� ' Address: �Z� �� Q P �� City�� 1� ZIP� ��'j Email and/or Fax PROJECT INFORMATIOI�: Type of Project: Any earth movement rrzay require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Qamage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restorafion ❑Water Damage Deephaven, MN 55391 Phone: 952-471-Q590 `�-I�e-roof, other(spec� ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 `,� 0 Window(s) i www.minnehahacreek.orq Overall Project Description. �'�, Estimated Construction Vafuati n of Project (exciu ng land) $ '77� V�;� �-- 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 appficant recognizes that they are soiely responsible for submitting a compfete application being aware that upon failure to do so, the staff has no alternative but to reject it unfil it is complete; • Some or all of the informafion that you are asked to provide on this appfication is classified by State law as either private or confideniial. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidenfial data is information which generalfy cannot be given fo either the public or the subjecf 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 u fv the informafion,the ao fication ma not be issued. . ; ApplicanYs Signature: Date: Last Updated: 08-09-2011 ��L��{��r�� L � U��J 1 �� .; �') C �t i ` � DATE TIME � CITY OF ORONO � CALLED IN � INSPECTION NOTICE � SCHEDULED 7 �' � '' �`� PERMIT N � � -- � � � GQMPLETED �, � ADDRESS .1 � '� '��C- '��'�(,�� L��u� OWNER LEPHONE NO. �Jd u �7�'-�� CONTRACTO � �' `��`�1 � 71'�l �: DESCRIPTION �{�'"� � � "-�- C `�-�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADI G/F LING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/W NDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT J ❑ 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 a � J O a � O � W � Q � Z W � W � � O W� �'MIQRK SATISFACTORY:PROCEED C i PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ;-1 ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR J'CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z) Z49-4600 OwnerlContractor on site- Inspector. i White Copyllnspector's File Canary CopylSite Notice DAT� TIME V CITY OF ORONO CALLED IN 7 /l a– INSPECTION NOTICE�1 f�SCHEDULED �-- PERMIT NO. C�G��1��`�' COMPLETED ADDRESS � � OWNER TELEPHONE NO – y� CONTRACTO � �� a DESCRIPTION ��"�" � � ❑ FOOTING ❑ PLUM G 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 J ❑ 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: � W a � � O � � O � W � Q � Z W � W � � d � �t4lf1RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. � �� r� ��It�� o—��.-��. White Copyllnspector's File Canary CopylSite Notice � D E� TIME CITY OF ORONO CALLED IN INSPECTION�.�OjTICE/� �J'Q� SCHEDULED Z PERMIT NOl/��" v'� �/ ` COMPLETED ADDRESS �a �.�� OWNER TEL P E NO.�S�- �7 -�'�j�d CONTRACTOR � `� — �; DESCRIPTION � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti 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 ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W C � � O a � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �RROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. n pHOTOTAKEN INSPECTOR W{LL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR �-� GTATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. � � -� � White Copyllnspector's File Canary CopylSite Notice