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Home My WebLink About2013-01132 - roofing � CITY OF ORONO * Z 0 1 3 - PJ 1 1 3 2 * 2750 KELLEY PARKWAY DATE ISSUED: 10/24/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1480 BOHNS POINT RD PIN : 09-117-23-33-0004 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRLTCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 40,000.00 NOTE: VALUATION OF PERMIT:$40000.00 CEDAR ROOF-WINDOWS-DOORS 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 IS COMPLET�D THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 574.25 COMMAND BUILDtNG SERVICE STATE SURCHARGE(VALUATION) 20.00 15405 N EDEN DRIVE EDEN PRAIRIE, MN 55346- TOTAL 594.25 (612)708-6085 Minnesota State License#: BC636753 OWNER ALTON III, HOWARD 1480 BOHNS PT RD WAYZATA, MN 55391- 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 S[ate 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 hercin.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]80 days a[any time af[er work has commenced. The applicant is res ing all required inspections are requested i orm ce w the Building Code.This permit may be revo or se. / / /l/ /� Applicant Permitee Signature ate [ss d y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � - City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) %' � �, Mailing Address: Permit number: 0 �l� ' �� `� Po BoX ss '� � ��. Crystal Bay, MN 55323-0066 Date received: —o� � i � � Street Address: Received by: t �. �. ; ��;. � � � 2750 Kelley Parkway Plan review fee: ��q� �`' Orono, MN 55356 � �� '�E.S H�� 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. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: � Job Site Address: � � Will this be a Parade of Homes, Remodelers Showca e H me or other Display Home? ❑Yes o If yes,a specia/event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e bus service will be requrred unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/AP LICANT INFOR TIO � Name: ,,,,./K.��' � ✓ � ;c,�-��-�. State License# � , � — Expiration Date: �-3 � —/� Lead Certification Number: �• � _ �' �� — / Expiration Date: l� �Z — 2 p� � (for work on homes that were constructed prior to 1978 Phone: (cell) � � �_�p C�—�,, v;+�-� (office) Mailing Address: "Gj�,j !� ' .,,._ / Ci � �,�;•,,;`ZIP: S �,j �/ � Contact Person: ,i � , � � �� Applicant is: Contra o ' / Homeowner �c��ie o�e� Email andlor Fax: PROPERTY OWNER I FORMA�ION: Name: E>�,c>w.r ,�L Phone(day): 7�j .— /d�� Address: / � �(� ✓ ,� • �— /7 J City:a�� ZIP: � �� Email and/or Fax: PROJECTINFORMATION: Overallproectdescription: �DD � v •c.- /�ov�S �-%•��'-'-'1' �C'�a� Type of Project: Any earth movement m y also require ,C�� ❑Door(s) �Remodel ❑Fire Damage MCWD review 8�permits: ❑Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ��e-roof, cedar ❑Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other(specify) ❑Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek orq Estimated Construction Valuation of Project(excluding land) $ APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and corred 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 altemative 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. Pnvate data is informa� whi en cannot be given to the public but can be given to the subject of the data. Confidential data is infqr�rration c �al not be given to either the public or the subject of the data. Our purpose and intended use of thi�fiformatio s uatl . ate our records and rec:ords of other govemmental agenaes required by law. If ou refuse to s I the info � n, e�a ca on ma not be issued. ; .--__�_ _ 2( —_/_f ApplicanYs Signatei,�e: -- Date: l(�-� __�.__� , �1 � 23 ,1.� Owner's Signature: :' Date: �/ Last Updated:03/O6/201�i ' DATE TIME V �'�QF'��$Q�Q CALLED IN INSPECTIOIV WnO�T9CE SCHEDULED ��F$II�IT��o�� MPLET D _ �1D�R�� W�ER E�H NE NO. C��R��'�� E�CiF$0�tl 0�l�9 � l� ❑ FOOTING ❑ PL ING FINAL ❑ EXCAV/GRADING/FILLING �' ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS � � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ��DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � INAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OIMMERICOIdTRACTOR YO AAEET YOU:_YES_iN0 � �i��: � *OLD PERMIT - NO FINAL INSPECTION REQUESTED � J O >. � O ti W � e � � W � W � j d ' W ❑��RK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑ CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY W o ❑GORRECT WORK,CALL FOR REINSPECTIOId TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIPI HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION iSSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. ��s��n��o��a��o��. (952) 24��6�Q ��nerlCore�racto��si�e: 6�sp�t�r �§9hi4e Copyllnspec4ar's File Canary CopylSi4e�o4ice