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Home My WebLink About2016-00366 - roofing CITY OF ORONO * Z 0 1 6 - 0 0 3 6 6 * 2750 KELLEY PARKWAY DATE ISSUED: 04/12/2016 • ORONO, MN 55356- '� (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1135 BROWN RD S P�N : 10-ll 7-23-24-0006 LEGAL DESC : UNPLATTED 10 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,850.00 NOTE: VALUATION OF PERMIT:$5,850.00(HOUSE ONLY) ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PR[OR TO WORK BE[NG 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 COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 139.36 STATE SURCHARGE(VALUATION) 2.93 TODAYS EXTERIORS INC. TOTAL 142.29 11308 70TH PLACE N MAPLE GROVE,MN 55369- Payment(s) CHECK 4379 142.29 (763)425-0803 Minnesota State License#: BUIL-20387451 OWNER �— C�� E-� � GLEW, DUANE&PATRICIA 1135 BROWN RD S WAYZATA,MN 55391- AGREEMENT A1vD 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 180 days at any time after work has commenced. The applicant is responsible for assuring all re mspections are requested in conformance the Stat ulding Code.This per may be revoked at an or cause. - u`) � �.� Gf r� z% ��i�c��,:1 I �=f�L� y �2 ,e � � Applicant Permitee Signature ate Issued By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e..windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) � Mailing Address: 3 �, �Q� PO Box 66 Permit number: �_� ' dQ � � Crystal Bay, MN 55323-0066 Date received: 1 Z I 10 fi Street Address: Received by: � ti�, 1 2750 Kelley Parkway Plan review fee: ��kESH��G Orono, MN 55356 Total Fee: � . C,� �' Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us i �� This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: 2 � Job Site Address: �OJ� ` fow� � Will this be a Parade of Homes, Remodelers Showcase Home 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 s ice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICA�NFORMATION: /_ Name: �A � T�i�!'I`oI'S �ytL State License# ,�C, 30 � Expiration Date: q3 3( �� Lead Certification Number: Expiration Date: � (for work on homes that were constructed prior to 1978 Phone: (cell) `�� (��— pL,�G (office) 7�,� ��(Z$= D .�03 Mailing Address: � O�' – �L � Cit : �E ror f z�P: 36 g Contact Person: ,c� �,S (�,�s�,+ Applicant i . Contrac or Homeowner (Circle One) Email and/or Fax: qo�roA A �ssS . o�+ PROPERTY OWNER INFORMATION: Name: q,,J� o� Phone (day): � Z Z a - 6p6'� Address: � (� 3��,,,a Q� S City: �T�n � ZIP: Email and/or Fax: PROJECT INFORMATION: verall pro'ect description: Type of Project: Any earth movement may also require ❑ Door(s) ' ��+�' ' ❑ Remodel ❑ Fire Damage MCWD review 8�permits: �e-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ 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) $ a— 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 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 ' lic but can be given to the subject of the data. Confidential data is information whi y nnot be giv o either the publi or the subject of the data. Our purpose and intended use of this inform ' is to annually ate our re rds and records of er governmental agencies required by law. If ou refuse to su f th ' formation,th on m t issued. ApplicanYs Signature: Date: 2 ZoL� Owner's Signature: Date: Last Updated:January 2015 V /� TIME CITY OF ORONO CALLED IN INSPECTIbN NOTI CHEDULED PERMIT NO.�,r MPLEfED ADDRESS OWNER E PHONE NO. Z `�� CONTRACTOR � � DESCRIPTION ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COM NTS: G�--�Y�V �CGL � � � � !l�J`� a � , 0 � � 0 � W � Q � 2 W � W � � J O W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECTV1fORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDEFi POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �I DATE TIME CI OF O ONO CALLED IN INSPECTION NOTICE ��SCHEDULED _�� `� rERMIT NO. COMPLETED ADDRESS � � � � �� G�L�2—l��` `-' � OWNER TELEPHONE NO. ��`��yy�'��' CONTRACTOR ��-� �� ` � DESCRIPTION ��`� � � �'�' � ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ A UILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/R MOVAL J ❑ DEMO-SITE ❑ SEPTIC IN�TALL , C��OS� O(t� ��_L�c��, 2 OWNERfCONTRACTOR TO MEET YOU:_YES r��NO � t � COMMENTS: �i C` fZ.��P/J C`�'1 1`�' • a �-��'- �n �/�tm f �-,l�c�:r2— o ��s.P ��Q��l,� ��-��_ � ��l�"u�� d� 7t�� - c� �-�� /G e �r Af�t,` �e� � O �f-��rie`n. Dn Si�1� " W . � � ��'�v ��t�:l�cb�,..� vrovit�l �- Q � 2 � a�a�IL Co v�^.l,ltt�i� —" W -r � � j �t� �i'��a�'�. W ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE � ❑CORRECT WORK S PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Cenary CopylSite Notice