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Home My WebLink About2013-00752 - roofing ,- CITY OF ORONO * 2 0 1 3 — Pl 0 7 5 2 * � 2750 KELLEY PARKWAY pATE tssUEu: 08/OU2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 AllDRESS : 3359 CRYSTAL BAY RD PIN : 17-117-23-41-0025 [.EGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 012 BLOCK 000 PFRM[T TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 4,200.00 NOTE: VALUATION OF PERMIT: $4200.00 ROOFING PF,RMITS ISSUED WITI IOUT ENOUGI I NOT[CE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING S"I'ARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISINU SIGNS MAY ONLY BE ON THE PROPER"CY DURING THE TIME THE ROOF IS BEING DONE. ONCG WORK IS COMPLI TGD THE SIGNS MUST RE REMOVF,D. APPLICANT PERMIT FEE SCHEDULE 118.00 LUZAICH, RICK STATE SURCHARGE(VALUATION) 2.10 3 YSTAL Y RD AYZA A, 5539 TOTAL 120.10 PAID WITH CASH 120.10 � �------ � --- -----._ ___ ,._ ,..� OWNER LUZAICH, R[CK 33 CR TAL B R �ZA M 1- __ �f� AGREEMENT AN SW RN STATEMENT t�he work for which this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State E3uilding Code. "This permit is tor only the work described and does not grant permission fbr additional or related work which requires separatc permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specitied herein.This permit will expire and becomc 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 requestcd in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � � � � / / Applicant Permitee Signature Date Issued By Si ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . City of Oron� B!ailding Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O�O Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: yF G� 2750 Kelley Parkway Plan review fee: Orono, MN 55356 `�'�ESHOR� Total Fee: 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: Job Site Address: ��JS� C-c' S►p `- � �D Will this be a Parade of Homes, Remodelers Showcase Hom or other Disptay Home? ❑ Yes No If yes, a special event permit is required with Police Department and Cify Council approval 60 days prior to the event. Shuttle bus service will be requrred unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: p(,t)Y�P,�/� State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: � / Name: �/ � L L�'�R/C� Phone (day): (p�� -��ej ��d-� Address: ��3�c� C.r�STA L, �,e�� .j City: �j(�l�'j ZIP:5�3 l � Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-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) $ Q--� Zoa (,Qbo� 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 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 ' ' orma' n is to'�nnually update our records and records of other governmental agencies required by law. If ou refuse to I th info ation the a licati n a not be issued. _..-- -------__. Applicant's Signat : __ - �. ._. _ Date: � r � .� _ __---- - --- - Owner's Signature: _ - Date: �� , �~� Last Updated:03/06/2013 �� D TE TIME � CITY OF ORONO CALLED IN 9 � INSPECTION NOTICE SCHEDULED � �� PERMIT NO.�D/�-DD7S� COMPLETED ADDRESS 3�S � �� OWNER TEL HONE N0.7(o3 ZZS 83� CONTRACTOR �S� �- i DESCRIPTION �wd� �K�'C � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS:_T(C�� W a � J O �. � O � W � Q � 2 W � W � J O � ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor o site: Inspector. White Copyllnspector's File Canary CopylSfte Notice DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�Ol3 �Oo7-S.2 COMPLETED ��;�iL`�l ADDRESS 3 3�� ("�5��/ �t-. �• OWNER TELEPHONE NO. CONTRACTOR �`�C �t L Lt Z4 «� � DESCRIPTION (Q��va� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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. �EOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: /'�rrr.•� ftUuCC�J�� /�O �—C�t lC-{o� a i�.a/ � �5 �c��co�••.. j o � ��• - o ff' ��s�oe��.,.. ��Q��1? �. � � �fi�r� {rGK�t��ia�, .� /'a o't�e.J W '— � Q z (�j/Q�!� �DQ�a�S �b.�c t�/�f� � /,�LrrM..� tcN4/G� W � J � ❑WORKSATISFACTORY:PROCEED �FROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4f)�� OwnerlContractor on site: Inspector. �/^^� White Copyllnspector's File Canary CopyfSite Notice