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Home My WebLink About2016-00344 - roofing R 2750 KELLEY PARKWAY * � 0 1 6 - 0 0 3 4 4 * �, DATE ISSUED: 04/06/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1179 ELMWOOD AVE PIIY : 07-117-23-14-0030 LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,920.00 NOTE: VALUATION OF PERMIT:$5,920.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOT�CE FOR TEAR pFF 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. S[GNS-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 NEW TOWN EXTERIORS STATE SURCHARGE(VALUATION) 2.96 4751 TONKAWAVIEW COURT TOTAL 142.32 MOUND, MN 55364- Payment(s) (612)221-0952 CHECK 3086 14232 Minnesota State License#: BUIL-679621 OWNER GARLOCK, MR.&MRS. BRUCE 1179 ELMWOOD AVE MOUND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed aceording 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 l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked t any tim rdne-e use. ---- _— ____ . / � � `�, �L ��G �(i �"= � / � pplicant erm' Signature D e Issued B ignatuie Date . � City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O� Mailing Address: Permit number: � —�� O PO Box 66 Crystal Bay, MN 55323-0066 Date received: � � --/� � Street Address: Received by: ti�, G� 2750 Kelley Parkway Plan review fee: � Orono, MN 55356 �KESHO¢� , Total Fee: �r 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: Job Site Address: � O � Will this be a Parade of Homes, emodelers Showcase Home or other Display Home? Yes No If yes, a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e bus service ill be required unless applicant demonstrates sufficient on-site parking is availab/e. Non permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: - Name: �w � u f State License# Expiration Date: �/�� _��8 Lead Certification Number: Expiration Date: � (for work on homes that were constructed prior to 1978 Phone: (cell) QG � (office) Mailing Address: � City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: �� PROPERTY OWNER INFOR TION• Name: � Phone (day): '7 Address: �� City: � p ZIP: (D Email and/or Fax: PROJECT INFORMATION: Overall pro�ect description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8 permits: �Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, cedar 15320 Minnetonka Blvd ❑ 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) $ 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 this i tion is to annually update our records and records of other governmental agencies required by law. If ou refuse t the a lication ma not be issued. ApplicanYs Signatur � Date: Owner's Signature: te: Last Updated:January 2015 � ��, ! �Q .�ti/. / TE TIME � CITY OF ORONO CALLED IN ,�� INSPECTION NOTICE 1 CHEDU�ED �L — � --G PERMIT NO. �'` %� �� .i ��onnP�E� = � ADDRESS � �� '� �/%�'! �� OWNER TELEPHONE NO. ��/��D%��- CONTRACTOR _ f�G/ ��= � DESCRIPTION � -��L� � lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI J ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � � d / W� �WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i dvance. (952� 2 -460� OMmedContractor on site: Inspector: White Copyllnspector's Ffle Cenary CopylSite Notice , - 1 � � bATE TIME� CITY OF ORONO CALLED IN �� — INSPECTION N,Q�.I E,�,� SCHEDULED � PERMIT NO. ��-� t'`�� C()AAPLETED ADDRESS f�� "� �� OWNER TELEPHO N . 2-2'�� -S� 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 � �-F�VAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W �❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC IN LL �.1 2 OWNERICONTRACTOR TO MEET YOU:_Y _ c�., COMMENTS: � � �- a ��l�L�-1/e5 I>-� /C ecl GcJ 4�✓ Qrl o S'�e ` / � '' G?��G l.�rtLL�!��io.-�, e� ►�v v<J��` o _ � /7 e�4J ��a S �•n 5 6/l.. l°�/s�+�lrG e s. y /'L� �...� W Q rao � ��c,��s — � 2 � 'EJQ r � �a w�-�/e�e - W ' � �/rtic-� ,�i��c� J d ,�/� �� W� ❑WORK SATISFACTORY:PROCEED l�u�c;T COMPLEfE W ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52 j 249-4600 OwnerlContractor on site: Inspector. � i '"' - � _ _ White Copyllnspector's File Cenary CopylSite Notice