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Home My WebLink About2016-01074 - roofing • � CITY OF ORONO * Z 0 1 6 - PJ 1 PJ 7 4 * 2750 KELLEY PARKWAY DATE ISSUED: 09/0112016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 519 FERNDALE RD N PIN : 36-118-23-14-0008 LEGAL DESC : CJNPLATTED 36 1 18 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 17,125.00 NOTE: VALUATION OF PERMIT:$17125.00 TEAR OFF REROOF HOUSE AND POOL SHED ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PR[OR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECT[ON 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 32524 STATE SURCI-IARGE(VALUATION) 8.56 SEAL GUARD SYSTEMS TOTAL 333.80 3770 D[JNLAP AVE. Payment(s) ARDEN HILLS, MN 55112 CHECK 37346 333.80 (651)481-7888 OWNER STREET& DENNIS KRUMSIEG,ERICA 519 FERNDALE RD N 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 State Building Code. This permit is for only the work described and does not grant permission Yor 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 I80 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 requested in conformance with the State Building Code.This permit may be ' revoked at any time for due cause. S� � � � � G� Applic t Permitee ature Date Issued B gnature Date • ' City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) �O� Mailing Address: Permit number: 0�� ''� l� 7 PO Box 66 � Crystal Bay, MN 55323-0066 Date received: l"' Street Address: Received by: � `� 2750 Kelley Parkway Plan review fee: `� � Orono, MN 55356 `qKESH�� Total Fee: 3 �� g� 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:, � A j Job Site Address: �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No If yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus se i will be required unless applicant demonstrates sufficienf on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFO ATION: Name: State License# Expiration Date: � Lead Certification Number: Expiration Date: (for work on homes fhat were consfructe prior to 1978 . � Phone: (cell) (office) � � Mailing Address: City: �,�5 ZIP: Contact Person: Applicant is: C ntracto / Homeowner (Circle One) Email and/or Fax: :� PROPERTY OWNER INFORMA�ION: ` Name: J Phone (day): • Address: (J City: ZI P: Email and/or Fax: PROJECT INFORMATION: Overall project description: Y V -C V►�� fi Type of Project: Any earth movement may also require ❑ r(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 Phone: 952-471-0590 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.min ehahacreek.or 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 r is to annually update our records and records of other governmental agencies required by law. If ou refuse to su p the inform io ,the p lication ma not be issued. ApplicanYs Signature: Date: Owner's Signature: Date: Last Updated:January 2016 �� D E TIME CITY OF ORONO CALLED IN � INSPECTION f,��l sCHEDULED PERMIT NO. `� -��G r COMPLETED ADDRESS � � �fi`t-liC ��-�.�_ ��- / OWNER ELE ONE NO.�j�-y��7Z� CONTRACTOR �,�Z�� DESCRIPTION �� 111 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REM VAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL �.w� S 6 r�- s 31-��8/y 2 OWNERICONTRACT TO MEET Y'OU: YES_NO ,� !� � � ��J�,� I /� .S -Gc 1 ��e�r� GL �-�G(/�J �d�- . v�i COMMENTS: � � � ��.S c> r^P�/� �ia� c�''r� � � G << � • � "' o /'C'� ol c � .�(i c.�. ✓-�.. I � � � � O � � � J�,, ��✓� n, � r r G W � � J t /� ��cJJ n, � f Q / � — " � v' c� �.-...,L ��, �.� �;-�- n o�- � � � �� /' �- �� G L/'n G �✓ � �,r fi��it� �J O � �/�.� �j, . W� ❑WOR TISFACTORY:PROCEED��-�- � �PROJECT COMPLEfE W ❑CORRECT 1MORK 3 PROCEED �� v� ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTIO� �` S TEMPORARY V BEFORECOVERING � GJl�os-(i /�`�J(,kTy^ PERMANENT ❑CORRECT UNSAFE CONDITION W THIN w HOURS� �pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR vn G ¢/� ❑INSPECTION REQUIRED.CAII TO ARRANGE ACCESS_ �`� �� e � ,�( G��e � � :� n0 Call forthe next inspection 24 hours in advance. ��2) 249-46�� , � OwnerlContractor on site: v, o �� "`� Inspector: �o��. White CopyAnspector's File Canary CopylSite Notice