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Home My WebLink About2015-00275 - roofing r �. CITY OF ORONO * 2 0 1 5 - PJ 0 2 7 5 * 2750 KELLEY PARKWAY DATE ISSUED: 03/06/2015 ORONO, MN 55356- (952 249-4600 FAX: (952) 249-4616 ADDRESS : 1960 FOX RIDGE RD p�N : 03-117-23-13-0011 LEGAL DESC : FOX RIDGE : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -LJNDEFINED VALUATIOI�I : $ 6,000.00 NOTE: VALUATION OF PERMIT: $6,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROV[DE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVGRTISING SIGNS MAY ONLY BE ON"I'HE PROPERTY DURING TI-IE TIME"I'HG ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUS"I'E3r REMOVED. APPLICANT PERMIT FEE SCHEDULE 139.40 STATE SURCHARGE(VALUATION) 3.00 PRIME HOME CONSTRUCTION TOTAL 142.40 3620 CENTRAL AVE NE Payment(s) MINNEAPOLIS,MN 55418- CREDIT CARD 4599 142.40 (612)990-2636 OWNER STAUBER, ROB 1960 FOX RIDGE RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMEIVT "l�he work for which this permit is issucd shall be performed according to the approved plans and specitications,applicable City approvals,and [he State Building Code. This permit is for only the work described and does no[grant permission for addi[ional or rclated work which requires separate permits Ali provisions of laws and ordinances goveming 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 required inspections are requeste in conformance with the State Building Code.This permit may be /�'+"" revoke any time for due cause. ��-/�-� ,3--G-/S C l � Applicant Permitee Signature Date Issued By Signature Dat f � City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O�O Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: y � 2750 Kelley Parkway Plan review fee: `� L Orono, MN 55356 `q'�FSH�� 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: j�T(9� � JobSiteAddress: ��r�'t"t' f o-� '+�� - �` � } �"'`� , Will this be a Parade of Homes, Remodelers Showc"ase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Nam e: �iz�� E ��o r.� � � :; -,; �L..;�., � o �.; State License# �L �� aj'�j y � Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) �� Z �tj�� '�j � (office) Mailing Address: 3 � 1 � C��fr�. ,,.;� .t�1 E City: ��J, 5 ZIP: 5"�`�� ' Contact Person: L�r�� z ,� Applicant is: Contrac or / Homeowner (Circle One) Emailand/orFax: r�"vu e_r�� rs ��ct� . c_.��-�. ` PROPERTY OWNER INFORMATION: 1 Name: (? `: � S 1 alc�� eY Phone (day): _, `3 '� S �- "f l `��i Address: [6% � �.�;u (Lc� �� `(�, City: ��-oV� � ZIP: 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) 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) $ r,,cC 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 information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I ihe information,the a lication ma not be issued. ApplicanYs Signature: � v� �- ' ---- Date: � � `— � �, , � ' Owner's Signature: Date: Last Updated:January 2015 " \ �`�^ / � � DATE �ME CITY OF ORON�D/.5��1��CALLED IN � INSPECTION NOTICE SCHEDULED �� _��_ PERMIT NO. � COMPLETED ADDRESS %�LE'CJ �� X /� i �� OWNER TEL PHONE NO.C��v� �D�� CONTRACTOR r �� Y�' �� : DESCRIPTION �� r �� ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBfNG RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON AB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FR ING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL � ❑ DEMO-SITE ❑ SEPTIC�NSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO M YOU:_YES�NO � COMMENTS: ��-��Z,�.� /J7'/S/� � ,�;i,.�T . �''l��rr� C�Y1 �r�'f ,��,� J O �. � O � W � / Q � 2 W � W � � J d W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN �NSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEFi POSTED.CALL INSPECTOR / ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. � 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice