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Home My WebLink About2012-00920 - roofing � . � CITY OF ORONO * 2 0 1 2 - 0 0 9 Z 0 * 2750 KELLEY PARKWAY UATE ISSUED: 09/17/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1640 FOX ST PIN : 03-117-23-14-0002 LEGAL DESC : UNPLATTED 03 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BU[LDING -UNDEF[NED VALUATION : $ 12,000.00 NO'I'E: VALUATION OF PERM]T:$12000.00 T�AR OFF AND RFPLACG ASPHALT ROOF ROOFING PERMITS 1SSUED WITHOUT ENOUGF[NOT[CE FOR TEAR OFP[NSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING S"CARTED) MUST PROV[DE COMPLETE SET OF PICI�URES OR A FINAL INSPECTION MAY NOT BE[SSUED. S[GNS-ADVF,R'1'ISING S[GNS MAY ONLY BG ON THE PROP�RTY DURING THE T[ME THE ROOF IS BE[NG DONF,. ONCG WORK IS COMPLG"I'L'll TH1; S1GNS MUST BE REMOVED. APPLICANT PERM[T FEE SCHEDULE 221.25 LIND NELSON CONST [NC. STATE SURCHARGE(VALUAT[ON) 6.00 3794 299TH AVE NW TOTAL 227.25 ISANTI, MN 55040 (612)282-3006 Minnesota State License#: BC384640 OWNER BROOKS, CONLEY&CAROL 1640 FOX ST WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work tor which this permit is issued shall be performed according to thc approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant pern�ission for additional or related work which requires separate pennits. All provisions of laws and ordin�nces governing this type of work shall be compied with whether or not speciYied herein.This permit will expire and become null and void if construc[ion 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 ti>r assuring all required inspections are requested in n�rn�ance with[he State Building Code.This permit may be revo� ime for due cause. �7�-_ / � l / �' � -� icant Permitee Signature Date � �� [ssu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ! , � �� vp7 � City of Orono �uilding Permit Application far Maintenance i Renovatian (windows, doors, siding, re-roof, etc,) � lviailing Address� o2D l � —O D S' ; �, ,��z PO Box 66 Permit number: -� Crystal Bay, MN 55323-0066 Date received: 9 �,3 / oZ �, 0 ��`�; '`ta ,,�'t�� 1, Received by: � �i Street Address� �`:1��, �� Gti;�� 2750 Kelley ParkwaY Pian review fe ��r�kES�i�n�'�''� Orono, MN 55356 ___ ,.=- Tota l Fee: p� p� �. a � Main: 952-249-4600 Fax: 952-249-4616 wunv.ci.or�n�.rr�n.us This application form must be completed in full and all required infarmation must be submitted. incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: isao ro:� sc�eec, ti�:��c� r�r; s�3°a1 Wiil this be a Parade of Homes, Remodelers Showcase Home or other Oisplay Home? ❑ Yes � No /f yes,a special event permit is required with Pofice Department and City Councit appraval 60 days pnor to the evenf. Shuttle bus service tiiilf be required unless applicant demonstrates sufficient on-srte parking is availat�le. Non-permitted events rvill not be allowed. CONTRACTOR t APP�ICANT INF�RMATIUN: N8(11@: lind-Nelson Construction Inc State License# BC36a6ao Expiration Date: 313�rz0�3 Lead Certification Number. R-i-�Bsia-�a-ooaaa Expiration Date: 2�2si2o�5 (far work on homes that were consiructed prior fa t 978 P h0118: 612-282-3006 (office J 612-282-3006 (C611) _�_ ..__... . M2111t19 AdC1f8SS: 3794 299th Ave NW Cit : Isanti Z�P; 55040-5956 Contact Person: �eff Neison Applicant is: Contractor J Homeowner �c�r�ie one� Email atldlOf F2x: jnelson�iindnelson.com PROPERTY OWNER INF(�RMATION: Name: conley srooks Jr Ph0�2(d2y�: 952-473-7354 Address: tsa0 Pox Street City: wayzata ZIP: 55391 Email andlar Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s} ❑ Rernodel ❑ Fire Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) � Re-roof,asphait ❑ Repair ❑Storm Oamage 18202 Minnetonka Bivd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-059� ❑ Re-roof,other(specify) ❑ Siding ❑Other. (specify} Fax: 952-471-0682 ❑Window(s) wv�w.rnie�nehah�rreek_�rq O�erall Pro}ect Descriptio�: Tear otr&rep�ace aspna�t roarir,g Estimated Construction Valuation of Project(excluding land) $ �2,000.00 APPLICANT ACKNOWLEDGEMENT: • Agrees to provide aii information required or requested by the Building Department; • Certifies that the information suppiied is true and correct to the best of hislher knowiedge. The appiicant recognizes that they are solely responsibie for submitting a compiete application being aware that upon failure to do so, the staff has no aiternative but to reject it until it is compiete; • Some or all pf the information that you ara asked to provide on this applicatian is classified by State law as either private or confidentiai. Private data is information which generaily can�ot 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 pubiic or the subject of the data. Our purpose and intended use of this info�mafion is to annually update our recnrds and records of other governmental agencies re uired b law. If ou refuse to su I the information.the a lication ma not be issued. Applicant's Signature: �--� Date: sit3��2 Last Updated: 08-09-2011 DAT� TIME � ��E"'�� CALLED iN 86�9��CT@C�� E��`�f9�� SCHEDULED �_ ��°��.�o�a- c�Qao COl�ii'LRED �"� :�� /6 e�'o l=� �5`L`� �w�� . ��'��`�� Lin� /Ilelsa•c �-�.s�- �itc. � ��s��s�5� __ 6c'�—�{' - � � ❑ FOOTIiVG ❑ PLUNiBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ iVIECHAN�CAL RI � LAKESHORE/WEfLAhlDS � ❑ FRAMING ❑ iViECHANICAL FINAL � ❑ TREE REMOVAL .�`- ❑ IfVSULATION � WOOD BURN�R/FIREPLACE ❑ SITE INSPECTION � ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS }.�„ ❑ FINAL ❑ SE�NER HOOK-UP ❑ COhAPLAiNT ``'� ❑ DEMO-SITE ❑ SEPTIC�UTAINT �FOLLOW-UP g ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL �y ❑ PLUP�BING RI ❑ SEPTIC FIPJAL ❑ FOUNDATION/REt�hOVAL � O�Ri�B�/��9T�qCY�Fi'�O 40A��9`J�i�6:_Y�S_S�4G� � ��I��l��'so rt o -�'e�, -o�" ��sb�c�.� /'�co�� *OLD PERNIIT — NO FINAL INSPECTION REQUESTEI � � �5 — • , � �� veK��z�n r!J/�� 0 � � � ' r f� !�� r�-t /��l.�Q � � � � c� � ❑WORK S,4TlSFACTORY:PRO�LED ��CT COMPLETE � ❑ CORRECT�1fORK�pROCEE� � ISSUE CERTIFICATE OF OCCUPANCY � ❑ COFRECT WORK,CALL FOFl REINSPECTIOf�1 TEMPORARY � BEFORECQVERIfVG PERMANENT ❑ CORRECTUYVSAFECOPdDIT60NV�11THIN HOU�tS. �� pp.{OTOTAKEN !6�SPECTOF6 WI LL R ETIJRiV ❑CITATIOPd ISSUED ❑ST04'ORDER 6'OSTED.CAIL 9�1SPECT�OR O INSPECTION REQUIRED.Cr,�L TO ARRAf�GE,�CCESS. ��P6 ff��he�a��+��a��¢��a��u�oo��u�, ��52� Z49m�6�� G�ts��9��a4ra�4�o��+a��a��: 6�osp�g�c:�TT Ulho4e Co�aylGnspcctior's Fol� Carcan,�CopyfSi4e Wo4ice DATE TIME ✓ CITY OF ORONO CALLED IN I l- g-�Z INSPECTION NOTICE9 SCHEDULED //-��2 PERMIT NO.�/oC �a9/�D COMPLETED ADDRESS llo S�� 7�� OWNER TELE HONE N �� ' CYa:300 CONTRACTOR >: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � �� 0 � � � .�1� �'� l`� . � �J� c� � Q � , r� �-C'� G� d — �1,� ��c�v� 1' z �. W � W � � d W ❑WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED �, ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR � INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice