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Home My WebLink About2016-00993 - re-roof CITYOFORONO * z016 - 0PJ993 * t 2750 KELLEY PARKWAY DATE ISSUED: 10/13/2016 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 440 BROWN RD S Pllv : 03-117-23-42-0012 LEGAL DESC : STRONGHOLD : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 62,000.00 NOTE: VALUATION OF PGRMIT:$62,000.00 THIS PERMIT INCLUDES ROOFING,SIDING AND WINDOW REPLACEMENT ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR'I'O WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A F[NAL[NSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPGRTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 810.48 STATE SURCHARGE(VALUATION) 31.00 REVIS[ON LLC TOTAL 841.48 153 E LAKE STREET WAYZATA, MN 55391- Payment(s) CHECK 12400 841.48 (952)540-7150 Minnesota State License#: BUIL-BC639027 OWNER SULLIVAN,TIMOTHY 440 BROWN RD S WAYZATA, MN 55391- AGREEMENT A1vD SWORN STATEMENT The work for which this permit is issued shall be performed according to Ihe approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only Ihe 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 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 tirne for due ca r - --- - - �-� � / 3 / /,L � �v � r� / / App nt Permitee Sig re Date Tssued B Signature Date / � �- CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS �O�O Mailing Address: Permit number: l — PO Box 66 Crystal Bay, MN 55323-0066 Date received: a ,, Street Address:� Received by: y�. G� 2750 Kelley Parkway Plan review fe � ��kfsHa�`�` Orono, MN 55356 Main: 952-249-4600 Total Fee: g �/ � 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: �y�� ,�a,,,r �y 5 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 approval 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates su/ficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �lex�, P.Qv�S�vr,L�c, State License# R�6'�90�-� Expiration Date: 3�3i��o�k Phone: (cell) 952-6��-`�-9 (office) �iz-4�z-�iboa Mailing Address: �53 L�-k�, � Cit : zo.l�, ZIP: sS391 Contact Person: Aleu LGh� Applicant is: C tor / Homeowner (Circle One) Email and/or Fax: �,�� S;o�v�,r�.��„�, PROPERTY OWNER INFORMATION: Name: T,n•�}1,� c.�AMti S�II��r Phone (day): Address: ytio �co,�,n 1�, S City: oCoro ZIP: SS39� Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Descri tion of ro�ect: 4.01 �e € 1,a��. l,��c�, , .� ;,� l w.ew� 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal & Water Supply ❑ New Construction [�Single Family with ❑Accessory Bldg./Garage ❑Addition attached garage ❑ Deck ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑,Office/Commercial ❑ Relocation detached garage � Residence ❑ Private Sewer �Other. (specify) �,�,t�� „TiYIowS ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water **Any earth movement may also require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (SpeCify) ❑ Other(specify) 15320 Minnetonka Blvd Minnetonka, MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ !-2� U��v Last Updated: January 2016 / .. I STRUCTURE INFORMATION: 1.Structure Dimensions 1. Structure Dimensions(continued) a. Length (ft.)= Number of bedrooms= 2. Occupancy: b.Width (ft.)= Number of garage stalls: 3. Occupant Load: Areas in sauare feet Attached= c. Basement= Detached = 4. Type of Construction: d. 1 S�Story = e. 2"d Story= 5. Code Edition: f. Yz Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ ❑ Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Com leted A lication Form ❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8 YZ x 11 set ❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ ❑ Surve —2 full size,to scale meetin ALL surve re uirements ❑ ❑ Hardcover Calculations ❑ ❑ Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD) Permit or Documentation from MCWD statin no ermit is re uired ❑ ❑ Landsca e Walls and/or Retainin Wall Plans ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit ❑ ❑ Data Privacy Advisory Form APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • 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; • Acknowledges the Escrow Agreement is compfeted and signed; • Understands 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 you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: Date: �'I��6 Owner's Signature: Date: Last Updated: January 2016 e� �i � �-- � � DATE TIME CITY OF ORONO CALLED IN INSPECTION HIQTICE SCHEDULED � �-' /? �� PERMIT NO. �= �'j t�� coMP�erE� � ADDRESS �� '1 C- ��..%/�'1 ��c�-�� _�c/-,��4✓�� OWNER TELE ONE NO. �' � � CONTRACTOR , �� % DATE TIME CITY OF ORONO cnLLED IN INSPECTION NOTIC SCHEDULED PERM�T NO. � �� COMPLETED 'F�� I ADDRESS �yQ l3�otJ� JQ� • S. �NNER TELEPHONE NO. CONTRACTOR !��✓��sn GLG � DESCRIPTION �e` ✓6s� ��.-�� ' �y ❑ 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 �FNAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMfNERlCOI�ITRACTOR TO MEET Y�OIl:_YE8_+10 . � COMMENTS: � �•c� I/C•t�• l�Les� .'/o%��o � k��K Q.D,OGa�t o rrsD lc�� 0 /h��O v i�Js� ,P�c.�c.�t d� ��s -E- lJ6.7�✓ ). � �O W ` Q �/i'1tG L�r -,D�/u►-C c�{`�e v /�GS 2 f+GG�e�„e� � w � j W ❑WOfiK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � ��BqECT WORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OC(X1P11NCY 0 ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORE(�VERINQ PEFi6AANENT ❑(:pRF�CT UNSAFE OpNDIT10N WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Caq for the next inspection 24 hours in advanoe. (952) 249-4600 OwnerlContractor on sits: ��a: �-� � WMt�CoPYA�ap�CM�'s FlN C�mry Copyl8lb Notice