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Home My WebLink About2016-01381 (Roofing) CITY OF ORONO * Z 0 1 6 - 0 1 3 8 1 * 2750 KELLEY PARKWAY DATE ISSUED: 10/3U2016 i ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1440 BALDUR PARK RD PIN : 08-117-23-43-0005 LEGAL DESC : BALDUR PARK : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,020.00 NOTE: VALUATION OF PERMIT:$6,020.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOT[CE,PRIOR TO WORK BEING STARTED) MUST PROVIDG COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DOVE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 154.85 STATE SURCHARGE(VALUATION) 3.01 TERRA FIRMA ESTATES INC. TOTAL 157.86 750 4TH ST NW Payment(s) NEW BRIGHTON,MN 55112- 157.86 (651)635-0256 Minnesota State License#: BUIL-BC151887 OWNER BOHN,JOHN&SUZANNE 6377 OXBOW BEND CHANHASSEN,MN 55317- 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 for additional or related work which requires scparate permits. All provisions of la�vs and ordinances governing this type of work shall be compicd with whethcr 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 requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ) /�/� . t: C_�� l� �� ..P 1 v ' � - � ��---��C.��.`_�L i� l � ll� Applicant Permitee ignature Da Tssued By Sign ture 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 A T Mailing Address: Permit number. � l� �� 1 VO 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 lqkES H�� 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: Job Site Address: � �;� � f �,,� c� a � ��1� b Will this be a Parade of Homes, Remodelers Showcase Home or other Displ y Home? Yes o /f yes, a special event permit is required with Po/ice Department and City Council approva/60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT �ORMATION: Name: „_ - ; �, � � �, State License# ~ �� Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were consfructed prior fo 1978 Phone: (cell) \ , (office) �i �j� � (� Mailing Address: �' ,, � �� City: , �, � � ` ZIP: Contact Person: Applicant is: ontracto / omeowner (Circle One) Email and/or Fax: ��t.ru � "; rw.� e� �fieS�J ��t� Cc� C� � � ,Cp�� V�1C�`{ PROPERTY OWNER INFORMATION: Name: y��.c� ��n Phone (day): Address: ` (� (��,�, � � 1� '(��,,�� City: �'��rr�,v� n 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: Minnehaha Creek Watershed District(MCWD) e-roof,asphalt ❑ Repair ❑ Storm Damage 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) $�T��C� 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 the information,the a lication ma not be issued. ApplicanYs Signature: ��r� V V� Date: �1C� I 3� l ,�P Owner's Signature: Date: Last Updated:January 2016 DATE TIME CITY OF ORONO CALLED IN INSPECTION SCHEDULED P NOM,'013 S' CoMIPLETED 3 • al•/ ADDRESS 199a 64 au.-• / ai k 12.0, OWNER TELEPHONE NO. CONTRACTOR Tar r. F1 •+Me LAS t et-4 es : DESCRIPTION Re- /c+0 4- i O FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL O POURED WALL O PLUMBING RI 0 EXCAV/GRADIN G FILING O FOUNDATION WATERPROOF 0 Pummel FINAL 0 TREE REMOVAL O RADON SLAB O MECHANICAL RI 0 SITE INSPECTION • O FRAMING O MECHANICAL FINAL O RATED WALLS 0 INSULATION O WOOD BURNEWFIREPLACE 0 COMPLAINT O FINAL 0 WATER HOOK-UP UP O AS BUILT-SURVEY 0 SEWER HOOK-UP O FOUNDATDWREMOVAL O DEMO-SITE O SEPTIC NeTALL j 011111111VCONTRACTOR TOMEET YOlk_MI_NO COMMENTS` 1Qiey w.frC kik/Par f4./l) g- c-`<l 1 -- ' a 4.4eG In'VeGe4o%e Permit has expired per MN Building Code Sec. 1300.120 subp. 11 • Expiration, no record of a Final inspection. ' E 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE o CORRECT WORK&PROCEED D ISSUE CERTIFICATE OF OCCUPANCY 0 CORRECT WORK.CALL FOR REINSPECTION • TEMPORARY BEFORE C0/811110 PERMANENT O CORRECT UNSAFE WITHIN HOURS. D PHOTOTAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED O INSPECTION CTION REQUIRED.CALL TO ARRANGE ACCESS. CV for HIM next Inspection 24 1lou s beckons. (952)2494OwnsitConlraclor 1600 Oa E0-- rd WAIN C Jkt p.ir s P•• Comp 08.40111.Mks