The URL can be used to link to this page

Home My WebLink About2014-00665 - roofing CITY OF ORONO * 2 0 1 4 - 0 0 6 6 5 * � 2750 KELLEY PARKWAY pATE �SSUE�: 06/30/2014 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 36 HACKBERRY HIL[. PIN : 33-118-23-44-0026 LEGAL DESC : DANIELS LONG LAKE HEIGHTS : LOT 007 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY ; O/S BUILDING - UNDEFINED VALUATION : $ 6,000.00 NUTG: VAI.UA"IlON UF PERMI'I': $6000.00 ROOFING PERMITS ISSUE?D W[THOU�I'GNOUGH NOT[CG FOR"I�EAR OFP INSP1:Cl'IONS. (WE REQUIRG 24-48 NO'I�ICE. PRIOR TO WORK BEING S�fAR"I�ED) MUST PROVIDL;COMPLI;TE SET OF PICTURES OR A FINAL INSPEC7'ION MAY NO"[ I3E[SSUED. SIGNS-ADVER"I'ISING SIGNS MnY ONI,Y aF,ON 1'Hf-:PROPF-:RTY DURING"1'HE"TIMF,"CHE ROOF IS BEING DONE. ONC1;WORK IS COMPI.E"I'GD TFIG SIGNS MUST aF,REMOVI;D. APPLICANT PERMIT FEE SCHEDULE 132.75 MEYER, BRENT STATE SURCHARGE (VALUATION) 3.00 36 HACKBERRY HILL TOTAL 135.75 LONG LAKE, MN 55356 Payment(s) CHECK 3965 135.75 OWNER MEYER, BRF,N"1' 36 HACKBERRY HILL LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT I'hc�cork for which this pennit is issued shall be pert<xmed accordine tu the approved plans and specitications,applicable City approvals,and the Statc I�uilding Code. This permit is for only the work dcscribed and docs not erant permission for additional or related work which requires separate permits. nll provisions of laws and ordinanccs govcrning this type of worh shall be compied�cith w°hether or not specified herein.'ihis permit will expire and become null and void ifconstruction authorized is not commenced within 180 days of the datc of issuance,or if construction is suspended for a period of 1 AO days at any time aRer work has commeneed. The applican[is responsible for assuring all required inspections arc requested in conformance with the State[�uilding Code.This permit may be revoked at any time for due causc. �� i / / A nt Permit� ,ignature Date Issued By nature Date 39�5� - City of Orono •�uilding Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �0�� CrysBtal Bay, MN 55323-0066 Date received: Street Address: Received by: y � 2750 Kelley Parkway Plan review fee: �`' G Orono, MN 55356 tqkFSHO�� 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. (P/ease print) GENERAL INFORMATION: Job Site Address: - � � ,r , Y`'`. � � Will this be a Parade of Homes, Remodelers Sho case Home r other Displa ome? ❑ Yes No If yes,a special event permit is required with Police Department and City Council approva/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/APPLICANT INFORMATION: Name: � �_ �,.�,;� State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) -- — . � (office) Mailing Address: ' City: , �,.,c ZIP: S '� Contact Person: ;,,�, � Applicant is: Contractor / omeown � (Circle One) Email and/or Fax: _ � �,,., ,- � 3�� PROPERTY OWNER INFORMA,jTION: Name: �'C�yW' ! 6'�.y�'� Phone (day): _ ' �: / Address: City: w L; ZIP: S,S„� Email and/or Fax: PROJECT INFORMATION: Overall ro�ect descri tion: 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) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ 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) $ 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. � rJ ApplicanYs Signature: r �'- Date: " � J�'- 7 Owner's Signature: �� Date: (> � �� ! ("� Last Updated:03/06/2013 DATE TIME " CITY OF ORONO CALLED IN --7- " �/ INSPECTION N��OTIC _� SCHEDULED /—�U " I Z� PERMIT NO. �onn ED ADDRES Qc c� OWNER �� TELEPH E N07�o� ' SO i /�v!� CONTRACTOR �: DESCRIPTION -f:�w`— l� ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W ' � � � O �. � O , ' � , W e , � � . � Q � �_ � �� " � �A' � l � � � Z W � � W � j d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑C RECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. r�- pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours irr advance. �95Z? 9-Q6QQ OwnerlContractor on site: �� , Inspector. White Copyllnspector's File �Canary Copy/Site Notice D E E � �CITY OF ORONO CALLED IN Z� "! �1 .5� � �C SCHEDULED __� J� INSPECTION�Ty PERMIT NO. *'�"' " COMPLEfED ADDRESS �� L �� OWNER � ' ' 1`^'�� TEL HONE NO.��"�� CONTRACTOR �� '��- �: DESCRIPTION � � t � 4� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORE/WEfLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q � RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � F� ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:�c�r�� /�1.5.�— 7' /a _ W � � �Ci �/��C G�I6� /�rUy/v✓�h � � ° (�� Dv�a�s ��,�col��e W � Q � Z W � W � j � ❑1NORKSATISFACTORY:PROCEED /�PR9J�CT COMPLEfE w ❑CORRECT WORK&PROCEED v ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: � Inspecto � White Copyllnspector's File Canary CopylSite Notice