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Home My WebLink About2012-00496 - cedar roofing � . , � CITY OF ORONO * 2 0 1 2 - 0 PJ 4 9 6 * 2750 KELLEY PARKWAY DATE ISSUED: 06/05/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2655 KELLY AVE PIN : 20-117-23-14-0025 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 000 BLOCK 005 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 30,000.00 NOTE: VALUATION OF PERMIT:$30000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE 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 DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 466.75 JOHN KUST STATE SURCHARGE(VALUATION) 15.00 26175 BIRCH BLUFF RD TOTAL 481.75 SHOREWOOD,MN 55331- (952)607-8348 Minnesota State License#:20168831 OWNER EUGSTER,MR.&MRS.JACK 2655 KELLY AVE EXCELSIOR,MN 55331 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 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 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 aze requested in conformance with the State Buiiding Code.This permit may be revoked at any ti for dug�ause.� ' ,./ � � � � / Applicant Perm�tee Signature Date Issued By Si re Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . ��y o� Orono ' ' ' Buifding Permit Appiicatio� for Nlaintenance / Renovatio� (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �„L,0,� PO Box 66 � �,s � \ Crystal Bay, MN 55323-0066 Date received: a, °' � �, Street Address: Received by: �'.� ' d� ti� 2750 Kelle Parkwa o y y Plan xeview fee: L'�kEsxog� Orono, MN 55356 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. fncompiete appfications will be returned. (P/ease print) GENERAL INFORMATION: i� "�� Job Site Address: �L(p��J 1�-e �� -t � , ...i� Will this be a Parade of Homes, Remodefers Showcase Home or other Disp{ay Home? ❑ Yes o !f yes, a specra/event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e bus service wil!be required unless applicant demonsfrates sufficient on-site parking is available. Non-permitted events wil/not be al/owed. CONTRACTOR/APPLICANT INFORMATIOI�: Name: ��✓� V JS� State License # ( �,,-,�L;(, T � Expiration Qate: Lead Certification Num er: Expiration Date: (for work on homes that were constructed prior fo 9978 Phone: a��^�,U-7_c:��_�,.�t3 (office) (cell) Maifing Address: ��,�, � t�`r`�� - � ( City: �� ZIP: ;,c,�� Contact Person: ��- ��1`� Applicant is: Contracfor'� Homeowner (Circle One) � <...._..___.._ Ernail andbr Fax: -- PROPERTY OWNER INFORMATION: Name: '-��J`L c�+� �cti�+� ��3��' Phone(day): � Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require � ❑ Door(s) ❑ Remodel ❑ Fire Qamage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �e-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) i www.minnehahacreek.orq Overall Project Description: � � .��,�� v .� f� _ r-. � Estimated Construction Vafuation of Project (excfuding land) $ � APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information suppfied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a compfete appfication 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 informafion that you are asked to provide on this application is classified by State law as either private or confidenfiaf. 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 fo 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 re uired b law. If ou refuse to supplv the information,the a ficati ma not be issued. �-----� ApplicanYs Signature: ��_r�_Y Date: / --I� � � (��i Last Updated: 08-09-2011 1J� DATE TIME V CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � � PERMIT NO°��a'OD � COMPLETED ADDRESS OWNER T E HONE NO; 95 Z �� 3'�0 CONTRACTOR h n C U S �!� �� DESCRIPTION ��=�'�'� �`�'�'"""` � T��- �J� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL � MECHANICAL RI ❑ LAKESHOREMlETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL p FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a o � � �� S�s � � 0 � W � Q � 2 W � � W � � � � �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑IIVSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice