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Home My WebLink About2016-00462 - roofing cedar w+ CITY OF ORONO * 2 0 1 6 - 0 0 4 6 2 * ' 2750 KELLEY PARKWAY DATE ISSUED: OS/02/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2695 KELLY AVE PIN : 20-117-23-14-0008 LEGAL DESC : CARMAN COVE : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROQFING-�EDAR �c�T-lv;Ty fi I� !-3� c) VALUATICSN : $ 25,000.00 NOTE: VALUATION OF PERMIT:$25,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 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 433.67 STATE SURCHARGE(VALUATION) 12.50 REVISION LLC TOTAL 446.17 153 E LAKE STREET WAYZATA,MN 55391- Payment(s) (952)540-7150 CREDIT CARD 9724 446.17 Minnesota State License#: BUIL-BC639027 OWNER KIEPER,POLLY 2695 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 wi[hin 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer 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. r 5 Z I '` .� I � D � � .�, � , Applicant Pe itee ' e Date Issued Signature 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� Mailing Address: Permit number: ��"`� O PO Box 66 C Crystal Bay, MN 55323-0066 Date received: J�� Street Address: Received by: y G� 2750 Kelley Parkway Plan review fee: `� Orono, MN 55356 ��'�FS 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: Z_(�9S kel� A�� , �ro MN 5331 Will this be a Parade of Homes, Remo lers 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. Shuttle bus service will be required unless applicant demonstrates sutficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �ev;S�or L.LC Al�x l-.a�u State License# (�L �-�g�� Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) 9Sz- �,�?-�Iz9 (office) 6�Z_�i6�-yovc, Mailing Address: IS3 E l�k� st City: �,,�u 7�,E�, ZIP: S�- Contact Person: �e �� Applicant is: on ra / Homeowner (Circle One) Email and/or Fax: ��x Ce,v7 s ;�r ,,v�� o�-, PROPERTY OWNER INFORMATION: Name: n��k k,zp�,c Phone (day): �� Address ��95 t`�1�� AU�- City: �� ZIP: $5'33) Email and/or Fax: y�A PROJECT INFORMATION: Overall pro�ect description: — o� 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) 15320 Minnetonka Blvd � Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(speclfy) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) _ www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) � ?s,qot,`•tac, 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. Applicant's Signature: ---�-- Date: S/z%�� Owner's Signature: Date: Last Updated:January 2016 • ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 2014-ao c'6A. COMPLETED A-of"!Y ADDRESS a 6 TS. X e117 if ve - OWNER TELEPHONE NO. CONTRACTOR Reis-a•• LL G- E DESCRIPTION ��•/OO c IL 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL • ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL 0 RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION • 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL ❑ WATER HOOK-UP BOLLOW-UP • ❑AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL 0 DEMO-SITE ❑ SEPTIC INSTALL i OWNERICONTRACTOR TO MEET YOU:_YES. NO COMMENTS: Pe r wl-C 4aal1Q•- f /e0 xy- Ca a Jr6Q 141 j Permit has expired per MN Building Code Sec. 1300.120 subp. 11 • Expiration, no record of a Final inspection. CC 0 CC O: co• ❑WORK SATISFACTORY.PROCEED 0 PROJECT COMPLETE CC0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY Q• 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY .1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑NATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next hnspection 24 hours In advance- (952) 249-4600 OwnedContractorsite: Inspectoc ( — WhIto Copyllnspsctor`s File Canary Copy/Site Notice