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Home My WebLink About2012-01233 - roofing CITY OF ORONO * Z pJ 1 2 — fd 1 2 3 3 * � 2750 KELLEY PARKWAY DATE ISSUED: 12/12/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2701 KELLY AVE PIN : 21-117-23-23-0040 LEGAL DESC : WALTERS PORT : LOT 001 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 14,000.00 NOTE: VALUATION OF PERMIT:$14000.00 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 250.75 INCLINE EXTERIORS INC STATE SURCHARGE(VALUATION) 7.00 26175 BIRCH BLUFF RD SHOREWOOD,MN 55331 TOTAL 257.75 (612)471-9065 Minnesota State License#:20168831 OWNER STORLIE,TED&WENDY 2701 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 goveming 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 assur' g all required inspections are requested in conformance with the te Building Code.This permit may be revoked at any ' e for due caus � � I�� r � , � ,�. ,� Applican ermitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono • w Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: g,�\ PO Box 66 Permit number: 0 \� Crystal Bay, MN 55323-0066 Date received: a 1 ,� �� , � Street Address: Received by: � ��;� �.� t �,„�„ Gti 2750 Kelley Parkway Plan review fee: L9 �� Orono, MN 55356 kESH04 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: Z7C� �� 'l,/ �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No lf yes, a special event permit is required with Police Department and City Council approva160 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 INFORMATI N: Name: 1; \ ��'j� State License# „�'--��' , '\�n��`.� I � Expiration Date: 2�`'� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �j _��y�_v�(�` (office) (cell) Mailin Address: � � g 7.1��1� �.,�� P��.��- � City: �;��y,�-?'� ZIP: �S� '� , Contact Person: ��_1� ��ly,�� Applicant is� Contractor � Homeowner (Circle One) ._ . . _..---"'" Email and/or Fax: PROPERTY OWNER INFORMATION: Name: 1,,� ��,� P Phone (day): Address: 77C l �C, � .� �-� City: /_�� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review&permits: ,�, � ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) �Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-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) www.minnehahacreek.orq Overall Project Description: � _ _ � ` l� �; ' - � Estimated Construction Valuation of Project(excluding land) $ � f ,p/ ��.-� 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. _ .._—� ."._, , . � ApplicanYs Signature: '" �� --__:, ----Date: I�� Z - �` � _ Last Updated: 08-09-2011 DATE TIME � CITY OF ORONO CALLED IN �2 2 �2- INSPECTION OTICE SCHEDULED /Z/j -/�-- _�✓ PERMIT NO. / - co PLETE ADDRESS d D / �// OWNER E HO E NO.f�� 7�"90 � CONTRACTOR • >; DESCRIPTION /�� ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICA RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB � WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTHACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � GW'�0 W�PlKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITH�N HOURS. ❑ pHOTOTAKEN INSPECTOR WIIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call torthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyll�spector's File Canary CopylSite Notice � �� qA TIME � CITY OF ORONO CALLED IN �a ` I� �� INSPECTION NOTICE SCHEDULED 1�� Q�Q,Y1 PERMIT NO. �o�a �ia33COMPLETED ADDRESS ll OWN ER TELEPHONE NO. v�lv�7 �'3 y� CONTRACTOR --Ll?�'�� /��Tt , � DESCRIPTION �/,�LICYI �(,�� ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMC�VAL 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�10 � COMMENTS: � W a � J O a � O � W � Q � Z W � W k � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice