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Home My WebLink About2012-00999 - roofing M • - � CITY OF ORONO * z 0 1 2 - 0 0 9 9 9 * 2750 KELLEY PARKWAY DATE ISSUED: 10/08/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 370 LEAF ST PIN : 04-117-23-23-0004 LEGAL DESC : AUDITOR'S SUBD.NO.230 : LOT 027 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 11,800.00 NOTE: VALUATION OF PERMIT:$11800.00 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 221.25 NEW EXTERIORS BY SMA INC STATE SiJRCHARGE(VALUATION) 5.90 10701 93RD AVE N, SUITE E TOTAL 227.15 MAPLE GROVE,MN 553ll- (763)315-8900 PAID WITH CC# 0072 Minnesota State License#: 20593875 OWNER KROLL,KENNAN 370 LEAF ST LONG LAKE,MN 55356- 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 sepazate 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 are requested in conformance with the State Buildin Code.This permit may be revo /a y ti for d us . �,.- ._ /O//S � � �� Applicant ermitee Signature Date ssu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. a . . � �� . � . `� City of Orono .� Buitding Permifi Application for Maintenance / Renovatio � (windows, doors, siding, re-roof, etc.) MailingAddress: Pertnit number: �� I O.�(�,�0 PO BoX 66 Crystal Bay,MN 55323-0066 Date reoeived: . � � •� i �� Received by: , � Sfrset Address: � 2750 Kelley Parkway Plan review fee: t��og�r ' Orono,MN 55356 �o��: oZ�� l5 Main: 952-249-4600 Fax: 952-249-4�616 www.cZ.or4no.mn.us � This application form must be completed in full and all requi�ed�information must be submitted. Incomplete applications will be returned. (Please print) � GEN�RA�INFORMATION�� . � Job Site Address: � Will this be a Parade of Homes,Remodelers Showcase Home o�otber Dispiay Home? Yes No ' If yes,a speciel everrf permit is required with Police Oepartment and City Council apprvve/80 deys prior ln Hte avent. Shutt�bus servjce will be requl�d unless applicant demonstrates su1`ilcient on-site parking Is available. Non permitted events will not be allowed. CONTRACTOR/APP CANT INFOR TION: Name: � yl )'Q � ' • State License# C� ,� 2 S � Expiration Date: -�/-j Lead Certification�Number: N�}T- (�'�CJ r - Expirdtion pate: 7 � � ��S � (for work on homas that were constructed prior to 1978 ,� , Phone: (o - 3) �- Q C'� (o�ice) (cell) � Mailirtg•Address; � •� Gi : � � ' •� ZIP: Contact Person: .�'� L ,S� Appllcant is: Cont / Homeowner �c�rcicone� Email and/or Fax: � (� jp,�.� -,3 ,S PROPERTY OWNER INFORMATION: � Name: ,�n ��(� � Phone da u C(� r ( Y)� r�la ��3��re7 T 5 � Address: � , e � - City: Z1P: Email and/or Fax PROJECT INFORMATtON: Type of Project: Any earth movement may require �Doo�(s) ❑ Remodel [a Fire Damage �CWD ceview�peRr+its: Minnehaha Creek Watershed Distriot(MCWD) Re-roof,asphalt ❑ Repair Storm Damage 18202 Minnetonka Blvd ❑ Re-roof,cedar Deephaven, MN 55391 ❑ Restoration ❑Water Damage � Phone: 952-471-0590 ❑ Re-roof,other(specify) ❑ Siding ❑Other. (speafy) Fa�c: 952-471-0682 �WindoW(s) www.t's'iinnghahacreek.ora Overall Projeot Description: �� - Estimated Constnaction Valuacian ot rro��a�t�excluding land) $ %, APPLICANT ACKNOWLEDGEMENT: . /�qrees to provide all information required or requested by the Building Department; . CeR�es th2t the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submiiting a complete application being aware that upon failure to do so, the staff has no alt�maifve but to reject it until it is complete; • Some o� all of the information that you are asked to provide on this application is dassified 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 subjed of the data. ConfidenUal datai is infarmation which generally cannot be given to either the public or the subject ofi the data. Our purpose and intended use of " inf ation is to annually update our records and records of other governmental agencies re uired b law. If u refuse u inf tion,the a lication ma not be issued. Applicant's Signature: Date: ' �'�� i..�,i�..a,.��a. no ne�n�a ' DATE TIME V CITY OF ORONO CALLED IN INSPECTION OTI E SCHEDULED ��!S-/Z PERMIT NO.�o��-oa 94q COMPLETED ADDRESS 37U [��C�T �� OWNER TELEPHONE NO. 7�2?L7« ' �L�{�� CONTRACTOR 1��-�-r��.5 � DESCRIPTION ��--""�-� � 01 � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL 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 ❑ COMPIAINT v ❑ 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 � � J O � � O � W � Q � 2 W � W � � � ,yd�Q(QRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site• Inspector. �,. r White Copyllnspector's File Canary CopylSite Notice � � � DATE TIME V CITY OF ORONO CALLED IN �D�I —�2 INSPECTION NOTICE SCHEDULED � 1-Z�1- 12— PERMIT NO.��-G��:�;� COMPLETED ADDRESS �7 - OWNER TELEPHONE N07 3 �S�'f��`� �� CONTRACTOR ��S � � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL D SEWER HOOK-UP ❑ COMPUIINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a o ` U t� � � 0 � W � Q � 2 W � W � � d W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C�/ERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECT�ON REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on site: � Inspector. White Copyllnspector's File Canary CopylSite Notice