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Home My WebLink About2012-00202 - roofing .. •,-- �- ' CITY OF ORONO * 2 0 1 2 - 0 0 2 0 2 * 2750 KELLEY PARKWAY DATE ISSUED: 03/19/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3520 LIV[NGSTON AVE PIN : 17-117-23-43-0041 LEGAL DESC : NAVARRE HE[GHTS : LOT 022 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 4,200.00 NOTE: VALUATION OF PERMIT:$4200.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEWG 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 PERM[T FEE SCHEDULE 118.00 TWO TEACHER CONSTRUCTION STATE SURCHARGE(VALUATION) 2.10 2586 AVON DR TOTAL 120.10 MOUND, MN 55364 (612)598-2191 Minnesota State License#: 20073200 OWNER EBERT, ROBERT 3520 LIVINGSTON AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT l he work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State E3uilding 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 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 re oked at an ime for due cause. '3i ' i 1 � �� i /`� l l� plicant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � > � ��;� � :-.� �. .,rr ., ,� : Y �, ,►, . City of Orono � Building Permit Application for Maintenance / Renovation ` i2, (windows, doors, siding, re-roof, etc.) �� `O MailiPO Bo�r66 � Permit number: _ � � �y �0 Crystal Bay, MN 55323-0066 Date received: _ / ;� �� - ,� � � `: �, Street Address: Received by: � �`` �' "l �� ti 2750 Kelle Parkwa c� p� �, Y Y Plan review fee: L9kE mog'� Orono, MN 55356 -� sx � Total Fee: /� ': Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ��D� �`� ;� This application form must be completed in full and all required information must be submitted. '� �,`: -5. Incomplete applications will be returned. (P/ease print) � � GENERAL INFORMATION: � ,, , JobSiteAddress: ��J�-V L_��' � +1`1��m 1��,��. �,`Vv'� va� Y �� w1�i � Will this be a Parade of Homes, Remodelers S wcase 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 sufficienf on-site parking is available. Non-permitted events will not be allowed. � d ' CONTRACTOR/APPLICANT INFORMATION: �, Name: ��iiv1? 'C �2 C�n es �i^r�S�'�-C-'�l�1 � State License# �C o�1 3 �-o o Expiration Date: �o��. 3\ ! 261 � `� Lead Certification Number: N�P,�_ �� - � Expiration Date: �(��1� 2d l ip (for work on homes fhat were constructed prior to 1978 _ Phone: ��j � �-}�1 2 �ji,;;^1 c (office) l.P �2S� � 2\� l (cell) � Mailing Address: '� � � ��y� flvi �_ � City: __.,_._ _ a�v. ZIP: -rj'�j 3� ��,. � Contact Person: �}e-�-�,4,..� y��5,�.� Applicant is: ontractor Homeowner (CircleOne) � Email and/or Fax: �'�Gj-� �� Z ��io`I o i_� � ..� {�A PROPERTY OWNER I�FORMATION: :w � �� Name: � a b�� ; Phone (day): S� �� - �� ; F � Address: ��2v �� ,�� fi� �� City: �� c,�,-r�ZIP: Email and/or Fax �� PROJECT INFORMATION: � Type of Project: Any earth movement may require � ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: " � Minnehaha Creek Watershed District(MCWD) � Re-roof, as halt +� ;� , � p ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd x ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 �;;` Phone: 952-471-0590 � ❑ Re-roof,other(specify) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 `� ❑Window(s) www.minnehahacreek.orq v ,� Overall Project Description: �i"� ,�\,�c°.rr�- (- co �- . � 3SQ V�c�r L. , x Estimated Construction Valuation of Project(excluding land) $ �'�� G,�= ,w 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 hislher 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 ' formation which generally cannot be given to either the public or the subject of the data. Our purpose and intended use o this information is to annually update our records and records of other governmental agencies re uired b law. If ou refu e o su I th i ormation,the a lication ma not be issued. f ApplicanYs Signature: Date: ��— �2 Last Updated: 08-09-2011 � .€ y, _ ,. _,_ .,..:, � �s� D E TIME V CITY OF ORONO CALLED IN ( INSPECTION N TICE SCHEDULED PERMIT NO. - ��OMPLETED ADDRESS � OWNER TEL ONE NO.Y�aI--��-� � CONTRACTOR � � � DESCRIPTION -��'� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ 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 i ❑ DEMO-FINAL . ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � W 1a+WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on ite: Inspector. White CopyMspector's File Canary Copy/Site Notice ��,I �: �� ,�D� TIME �/ CITY OF ORONV �� CALLED IN "� ''""'� l�� INSPECTION NOTICE ('�O �` SCHEDULED �� PERMIT NO.�� `�� COMPLETED ADDRESS �� C �� /l'�E''� ��`� - OWNER TELEPHONE f�0• c%/v�`�� CONTRACTOR � �C� �--E��- ��' /`'� �: DESCRIPTION � �%�� `� �'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: ��-C_C.'.1'^ (��' -�� I��'�/� W a k J O � � O � W � Q � Z W � W � � � � ❑WORK SATISFACTORY:PROCEED �PRAdECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on s' e: Inspector. White Copyllnspector's File Canary CopylSite Notice