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Home My WebLink About2013-00395 - roofing , CITY OF ORONO * 2 0 1 3 - 0 PJ 3 9 5 * , 2750 KELLEY PARKWAY DATE ISSUED: OS/21/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 3525 LIVINGSTON AVE PIN : 17-117-23-43-0044 LEGAL DESC : NAVARRE HEIGHTS : LOT 000 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT VALUATION : $ 3,800.00 NOTE: VALUATION OF PERMIT:$3800.00 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 103.25 BENOZ ENTERPRISES STATE SURCHARGE(VALUATION) 1.90 605 LANEWOOD LN TOTAL 105.15 PLYMOUTH,MN 55447- (612)508-7927 PAID WITH CC# 0553 Minnesota State License#:BC350978 OWNER JOHNSON,DOUGLAS A 3401 MEADOW LA MINNETONKA,MN 55345- AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 a�thorized is not commenced within l80 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 ring all required inspections aze requested in conformance wi the St e Building Code.This permit may be revok a any time for d use. 5 /2l / l � / / Applicant Perm' Date Issued y Si ture ate SEPA TE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO . �; . City of Orono Bui�ding Permit Application for Maintenance / Replacement / Renovation �: (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O�O Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: y ` 2750 Kelley Parkway Plan review fee: F G Orono, MN 55356 ��kESHo¢�' 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: �� L � � I�,� i � C <�� ^� ��- f� Will this be a Parade of Homes, Remodelers Showcase ome or other Display Home? ❑ Yes No If yes, a specia/event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus servic will be required un/ess applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMA�ION: - Name: �'jP ��- ��1' �<'�—�;�S�' State License# 3 ��, � � �) � j Expiration Date: f�,r� :-r �, � � � � ' Lead Certification Number. Expiration Date: ;; (for work on homes that were constructed prior to 1978 }; Phone: (cell) (�,��_ ��'�, ��; -�j i �� (office) _� Mailing Address: � l.' �_; (,.,�,r1 C�c,�;On�;� ( ,�ti City: E��,�h e�ti� �� ZIP: 5.�t� t� 7 Contact Person: �� 1 �kl�t o I�C�, Applicant is: Contrac or / Homeowner (Circle One) Email and/or Fax: ��,�1 j,��; J�p r, �� l � C�, M PROPERTY OWNER INFORMATION: Name: � � ��1 C� �C �� S�'� Phone (day): + � � �, -- � Address: City: ZI P: Email and/or Fax: PROJECT INFORMATION: Overall pro�ect description: �< <��, �� , -� -,�I k�� k � �;, �- �� , ' ,�, I�- ` Type of Project: Any earth movem nt may also r quire ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: �Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd - ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orQ Estimated Construction Valuation of Project(excluding land) $ 0 C� ° 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 annual�uRdate our records and records of other governmental agencies required by law. If ou refuse to su I th information, e a lication m ot be issued. Applicant's Signature: � __ Date: � � � i � Owner's Signature: Date: . � - Last Updated:03/06/2013 � �� D�TE TIME CITY OF ORONO CALLED IN �' INSPECTION NOTICE SCHEDULED S 2 /3 �� PERMIT N0. 20l 3 -OG 3�S COMPLETED ADDRESS 35Z5 �l VI{�C��'-f-� � OWNER TELEPHONE NO. � 6/2508 79Z7 CONTRACTOR �e�- �`'`* >; DESCRIPTION T��- D� � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE tNSPECTION 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 ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � �� = eS � QQ �v �3 � l.4� � 7 r,/�� - J L� W � f � �-��s � Q � � z W � W � j d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W /�GQRRECT WORK&PROCEED ❑ 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.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-Q6�� OwnerlContractor on site: Inspector. � To/�'�%.7 �� White Copyllnspector's File Canary Copy/Site Notice DATE TIP�NE ✓ CI��OE��NO CALLED IN ��VSF'�CTION �IO�'Q�� SCHEDULED ��RMITI�O, �G� '�3�' . COAAPLET'ED s__T,S'/�i ��o� J�J�.�' �!/L�l.6.�. �l!/e. �� .��'°8�� . �OI�iT'Fi/�CT01� 13e i102 �n�rd�'��S" j DESCI�IP`TIOiV �e-rt�s'F � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORFJWETLANDS � � FRAAAING ❑ PAECHANICAL FINAL p TREE REMOVAL � 0 INSULATION ❑ WOOD BURMER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS p.a„ ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. !�"FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMB�NG RI ❑ SEPTIC FINAL ❑ FOUNbATION/REPWOVAL � OWtdERICONTRACTOR TO hVdEE'd YOU:_YES_&d0 � C()M9MIEPt'TS: J10 �e4r-a ff' /n5/.�ta��.ti reco�Q� � � *OLD PERMIT - NO FINAL INSPECTION REQUESTEI � J O A '/ . � /T ��G (I'�v�Zr,(��a.. ,!1 rot-td�,0 O � � � �brlC 4o��►�s �b.�e�{e �c � � ' � /1s��:� F.�rs�+9 � � � � � � ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE � ❑CORRECT WOftiC&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY o ❑CORRECT WORK,CALL FOR REtNSPECTBON TEMPORARY � BEFORE COVEftING PERMANENT ❑CORRECT UNSAFE CONDITION 1NITHIN HOUFiS. ❑ pHOTO TAKEN INSPECTOR Witl RETURiV ❑STOP ORDER POSTED.CALL IIdSPECTOR �CITATION iSSUED ❑IfdSPECTION REQUIRED.CALL 70 ARRANGE ACCESS. c�o'fo�tne��t��S�o�n a�no��a�,�e (952j 249-4600 ��rn�r/Coretractos�or�sa�e: fnspector ��" Whi4e Copyllnsp2c4or's File Canary CopylSi4e fdo4ice r