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Home My WebLink About2013-00973 - re-roof ` � ' CITY OF ORONO 2750 KELLEY PARKWAY * Z 0 1 3 - 0 0 9 7 3 * DATE ISSUED: 09/18/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1038 LOMA LINDA AVE PIN : 08-117-23-23-0024 LEGAL DESC : LOMA LINDA : LOT 036 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - LINDEFINED VALUATION : $ 12,325.00 N01�E: VALUATION OF PF.RMIT: $12,325.00 ROOFING PERMITS ISSUED WITI{OUT ENODUH NOTICE FOR"I'EAR OFF INSPEC'[IONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SF,"I�OF PICTURES OR A FINAL]NSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DUR[NG TEIE TIME TI�E ROOF IS BEING DONF,. ONCE WORK IS COMYLETED THE SIGNS MUST BE REMOVED. APPLTCANT pERMIT FEE SCHEDULE 236.00 ALL ELEMENTS INC STATE SURCHARGE(VALUATION) 6.16 1347 DUNDUS CIRCLE MONTICELLO, MN 55362- TOTAL 242.16 (763)202-6346 Minnesota State License#: BC323540 OWNER LOCKWOOD, DICK 1038 LOMA LINDA AVE MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT I he work for which this permit is issued shall be performed according[o the approved plans and specitications,applicable City approvals,and the State Building Code. "I�his permit is for only Uie 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 wi[h 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 after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with[he State Building Codc.This permit may be revoke� t any time for due cause. � �✓ i �X i � ' �'1 / ��ll App cant Permitee Signature Date lssu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � C i ty of O ro n o ��`�-� 3 s� ' Building Permit Application for Maintenance / Replacement / Renovation � ` (No structural expansion. Only windows, doors, siding, re-roof, etc.) �� Mailing Address: Permit number: �� _ �� PO Box 66 ¢ Crystal Bay, MN 55323-0066 Date received: �/ �rf;. x `Y Street Address: Received by: y � 2750 Kelley Parkway Plan review fee: �;.' `�t,y �,�' Orono, MN 55356 kFs H oa ,', 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. i; Incomplete applications will be returned. (Please print) 4�� GENERAL INFORMATION: A' Job Site Address: �t� ;6 �� L��d�� /?�c Will this be a Parade of Homes, Remodelers 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 serv�ce will be k� required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. ;:�a �,, CONTRACTOR/APPLICANT INFORMATION: „� ��:; ��"� Name: ,Crl1 �(��r-.�l 1�c . � �: State License# � �, Expiration Date: � 1�.�.,: , � � "'_� -' �' � �_�.��3 sy�, - Lead Certification Number: ,�__r_ ;,�k;::- �„--n � ;µ^ Expiration Date: �� (for work on homes that were constructed prior to 1978 �� Phone: (cell) �� i �� _ :� t --„ (office) �� ; , � :�-� _ � �' � Mailing Address: � �� ,�,. � Ci � � %' /'�✓ ZIP: �-C-,',� ? � �? J._> �, ,.� ' ,__. � Contact Person: '�,,� ,-,� Applicant is: Contracto / Homeowne� (�irc�e one) � :. - .`� � � Email and/or Fax: �� v57�.��?a!lelr�,r.is,�� •/l�f . � �,: PROPERTY OWNER INFORMATION: ,� • Name: �;'��k L� � kw�� 1 ° � � �� Y� Phone (day): ?�j -YY 3 � 9��'Y Address: lo3k �^;�� .�d�. f�vz City: /��.-�( ZIP: 5 S �6�I ,� xz� Email and/or Fax: � � , PROJECT INFORMATION: Overall project description: >� �:. Type of Project: Any earth movement may also require `° �''� ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: _ 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(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �:;: ❑Window(s) www.minnehahacreek.orq �'` . � Estimated Construction Valuation of Project(excluding land) $ ( �, ��S �� F>�; APPUCANT ACKNOWLEDGEMENT: `'y • 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 comptete 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. k=` Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and '�y" 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 t information,the a lication ma not be issued. ��' ApplicanYs Signature: ;� � Date: � � �� .� Owner's Signature: � Date: " Last Updated:03/06/2013 �� ,, �.. _ .�n DAT� TIME `� CITY OF ORON CALLED IN ��l� � INSPECTION TICE SCHEDULED 9 0�73 PERMITN0.��3-�'�J73 COMPLEfED ADDRESS ��3 � ��K�-- OWNER TELEP NE NO. ./II CONTRACTOR �-G1 b�T/L !�C_. >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING F ❑ EXCAV/GRADING/FILLING Q � POURED WALL ❑ MECHANIC FI ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � J d W��(VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on site: inspector. 1 White Copyllnspector's File Canary CopylSfte Notice � � TIME V CITY OF ORONO CALLED IN � INSPECTION NOTIC ,.,/� SCHEDULED O PERMIT NO�D�3 ' v!7� COMPLETED � ADDRESS I�3 g C�O�'1'�C�- �.v�u Q / OWNER � '�h[�-�l°-�''S'O�"TELEPHONE NO.-�'�Z �f72 fobz2 CONTRACTOR �� DESCRIPTION f�� IL�� 41 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS ti ❑ FRAMING � MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL � SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. p FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a j 0 � 0 � W � Q � W � W � j � ❑UIFORK SATISFACTORY:PROCEED ��PIaOJECT COMPLETE W ❑CORRECT NfORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL REfURN p CITATION ISSUEO O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector: W � White CopyAnspector's Flle Canary CopylSlte Notice