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Home My WebLink About2015-00816 - roofing � � . CITY OF ORONO * z 0 1 5 - � � 8 1 6 * 2750 KELLEY PARKWAY DATE ISSUED: 06/23/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1135 LOMA LINDA AVE PIN : 08-117-23-23-0019 LEGAL DESC : LOMA LINDA : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,000.00 NOTE: VALUATION OF PERM[T:$2,000.00 REROOF FREE STANDING GARAGE 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 BE[NG DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 77.44 STATE SURCHARGE(VALUATION) 1.00 W. F. SMITH CONSTRUCTION 6585 SO SAUNDERS LAKE DRIVE TOTAL 78.44 MINNETRISTA, MN 55364- Payment(s) (612)867-3117 CREDIT CARD 1933 78.44 Minnesota State License#: BUIL-CR005309 OWNER THURLO,MR. & MRS. MARK 1135 LOMA LINDA AVE MOUND, MN 55364 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 Sta[e 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 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 ring all required inspections are req sted in conformance with t e ate uilding Code.This permit may be revo ed at y ti e for e caus . �- __ Z3 - � s' � �� Applicant Permitee Signature Date �[ssu y Signature Date _ City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) ��T Mailing Address: l VO PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: y�, G� 2750 Kelley Parkway P�an review fee: 1qkESHO�� Orono, MN 55356 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: �-s �v rn�( ��.,��Q Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus s ice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/A�PnLICANT INFORMATION:n Name: V�,� 1 . S 11�,� � �I--�� l '�i�S� State License# S-�,� �.i Expiration Date: � - / �; Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) �/� --��,7_ 3 � � (office) Mailing Address: L S � s S� S/a��.-v r,��<� �-K� U� City:Y1-,; ,�ti� ��,C ,� ZIP: SS�G �� Contact Person: Applicant is: Contractor / Homeowner (C i r c l e O n e) Email and/or Fax: _ �U�q rz��.prn r� ,�; � /�o L C_;;.;n� PROPERTY OWNER INFORMATION: Name: �;�I L K ��v r �-v Phone (day): �S� _ Y � a _ y y 7 � Address City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: R��°"t �� c S-�.�,ti.�J, <'`,.' G�a,�y C� c-" Type of Project: Any earth move t may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: �Re-roof, asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,cedar 15320 Minnetonka Blvd ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 ❑Window s Fax: 952-471-0682 � ) www.minnehahacreek.orq Estimated Construction Valuation of Project (excluding land) $ � 0 0 � 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 governme`tal agencies required by law. If ou refuse to su I th info aY n,t a lication ma not be issued. ApplicanYs Signature: Date: � � �S Owner's Signature: Date: Last Updated:January 2015 � �DATE TIME mr oF oRONo C ED IN INSPECTION NO IC�S_�� SCHEDULED PERMiT NO. COMPLETED –�— ADDRESS I �v�S LGr�r►� ��r,I� A-� OWNER TELEPHONE NO. � �Z -{��7-3117 CONTRACTOR �� ; DESCRIPTION �� a� � ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC I ALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRA OR�MEETYOU: YES N�n �4� ��D/L� c�.� COMMENTS: � � a e / o � � �, � o � � W � Q 2 �6 f�✓ -a�� /hs�. ' I/Ci��dl rca � � '�J�lC4�ilt.sS �C�o�"n 1�iLfiC ✓�or �— � (,t�6'�K Go..�t�/.oL�r— �C/�nniri �''t.t/�Q � GW ❑WORKSATISFACTORY:PROCEED O'�FRBp.1ECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. il forthe next inspection 2a hours in advance. (g52) 249-46�� Ow ontractor on site: ��CJ� ,� . Inspector. �► l�— White Copyilnspector's File Canary CopylSite Notice