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Home My WebLink About2013-00517 - re-roof CITY OF ORONO * 2 0 1 3 - 0 0 5 1 7 * � 2750 KELLEY PARKWAY DATE ISSUED: 06/17/2013 � ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 650 MINNETONKA HGLD LA PIN : 06-117-23-44-0003 LEGAL DESC : MINNETONKA HIGHLANDS ESTATES : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 11,400.00 NOTE: VALUATION OF PERMIT:$I 1,400.00 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 T�IE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 221.25 JOHN HALEY#1 ROOFER STATE SURCHARGE(VALUATION) 5.70 7204 W.27TH ST. SUITE 104 TOTAL 226.95 ST.LOUIS PARK,MN 55426 (952)925-6156 Minnesota State License#:BC 126880 OWNER BERG,JOHN&SHARON 650 MINNETONKA HGLD LA 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 separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This petmit 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 aze requested in conformance with e State Building Code.This permit may be revoked at any ti f ue cause. / / / / App ican 'ee gnature Date Issued y Si re e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . - � � � l j. Cit of Orono ,�`�o� Y Bu�iding Permit Application for Maintenance / Replacement / Renovation ' (No structural expansion. Only windows, doors, siding, re-roof, etc.) � �O� Mai�iPO Bo�66� Permit number: � O ,,� Crystal Bay, MN 55323-0066 Date received: '� � � � Street Address: Received by: y G� 2750 Kelley Parkway Plan review fee: `� Orono, MN 55356 ��kFSH°��` Total Fee: `� _�x= Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us °.t 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: � �G�S �- Will this be a Parade of Homes, Remodelers Showcase ome or other Display Home? ❑ Yes No � If yes, a special event permit is required with Police Department and City Counci/approva/60 days prior to the event. Shuttle bus service will be ,� required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/A PLICANT INFORMATION: Name: �} State License# � Expiration Date: �j ,3� / � ��. � Lead Certification Number: NaT-11 b�o�"l�'� Expiration Date: � �6 - � (for work on homes that were constructed prior to 1978 � Phone: (cell) /Z- �- 6�/ (office) �SZ -92S-6�S� � Mailing Address: -j�j � Z '� p City: � {� ZIP: "�- � Contact Person: Applicant is Contrac / Homeowner (Circle One) �° �� Email and/or Fax: S � op�,e� 0.O �,��.,,� �f Z - �S- d � K�, ;�;�� :7 PROPERTY OWNER INFORMATION: Name: ��h,� �,(b` �' �� Phone (day): ��Z -�7� .- (�523 � .s; Address: �5C7 /`1i�h.�7�KG ,,�I-�'t�l�.��►�to.Q.s �..vt• City: Q ,�,vw ZIP: �3� � Email and/or Fax: �' � `��` PROJECT INFORMATION: Overall projectdescription: h� :,: :� Type of Project: Any earth movement may also require :��, MCWD review 8�permits: � ❑ Door(s) ❑ Remodel ❑ Fire Damage � `�Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) � 18202 Minnetonka Blvd j ❑ 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 nu � � Estimated Construction Valuation of Project(excluding land) $ 00• �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 annually update our records and records of other governmental agencies required by law. If � ou refuse to su I the' f atio the a lication ma not be issued. � � Applicant's Signature: Date: 5 �� — � 3 �� , � Owner's Signature: Date: �; , Last Updated:03/06/2013 � ,,. . � a , ` .. ,,..,:.: �:. .. .... � , . . . -.. . .., � .... ., .. . . .. � . .. -...yS..u....'. ��DATE TIME v CITY OF ORONO CALLED IN ' INSPECTION�I_OTIC_JE�j�� SCHEDULED '�� —� PERMIT NOs-��3 '�`~'r COMPLETED ADDRESS � OWNER TELEP E CONTRACTO >`; DESCRIPTION ��-� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP � PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ 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 a � J O �. � O � W � Q � 2 W � W � j GW�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C, pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. � ; White Copyllnspector's File Canary CopylSite Notice DATE TIME V CITY OF ORONO CALLED IN � INSPECTION NOTI Ed05.�� SCHEDULED ' PERMIT N D/ COMPLETED ADDRESS �� /LI//)�I L�fO�'L�1 17 �S OWNER TELEPHONE N . �P�� aaCO d �� CONTRACTOR � � � DESCRIPTION �--�v� �l� � � ❑ 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 ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a j O >. � O � W � Q � 2 W � W � � � ❑WORK SATISFACTORY:PROCEED �RQ�CT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� OwnedContractor on site: Inspector. ��/�y. � White Copyllnspector's File Canary CopylSite Notice