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Home My WebLink About2017-00633 - roofing � CITY OF ORONO * z 0 1 7 - 0 0 6 3 3 * � 2750 KELLEY PARKWAY DATE ISSUED: 06/13/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1950 CONCORDIA ST PIN : 18-117-23-14-0016 LEGAL DESC : FAGERNESS : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOI�I TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,000.00 NOTE: VALUATION OF PERMIT:$8,000.00 ROOFING PERM[TS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. S[GNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICAI�IT PERMIT FEE SCHEDULE 17034 STATE SURCHARGE(VALUATION) 4.00 TREASURED SPACES INC. 822 ARIZONA ST NW TOTAL 174.34 LONSDALE, MN 55046- Payment(s) Minnesota State License#: BUIL-BC591556 CREDIT CARD 2683 174.34 OWNER PETERS, WILLIAM&KAREN 1950 CONCORDIA ST WAYZATA, MN 55391- AGREEMENT AND SWORIv STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with hether or not specified herein.This permit will expire and become null d void if construction authorized is not commenced within 180 d� of the date of issuance,or if construction is suspended a period of I� ays at any time afrer work has commenced. The applica � ,;responsible�for suring all required inspections are reque{�ed in nf`�rmance wi the tate Building Code.This permit may be �� revok$q at any irrlp for due ca�ise. `�., '� ` , ,`�`,, � � � � ,,�, �.,, �< L:c�,� ! -cs`�:_S� (r , � 3 , r Applic , t ermitee Signature te Issued By Signature Date �� °o�� _, � �e��lc@ing Permit �pp[ication for f�loaintenance / 12eplacernent / I�ernodel — Residential ONLY �i.�, �d�c�'��5 d'��; ��a, ��-r��9 ��c. ! h�� "�:��J�l� ��e�,f�� Mailing Address: Permit number: ,� ��" � O PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: y�, � 2750 Kelley Parkway Plan review fee: `�— �qk�SHO �,�' Orono, MN 55356 7 � > Total Fee: I �� ,�.�°a�� Main: 952-249-4600 Fax: 952-249-4616 ��vv,�,n.ci.oronc.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GEPfERAL INFORt�IIIATIOIV: Job Site Address: r � � p(/i Vllill this be a Parade of Flom s, Remodelers Showrcase Horvie or other Display Home? Yes o 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 sufficient on-site parking is available. Non-permitted events will not be allowed. CONTR�4CTQR/APPLiCANT INFORMATIOfV: Name: � c- State License# c' � Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) ' l � (office) e Mailing Address: � - Ci � ZIP: `,S Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: � Q ,� PROPERTY OWNER I FOR TION: Name: �;�� '�- � A�CG�I/� `P�-t°'� Phone (day): � —� _ L� Address: �a S� ��T a a ��. City: ��d ZIP: Email and/or Fax: PROJECT INFORMATfON: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: �'FFe-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 Fax: 952-471-0682 ❑Window(s) v��vw.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ APPLICAfVT ACFCNOWLEDGEMENl`: • 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 g erally cannot be given to either the public or the subject of the data. Our purpose and intended use of this i formation is to ann Ily update our records and records of other governmental agencies required by law. If ou refuse to su I e in rmation,th a 'cation ma not be issued. Applicant's Signature: � Date: Owner's Signature: Date: Last Updated:January 2016 �,� �� DATE TIME � CITY OF ORONO CALLED IN ��t-�� INSPECTION NOTICE , SCHEDULED �__��?�� PERMR NO.t,-�, �'/ 7-CC'�'3� COMPLETED � ADDRESS ��> `� C' � �(�/��i<< SS�-- OWNER TELEPHONE NO. �� 7��`� a7�� CONTRACTOR �� ' �, �; DESCRIPTION �l f�C�� t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FI L 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J '�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W�� AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL ❑ DEMO-SITE ❑ SEPTIC�ALL Q OMfNERICONTRACTOR�A MEET YOU:_YES NO — 2 ^' / /�, � COMMEN75��`� t ''�-t'_'—��)�.C� `�P C,�'J�/7C_ W � oPiC�t,tr�S O�f �� t�a�✓ ov` S.f� - �' - Warl� 4�dc�✓s �`��N� - � 0 � Q ' �Pcp la.�� o�'�t .� (' 7'l�G�4 GPGrZfc�i C.P �/o...� 2 �1G�t� ✓'GNtO r/e�i •� W � W � j �p r�c c t � o�.i.,.a• � tt.�r.c�+.� W ❑WORK SATISFACTORY:PROCEED �'$QJECT COMPLEfE ��CARRECT WORK�PROCEED �ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952 j 249-4600 OwnerlContractor on site: Inspector: te Copyflnspector's File Canary CopylSite Notice