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Home My WebLink About2013-00734 - roofing t � CITY OF ORONO * 2 0 1 3 - 0 0 7 3 4 * 2750 KELLEY PARKWAY DATE ISSUED: 07/29/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1285 NORTH ARM DR PIN : 07-117-23-41-0015 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,000.00 NOTE: VALUATION OF PERMIT:$7000.00 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 BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 147.50 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 3.50 6541 SYCAMORE CT N TOTAL 151.00 MAPLE GROVE, MN 55369- (763)427-9696 Minnesota State License#: 20637010 OWNER MARTINSON,JON&JANE 1285 NORTH ARM DR MOLJND, 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 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 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 the State Building Code.This permit may be revoked at any[ime for due cause. Applican�t�itee Signature �/Date / � � � �'�/ � Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,. , , :. � .... ,_ _ ,. .. _ . . �, �� .. � ` ' City of Orono `�= Building Permit Application for Maintenance / Replacement / Renovation �,�; _ (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O� Mailing Address: Permit number: ?j� 7 PO Box 66 —7 � � Crystal Bay, MN 55323-0066 Date received: /'Z��3 � � ` Street Address: Received by: � �3t; y� �� 2750 Kelley Parkway Plan review fe � L Orono, MN 55356 � �� ; `�kFSH� 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) �-�2'�� GENERAL INFORMATION: � , Job Site Address: 1 ��7 �� w► �!'`�f �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �] No If yes, a specia/event permif is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be � #,' required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be aflowed. � � � CONTRACTOR/APPLICANT INFORMATION: � � `»� Name: M, . State License# • �� Expiration Date: 31/�Z,� ! � ` Lead Certification Number: f��-,,�p�c��_� Expiration Date: �c�� '�t� � (for work on homes that were constructed prior to 1978 � �`� Phone: (cell) (office) �j� � �2 �"' �(7��' �;� Mailing Address: � , City: le �j ZIP: 3 f ' Contact Person: yr�;�( �r Applicant is: ntra tor / Homeowner (Circle One) ;. Email andbr Fax: y�,��i,,,��i� , �j,;� "� PROPERTY OWNER INFORMA ION: , Name: � 6v1 � �'e �V"ITi�'�'�"S-Dh � �� Phone (day): '��_2 �Zv�I�� '� Address: �-Z� �� ,r�,,,� �� City: r,�;�,i,� ZIP: � w Email and/or Fax: � ,_� �: � "-:, �� PROJECT INFORMATION: Overall project description: � � / Type of Project: Any earth movement may also require �:n ❑ Door(s) ❑ Remodel MCWD review&permits: �' ❑ Fire Damage � ' Minnehaha Creek Watershed District(MCWD) � �Re-roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 � � .' Phone: 952-471-0590 '; � ❑ Re-roof, other(specify) ❑ Siding ❑ Other. (specify) ; Fax: 952-471-0682 �` ❑Window(s) www.minnehahacreek.orq "�� ` Estimated Construction Valuation of Project(excluding land) $_ _�?D �� M� `� �� '�F 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 �Y� �� ,• intended use of this information is to annually update our records and records of other governmental agencies required by law. If �„ h�. �i ou refuse to su I the information,the a lication ma not be issued. �; �. . ApplicanYs Signature: �-rri,✓ (r„-:,;,� Date: �/20�%/ 3 �' _. � �. �: �� Owner's Signature: Date: � :� #-? Last Updated: 03/06/2013 � .. , _ � _ ._� _ _ _.�...�.�� /� DAT TIME V CITY OF ORONO CALLED IN ?-2�/� INSPECTION OTI�� SCHEDULED �_,,��_�3 PERMIT NO. COMP ED ADDRESS I� �� C�� OWNER TELEP NE N07 ''��7—�C�9� CONTRACTOR �� DESCRIPTION /"�Q� � ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q � RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � p FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbA710N/REMOVAL 2 OWNERlCONTRACTOR TO MEET YiDU:_YES_NO y COMMENTS: � W � � J O � � �Ol�? � 0 � W � Q � W � W � j � �aMORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. 6 �J White Copyllnapector's File Cenary CopylSite Notice ATE TIME v CITY OF ORONO CALLED IN �,�?—�� INSPECTION NOTI E SCHEDULED -��//. t PERMIT NO. -DD 3`�COMPLETED ADDRESS �OZ�s ��r� �/��'I '�"I/� OWNER TELEP ONE NO. �O�Z 70 Z �7� CONTRACTOR /vc� � >: DESCRIPTION ��' l�- l-'t'�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d � �'VORK SATISFACTORY:PROCEED �R6�,tECT COMPLETE W��O CORRECT WORK&PROCEED fi� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN �STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. „ � White Copyllnspector's File Canary CopylSite Notice