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Home My WebLink About2013-00684 - roofing � ' CITY OF ORONO * Z 0 1 3 - 0 0 6 8 4 * 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3188 NORTH SHORE DR PIN : 09-117-23-32-0011 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : IZESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LTNDEFINED VALUATION : $ 6,000.00 NOTE: VALUATION OF PERMIT: $6000.00 ROOFING PERMITS [SSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQU[RE 24-48 NOTICE,PRIOR TO WORK I3EING STARTED) MUST PROVIDE COMNLETE 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 DONG. ONCE WORK IS COMPLI;"1'IiD"I'HE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 132.75 HOMETOWN RESTORATION MINNESOTA INC STATE SURCHARGE(VALUATION) 3.00 1940 SERENDIPITY COURT NEW BRIGHTON, MN 55112- TOTAL 135.75 (612) 804-1 189 Minnesota State License#: BC630534 OWNER ROSATI,JAMES& DEBRA 3188 NORTH SHORE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT 1-he work for which this permit is issued sh��ll 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 whether or not specified herein.This permit will expire and become null and void if consVuction au[horized 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 appiicant is responsible for assuring all required inspections are requested in conform �e with the State Building Code.This permit may be revoked at r du us . / `0 / l l `(�fl� A licant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK O ER THAN DESCRIBED ABOVE. fi • City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) � Mai/ing Address: Permit number: � ��0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: � �' 2750 Kelle Parkwa y�, G� Y Y Plan review fee: Orono, MN 55356 `�'�ESHO�� 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: °'` ,*, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No k�; If yes, a special event permit is required with Police Department and City Council approval 60 days pnor 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/APPLICANT INFORMATION: Name: ,��, '.��/ �j �,� State License# C�3 ps' Expiration Date: �_ 3 � — Zo/5� F� Lead Certification Number. _.. a �.j�_ Expiration Date: -7_�_��s K� H� (for work on homes that were constructed prior to 1978 y Phone: (cell) (P/�_��j�-/�� (office) 76 3—�ff�f-�g S ; Mailing Address: p , C�' City: ZIP: S�l �; Contact Person: o � � ve�� Applicant is: ontractor Homeowner (Circle One) � :� Email and/or Fax: �,� ' (� h�,rn.e�'a�cA-i�CS7� ox-•�"� a PROPERTY OWNER INFORMATIQ�V: Name: (�P b r�., K o S 2,f-t� Phone (day): (�a — 7/0 — ��d 9 Address: 3/ f38 it/or'•�l,S�.or� [Jr�ve- City:(�/ay'u.�- ZIP: �-S'��/ Email and/or Fax: PROJECT INFORMATION: Overall pro�ect description: `;-� Type of Project: Any earth movement may also require �� MCWD review&permits: "� ❑ Door(s) ❑ Remodel ❑ Fire Damage �; �] Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) ; 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) $ C� o� � � °� � �� 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 �X 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 inf 'o , e a lic tion not be issued. ApplicanYs Signature: �-�' Date: �—/��l J� :� Owner's Signature: Date: ;`: �� _4{ Last Updated: 03/O6/2013 - -� /� DATE TIME , / l=$�CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMR NO.ad�3 �bb��drf COMPLETED �� ADDRESS �l �g /�l�• S � �e iL1r, OWNER � TELEPHONE NO. CONTRACTOR -�p4 o�0u�ti lee,�ar�G<<o;t, y'j�� i� � _ � DESCRIPTION 2e' rn�'F � - 4� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FIWNG �� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z O INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q � RADON SLAB ❑ WATER HOOK-UP ❑ PRQGRESS J�� ❑ SEWER HOOK-UP � COMPLAINT = ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a o/A der.r�,� - rlo �is1t/ f rts�ect.a� r��rt ¢s�� j O , � I'l0 �'cQ�� a�� i ''ls�ect��a... r��rc�Q� �O - � � _ Q - ��1°' �Yl z �o f� �DDP�r� ��e � - w _ a� j _ a W� ❑WORK SATISFACTOFtY':PROCEED '�$Q�ECT COMPLETE W ❑CORRECT WORK 8 PROCEED � ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION tSSUED ❑lNSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnedContractor on site: � - Inspector: /� White CopyllnapectoPs File Cenary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED O PERMIT NO. � d COMPLEfED ADDRESS �/ �� /v- �GL/Y1C ��/^ OWNER �LEPHONE NO. ,�J"l/�'�O�j/F9' CONTRACTOR �� - � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOHENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER HEMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO � COMMENTS: W C � , r c� C� S ��1 Ql��- 0 � ° �P �. � �Q e�c- �Z�Pc�'2 W � Q � 2 � W � J � ❑YVORKSATISFACTOR�F.PROCEED �P�OJECT COMPLEfE w ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOii �CITATION ISSUED ❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� Owner/Contractor on site: {' Inspector. White Copynnspector's Ffle Canary CopylSite Notice