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Home My WebLink About2013-00935 - roofing . CITY OF ORONO * 2 0 1 3 - 0 0 9 3 5 * � 2750 KELLEY PARKWAY DATE ISSUED: 09/13/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS ; 3264 NORTH SHORE DR PIN : 08-117-23-44-0001 LEGAL DESC : LJNPLATTED 08 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 20,000.00 NOTE: VALUATION OF PERMIT:$20,000.00 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 339.25 NEW EXTERIORS BY SMA INC STATE SURCHARGE(VALUATION) 10.00 10701 93RD AVE N, SUITE E MAPLE GROVE, MN 55311- TOTAL 349.25 (763)315-8900 Minnesota State License#: 20593875 OWNER NORUM,RUSSELL 3264 NORTH SHORE DR WAYZATA, MN 55391- 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 l80 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 an i ime for due cause. � �- 9 � /3 � i.3 , , p licant Permitee Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE. G�c,�-e-� q—�r— �3 � , � � � City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structurat expansion. Only windows, doors, siding, re-roof, etc.) �. r�1• . Mailing Addrgss; Permit number: p�D _ �Q ��•rl�f� PO Box 66 /� Crystaf Bay,MN 5532�0066 Date received: -I�(�— � � � StrestAddress: ReceivedbY: �� 2750 Kelley Parkway �q�3Hd��4 Orono,MN 55356 ��feV{�W�e' i T��: 3��,2.S Main: 952-249-4600 Fex: 952-2.a9-4616 www_a. Fono.mn.us This application form must be completed in full and al)required informaiion must be submitted. Incomplete apptications will be retutned. (Please print) GENEFtAL INFORMATION: . .FOb Si#e AddreSs: .�/' �� 1M11 thls be a para,de of Homes,Remodelers Shawcase Home or vther Display Home7 Yes o lf y�ss,e specie�ev�ent permif!s requlrud with Policie depertment and Cily Councll approve160 days prlor to fhe event. Shume bus sennce wrll be �equired unless app/icant demonsfrates sulficient on-slts perfdng is avallable. Non-permitced evgnts wil/not bs allowsd, CONTRAGTOR/APPLICANT INFQRMA ION: Name: �Q./'j l5 S�'1� x.(l , State Lioense# � EXpiration Date� - l.ead Certification Number. � - � Expiration Date: �-1,� {for wvrk on hames thst were consLucied prio,r to 1978 Phone: (cell) (offce) ��o� - v�/S'- g'�' cr7 C� Mafling Address: p��f _ N �� = Z1P: � Contact Person: �( Applicant is: Contra or Nomeowner �c��a o�� Emaif and/or Fax: j�� c� PROPERTY OWN�R INFORMATION: Name: 4-�"P!"�' f t1 Phone(day): _�� _ �' Address: r �cw�tQ — City: ZIP: Email and/or Fax: PROdECT INFORMA710N: OveraEl roject deseri tion: (!�t^ 1 (�/'LWIc� Type of PrpJeCt: My eart{t rp vement may also re4utre ❑Qoor(s) d Remodel ❑ Fire Damage MCWD review�permits� �Re-roof,asphalt ❑Repair ❑Storm Bamqge Minnehaha Creek Watershed District(MCWB) ❑Re-roof,cedar 18202 Minnetonka Blvd ❑Restoratian ❑Water Damage Deephaven,MN 55394 ❑Re-roof,otlter(specify) ❑Siding [j p{ry�-(g�G{y� PhOr1e: 952-471-0590 Fax: 952-471-06$2 ❑Window(s) www.minneh$,hacreek.ora Estimated Construction Yaluation of P�oject(excEuding land) � � " Ai'PLJCANT qCKMOWLEDGEMENT: • Agrees to provide all irrformation requEl-ed or reyuested by the Buildlhg Departrnent; • CerNfies Shat the information supplied is Uue and correct to the best of his/her k„owledge. The applicant necogn¢es that they are solely nesponsible for submitting a complete application being�vVare that upon failure to do sa,the stafF has n0 altemative but to rejed it untfl it is Complete; � Some or aq of the informatlon that you are asked to provide on thls appEication is dass�ed by SFate law as either private or con$denUal- PriVa�e data is irTformation which ganerally cannat be given to the public but can be given to the subject of the da#a. Cohfidential data is information whiGh generally ca�not be given to either the publiC or the subject of the data. Our purpose and intended use of this inf a'on is annually update our recprds and records of other gwemmental agencies required by law. If I ou refuse to su I t in ,the a (+Cation tna not be issued. App[icsnYs Signature: Date: J �� i� Owner's Signature: Date� I.ast Updated:03/06/2013 DAT TIME V CITY OF ORONO CALLED IN �� INSPECTION NOTICE��S- SCHEDULED g�`1i�3 PERMIT NO��,� � COMPLEfED �� ADDRESS 3��O T � S�7�� y��- OWNER TEL�PHONE NO. �2- J`��57 D CONTRACTOR � ,, ','Q � DESCRIPTION ��L- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 7REE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PRpGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � c � J � 0 �. � 0 � W � Q � 2 W � W � J d W� O VYORK SATISFACTORY:PROCEED ' OJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on site: � � n Inspector. � .� , White Copyllnspector's File Canary CopyfSite Notice