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Home My WebLink About2017-00298 - roofing � .�,, CITY OF ORONO 2750 KELLEY PARKWAY * � 0 1 7 - 0 0 2 9 8 * DATE ISSUED: 03/30/2017 ORONO,NIN 55356- (952 249-4600 FAX: (952)249-4616 ADDRESS : 4140 NORTH SHORE DR PIN : 07-117-23-44-0052 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALU�TION : $ 12,000.00 NOTE: VALUATION OF PERMIT:$12,000.00 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 Tf-�PROPERTY DURING THE TIME"I'I�ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 23230 STORM PRO LLC STATE SURCHARGE(VALUATION) 6.00 2373 WILSHIRE BLVD TOTAL 238.30 P.O.BOX 218 Payment(s) MOLJND,MN 55364 CHECK 7254 23830 (952)513-8667 Minnesota State License#:BUIL-BC634454 OWNER WOYCHICK,TED&CARRIE 4140 NORTH SHORE DR MOLJND,MN 55364 AGREEMENT AND SWORN STATEMENT 1'he 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. 1'his permit is for only the work described and does not grant permission for additional or related work which requires separate pertnits. 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 construcrion 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 are requested in confo ce with the State Building Code.This permit may be , revoked at any ' r due cause. ' -30 -/ �! � ��v�� Ap ant Permitee Signature Date Issued y ignature Date . , ,� G�ty of O�ono B�ilc�ing Pern�it �p�lication for �tew �tructures or �►dditions Mailing Address: �Q� PO Box 66 Permit number: � Crystal Bay, MN 55323-0066 Date received: Street Address:' Received by: y ,� 2750 Kelley Parkway Plan review fee: �' L� Orono, MN 55356 l�KfSH�� Main: 952-249-4600 Total Fee: Fax: 952-249-4616 �v�✓v;-.ci.orono.mn.us This app{ication form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: _ � (y�p /�n�� 5��,.��, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes,a special event permit is required with Police Department and City Counci!approval 60 days prior to the event. Shutt/e bus service will be required un/ess applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: S�p�M�,.o �X'�*c�:o�s rn� State License # �C 4 3 S Expiration Date: 3- j�.- �� Phone: cell 6 r z � ?8 office `1Sz S r 3 • �66 Mailing Address: c� , e 2 r8 Cit : �� ZIP: SS3 6 Contact Person: �QS o.�. Ba.-. Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Tc d 1�.1 c�,� Phone (day): �2 S • S o Address: y�yn lU _ $ho+�t �r. City: Q re.�o ZIP' SS31r�l Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP� Email and/or Fax: ARCHITECT/ ENGINEER INFORMATION: Name: Phone(day): Address: City: Z�p• Email and/or Fax: PROJECT INFORMATION: Description of project: � - Root' 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal& ❑ New Construction Water Supply ❑ Single Family with ❑ Accessory Bldg./Garage ❑Addition attached garage ❑ Deck ❑Accessory Building ❑ Sin le Famil with ❑ Public Sewer g y ❑ Office/Commercial ❑ Relocation detached garage ❑ Residence ❑ Septic ❑ Other: (specify) � ❑ Multiple Family/Condo ❑ Retaining Wall(s) (Compliance certificate ❑ Public 4-feet or greater may be required) **Any earth movement may require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Public Water Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) ❑ Othe�(speCify) 15320 Minnetonka Blvd; Minnetonka, MN 55345 ❑ Private Well Phone: 952-471-0590 / Fax: 952-471-�682 www.minnehahacreek.oro Estimated Construction Valuation (excluding land) $ /� o 0 0 ."� --� Packet Last Updated: January 2016 Page 21 STRUCTURE INFORMATION: 1.Structure Dimensions 1. Structure Dimensions(continued) ,l . � a. Length(ft.)= Number of bedrooms= 2. Occupancy: b.Width(ft.)= Number of garage stalls: 3. Occupant Load: Areas in square feet Attached= c. Basement= Detached= 4. Type of Construcion: d. 1S'Story = e.2"d Story= 5. Code Edition: f. '/2 Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ ❑ Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Com leted A lication Form ❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'h x 11 set ❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ ❑ Surve —2 full size,to scale meetin ALL sufve re uirements ❑ ❑ Hardcover Calculations ❑ ❑ Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD statin no ermit is re uired ❑ ❑ Landsca e Walls and/or Retainin Wall Plans ❑ ❑ Landsca e Plan ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit O ❑ Data Privac Adviso Form APPLICANT/OWNER ACKNOWLEDGEIIAENT: . Agrees to provide all information required or requested by the Building Department; . Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; . 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; . Acknowledges the Escrow Agreement is completed and signed; • Understands 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 govemmental agencies required by law. If you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a femporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: Date: 3 ^ 3 D �/7 Owner's Signature: Date: Packet Last Updated: January 2016 Page 22 �� ✓ �, DATE TIME '� CITY OF ORONO CALLED IN � INSPECTION NOTICE scHeou�Eo �, ,�l.� PERMIT NO.�'i�� 7-nL�Z� COMPLETED ADDRESS ��? /1f� ��C-�'� �� - OWNER TELEPHONE NO. ��a �C� <�� CONTRACTOR 'S f(�l�r�Y! � � DESCRIPTION �`� �`�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � � ❑ 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 � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ S TIC INSTALL 2 OWNERICONTtUCTOR TO MEET YiOU:�ES_NO �� COMMENTS: � � .�G C��O Daj`� � J � " 1�GP�G✓�B/' /.�A.��/�� U'n� �ObKl' �G� O � W � ,� � r��—� .s�.<l�� - �,:,.,��i rvnao��r� � Q � 2 W � W � j � WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE W�CORRECT NfORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR YNLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�� OMrner/Contractor on site: Inspector: ��'�L White CopyAnspector's Ffle Canary CopylSite Notke �/i� V DATE TIME ✓ CITY OF ORONO CALLED IN — INSPECTION NOTICE o SCHEDULED PERMR NO. �� "�` l �T� COMPLETED ADDRESS �'I l'-9f17 /�- S�tN`� �\/`2_� - OWNEp PHO O " ID� I CONTRACTOR "� , � DESCRIPTION ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVlGRADIN(3/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHAPIICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v �IWAL ❑WATER HOOK-UP ❑ FOLLOW-UP 4Q1 ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL a O�MINERICOKTFIACTOR TO MEET YWJ:_YES_NO � co��E� , � /�ea r df� /•��'�I-G - / / j — � 2�.1�lo r�, rOdtJ�Qd ' � i DurS� 5 O�r I�.� i�c� /'� � � Q �) ��ct/ h d!� �i� �•Q 6�/�s� e� ��6/e at�ti� bJ`i¢r� ,�aJ m��c�i.r� r�-F n?�e�5 � ro r� yle � � G p r �t� -�1�- G4� �/ r��s.4�c�M. , 4�1 ❑YMORKSATISFACTQRIP.PROCEED ❑PROJECT COMPLETE � O CORRECT VYORK�PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY W O ❑COqRECTYYORK,CALL FQR REINSPECTION TEMPORARY V BEFORE(�VERINd PERMANENT p CORRECT UNSAFE CONDITION WITHIN HOURS. p p�{pT0 TAKEN INSPECTOR Ntlll RETURN ❑STOP ORDER POS7ED.CALL INSPECTOR ❑�TATION ISSUED �IfliSSPECTION REOUIRED. �� Catl fortl�e next inspection 24 hou�in ac�rar�. (952) 249-4600 OwnerlContrector on sit� '� - White CoPr��'8� Grrery CoPylSite NoUcs �� - , � ,/ ` � ��DATE TIME CITY OF ORONO CALLED IN INSPECTION NO�CE �-/ � /Jk scH�u�e� �7 7 ' � PERM�TNO. -''�l�-w�`" COMPLEfED ADDRESS �� `f�; /�l< < Gr_��r� ��. OWNER TELEPHONE NO. �"�� = � Z�� --, CONTRACTOR _ —�t� '' DESCRIPTION �� '��l�l c`� / U � � 4�j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP NI ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ ❑ DEMO-SITE ❑ EPTIC I ALL ..1 Z OWNENCONTRACTOR TO MEET YWl: NO � COMMENTS: 4 �GLS �� OO�GS Q Ob� j OO L , � � �.�� P�nT�.,-c1 �b/C/ �O Q .�/�ro�` �;;.�a,l /oe,�S �� W � w � � `/ 4�i �]WORKSATISFACTOFi'�F.'rROCEED /�PROJECTCOMPLETE ��CORRECT VYORK 3 PROCEED � �ISSUE CERTIFlCATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE Cd1/ERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. can ro��Xt i��,Za no��in ea�►eno.. (952) 249-4600 owr�erlCoMractor on site: Inspector: ��G'r�� '� YVhlte CopyAnsp�ctor's Flle Gnary CopylSiM Notks