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Home My WebLink About2013-01300 - re-roof , ' CITY OF ORONO * 2 0 1 3 - 0 1 3 0 0 * 2750 KELLEY PARKWAY DATE ISSUED: 12/17/2013 ORONO,MN 55356- (952 249-4600 FAX: (952)249-4616 ADDRESS : 4425 NORTH SHORE DR PIN : 07-117-23-34-0003 LEGAL DESC : BERGQUISTS ADDN TO SAGA HILL : LOT 001 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 15,380.00 NOTE: VALUATION OF PERMIT:$15380.00 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 280.25 STATE SURCHARGE(VALUATION) 7.69 D S BAHR CONSTRUCTION,INC. TOTAL Z87.94 9771 312TH ST WAY Payment(s) CANNON FALLS,MN 55009 CHECK 19495 287.94 (612)722-1448 • Minnesota State License#:BUIL-20207341 OWNER DICKEY,DAVID&DENISE 4425 NORTH SHORE DR MOUND,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. 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 construction authorized is not commenced within I80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. 'I'he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��'- � � �� O�� . ��3 App ' ant Permitee Signature Dat Iss By Signature Date s � • - City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural e pansion. Only windows, doors, siding, re-roof, etc.) _ �O�O � Mailing Address: Permit number: �' � PO Box 66 � Crystal Bay, MN 55323-0066 Date received: IStreet Address: Received by: y� G� 2750 Kelley Parkway Plan review fee: � t �, Orono, MN 55356 �kFSHO� Total Fee: � � �, g 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: n Job Site Address: ��{Z.�� ,��- �u*,ct� �^�- Will this be a Parade of Homes, Remodelers Showcase Home 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 wi/l be ; required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. x CONTRACTOR/APP ICANT INFOR TION: � ` Name: h� ' r ica� State License# �C.2t) �3�f Expiration Date: 3 3t � � Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 � Phone: (cell) `,,i Z L Z.i — lOpt� (office) �v�l- "_ �L-Z- ,. �Y`� Mailing Address: �- �j� .. City: ZIP: JU j Contact Person: �' f�,�,4 Applicant is: Contract / Homeowner (Cirde One) Email and/or Fax: � �, �� ' .� � k ��- PROPERTY OWNER FOI�NIATION: Name: � �� . �� Phone (day): ' ,L /v � �� ' � Address: ��{L� �,�,�, � , City: /�� ZIP: ��(� Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: �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) $ ��,� � 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 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 infor 'on, th li tion not be issued. ApplicanYs Signature: Date: �Z ��" I-3 � ; Owner's Signature: Date: Last Updated: 03/06/2013 y( DATE TIME CITY OF ORONO CALLED IN INSPECTION NO'rICE SCHEDULED PERMIT MO. 0�/3�Dr30a COMPLETED `J�� ADDRES� 4�.��5 /�/- �/�o r� r- . ��N� TELEPHONE NO. CONTRACTOR �S QG�I�^ Cans�� DESCRIPTION 2��'��" ^ tu ❑ FOOTIN(3 ❑ PLUMBlNG FINAL ❑ EXCAV/GRADINGlFIWNG � ❑ POURED WALL 0 MECHANICAL RI e ❑ LAKE3HORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Z ❑ INSULATION ❑ TREE REMOVAL ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPEC170N Q ❑ RADON SLAB O WATER HOOK-UP ❑ pRppRESS I,=„ �.EINAL ❑ SEWER HOOK-UP ❑ COMPWNT Q ❑ DEMO-SITE ❑ SEPTIC MAIN1: �OLLOW-UP ? ❑ DEMO-FIl�AL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUI�bAl10N/REMOVAL � OWNERICOPPTRACTOR TO MEET YOU:_.YES�NO � �:oMME�T$: oW. 1�� lo_d`iyt.r��' �' t//_ �i!?�/ I?S�eG�'ia� r��ld s�.G� , s o _ _ o �1_0 �ea� -cf'f «.s.� � re orcS?a�2 � W � Q Z _ Wor� 2��c.�S C�l,�tt � = � �� a � ❑4NORK SATISFACTORY:PRdCEED �p,IECT COMpLETE ❑CORRECT WORK 8�PROCEED ❑ISSUE CERTIFICATE OF OGCUPANCY 0 ❑CORRECT WORIC,CALL FOR REINSPECTION � TEMPORARY V BEFORE C�/ERINO ❑CARRECTUNSAFECONDITIONWITHIN Hp�pg. �ERMANENT 1NSPECTOR WFLL RERIRN �P�TO TAKEN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANCiEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCorrtrectorpn site: lnspector.��"J White Copylinspector's Flle Canary CopylSlte Notke