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Home My WebLink About2013-00369 - re-roof � . CITY OF ORONO * 2 0 1 3 - 0 Pl 3 6 9 * 2750 KELLEY PARKWAY DATE ISSUED: OS/15/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4455 NORTH SHORE DR PIN : 07-117-23-31-0002 LEGAL DESC : BERGQUISTS ADDN TO SAGA HILL : LOT 004 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 8,000.00 NOTE: VALUATION OF PGRMI"I': $8000.00 ROOFING PERM['I'S ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROV[DE 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 DONF.. ONCE WORK IS COMPLETED THG SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 162.25 LEGACY RESTORATION LLC STATE SURCHARGE(VALUATION) 4.00 14000 25TH AVE N#110 PLYMOUTH,MN 55447- TOTAL 166.25 OWNER KLOHN, GREGG D 4455 NORTH SHORE DR MOLJND,MN 55364- AGREEMENT AND SWORN STATEMENT The work lor which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State E3uilding Code. This permi[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 speeified 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 afrer work has commenced. The 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. �'4' � �j /�� / �� ` /�� / �plicant ermitee S' re Date Is u y Signature Date SEPARATE PERMITS REQUIRED FOR WORK O ER THAN DESCRIBED ABOVE. To; 9522499616 From; Leqacy FAX 5-15-13 11;06am p, 2 of 2 { • City of Orono ' Building Permit Application for Maintenance I Replacement/ Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) /� � �A, Maifing Address: -� '''�" - � j ` �' �YQ PO Box 88 Petrtt"'1f�umber� - � -•- ti� Crystal Bay,MN 55323-6066 17at�;r��elved.:`..,;,.,�- . �,�;;:;;:..- ,..:::��- 5tree!Address: Rece�y�d py r: � �` 2750 Keile Parkwa '�� 4 � • Y Y Plao reyl��f¢e - � Orono,MN 55356 �'��'Sttn�� .�'a��Fee '�/ �.��_. : I Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn,us ,:,.�..: ....,...._,,...,.... ,...:_�v_�_ . ` This application form must be completed in full and all required informafian must be submitted.� ' Incomptete appllcattons wlfl ba returned. (Please prinfj � GENERAL INFORMATfON: ; Job Slte Address: ?.�o..� �� '.f�'��-.�-�°'., �1"`iP��'F' �.,��' �, �'��'l;�; � Will thls be a Parade of Homes,R�modelers Showcase Home or other Display Home? ❑Yes `� No ' If yes,a spec/a1 event parmlt Is requhed wlth Polke Department and Clly Councll approvaf 80 days prlor to ye event ShutUe bvs serUice wlti be � reguUed untess appiicar�demanstrefes sufhcient on-site pa�king is avalla6le. Non-permitted evants w!!!not 6e allowed CONTRACTOR!APPLICANT INFORMATI�N: I Name; �,....c.?��,.s:._.t1�� ,�.`��'�'(��-�,•�E L,,��'� ��1,----.�_ State License# J�r.'�, �' �.�� , `� ?�. Expiration Date: �:�,,� �,:�;t.:� j Lead Certification Number. "� .�. -� �` +,�r `��y•. + Ex iration Date: � �, + � � �;'�', o a � a p 8��c�i (for work on homes that we�e consfructed prlor to 1978 Phone: (cel!) ; '�� e- — `�} {offica) �._'�.� " i C3 r , :-:�� MailingAddress: t � r �;-f� �> � ` 31 � C4ty. a� t^�y�v t�'..-, ZIP: "' t� '-- � Contact Person: r"�,�1 ' Applicant is: Gontractor 1 Homeowner �.,�� (Circle One) Emall and/or Fax: �,� `E p '"` ��r �' ,.�.� rUt�' �.�. ' �,tyy�,^ PROPERTY OWNER I FORMATIOW: Name: �_ � �jx Phane(day): ,�� Address: i.r a � <ev �_ ��CR City, ;��,� q Z1P: ��' � S._ Email andlor Fax: PRCIJECT INFORMATICI(V: Overall ro ect descri tion: � Type af ProJect: Any earth movement may also require I ❑Door(s} ❑Remodel ❑Fire Damage MCWD review 8 permits: �Re-roof,as halt Mlnnehaha Creek Watershed District MCWD � p ❑RepalP ❑S#orm Damage � � ( 18202�Ifnnetanka Bivd ❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 ❑Re-raof,other(specNy) ❑Siding ❑Other.(specify) Phone: 952-471-0590 � Fax: 852-471-0682 ❑Window(s) www.minnehahacreek.ora Estimated Canstruction Vaivation ef ProJect{excludtng land} $ „�c� APPLICANT ACKNOWLEDGEMENT: • Agrees to provlde all informetion required or requestad by the Building Department; • Certifies that the information supplied is vue and correct to the best of his/her knowiedge. 'fhe applicant recognizes that they are � solely responsible for submitting a complete applicaUon 6eing aware that upon failure to do so,the staff has no akemative but to I reject it until it ia complete; ! • Some or ali of the informatian that you are asked to provide on this applicatlon is dassified by State law as either prlvate or confldential. Private data is infortnation which generally cannot be given to the pubtic but can be given to the subject of ths data. Confidentlal data Is informa6on which generalty cannot be given to eit�er the publlc or the subJect of t�e data. Our purpose and � intended use of this information is to annually updete our recotds and records of other govemmental agencies required by taw. If i ou refuse to su I the Inform on,the a tication nwYb sued. i ` ; , k.--�;. 'r .y` .� ' ¢ � � ApplicanYs Signature: � Date: '� � a �� f.. Owner's Signature: Date: � Last Updated:03/06/2013 I i To: 9522994616 From: Legacy FAX 5-15-13 11:06am p. 1 of 2 � will stop by this afternoon to pick it up. Thank you Mark Mcconville Legacy Restoration, LLC 14000 25th Ave N #110 Plymouth, MN 55447 0: 763-354-7660 � F: 763-354-7661 LegacyRestorationLLC. com �� , DATE TIME � �fY F ORONO CALIED IN �'" � �� INSPECTION NOTICE t�(�}SCHEDULED F� � PERMIT NO. c�- ��C�1 COMPLETED ADDRESS �� I V •S �l(�l'� l� � OWNER TELEPHONE O. � �a^�y��I CONTRACTOR � a C . >; DESCRIPTION ��'Q- � r `��l � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 ❑ SEP IC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR� TO MEEf YOU:�YES_NO , � COMMENTS: ��1� �^1�� )�,. a ��'� /�/�f��,�:c�1 (h� �/ �' � J O � � e l�ce �� 0 � W Q � '�- e/�T� � 2 W � W � j � .�34{QRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. �95Z� Z49-460� OwnedContractor on site: Inspector. ,v White Copyllnspector's File Canary Copy/Site Notice DAT TIME ✓ CITY OF ORONO CALLED IN -2�—� ! INSPECTION C�, D � CHEDULED -��'I� PERMIT NO. COMPL TE ADDRESS �^ �v �' � OWNER T HONE NO. CONTRACTOR �: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 0 � �I G J �-S � kJ ('r a � O � W � Q � 2 W � W � � GW ❑WORK SATISFACTORY:PROCEED �.2�tOJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnedContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice