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Home My WebLink About2013-00729 - roofing , . CITY OF ORONO * 2013 - 00729 * 2750 KELLEY PARKWAY DATE ISSUED: 07/29/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 REPRINTED ON 7/29/2013 ADDRESS 685 OLD CRYSTAL BAY RD N PIN 33-118-23-21-0002 LEGAL DESC UNPLATTED 33 118 23 : LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE INSTITUTIONAL-SCHOOL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 29,000.00 NOTE: THIS PERMIT IS FOR REROOF TEAR OFF ASPHALT AND STEEL ROOF MAINTENANCE AND STORAGE SHEDS BEHIND DISTRICT OFFICE APPLICANT PERMIT FEE SCHEDULE 456.00 EBERT CONSTRCUTION STATE SURCHARGE(VALUATION) 14.50 23350 CO. RD#10 LORETTO,MN 55357 TOTAL 470.50 (763)226-5320 PAID WITH CC# 3064 OWNER SCHOOLS,ORONO PUBLIC 765 OLD CRYSTAL BAY RD N LONG LAKE,MN 55356- 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 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 180 days of the date of issuance,or if construction is suspend d for a period of 180 days at any time after work has commenced. The a pl cant is Sponfible for assuring all required inspections are reque a in co rm ce with the State Building Code.This permit may be revok t y f due cause. 7 Applicant Permitee Signature Date 4issueAySig LirDate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. J • City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) Mailing Address. Permit number: -0 f vQ Crystal Bay, MN 55323-0066 Date received: 7- 25-10 Street Address: Received by: Kelley 2750 Y Parkwa Y Plan review fee: Orono,MN 55356 �J ez) �kESHO� 47D. Total Fee: Main: 952-249-4600 Fax: 952-2494616 :&ww.r-i,c,ono.mn.ga This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: /, 5 � WSTA___ af9' �I> Job Site Address: (� 1 Will this be a Parade of Homes, Remodellers Showcase Home or other Display Home?____o Yes LX No !f yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. shuttle bus s%4i&will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: cc>Ni szrywGM State License# t- Expiration Date; Lead Certification Number: Expiration Date.- (for work on homes that were constructed prior to 1978 Phone: (cell) '743 2,2-U ` j3Z0 (office)7(p3 Mailing Address: p GO. _ 10 Ci ZIP: 553 5 Contact Person: MP�MgEW ts�F.LSotJ Applicant is: Contractor / Homeowner (cimi.one) Email and/or Fax: !vt�I L�[>rJ � {`Cc71��S'[ CIOt1r'\ PROPERTY OWNER INFORMATION: f� Name: OF OrJO Pu?,>u L- s"400�S JUS'CIr�I t " ►C� `� Phone(day): 951- `'1'49 - �!3 Ll S" Address: &S tL-5 CY,-T. ,(_ ¢ Rp City: clacr ZIP_S53� Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ( Remodel MCWD review&permits: ❑Door s} ❑ El Damage fXRe-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 XRe-roof,other(specify) ❑Siding ❑Other. (specify) Phone: 952-471-0590 Fax: 952-471-0682 ST[k.L� ❑Window(s) w,r.,.mirnie=,aha:,e�k.oru Estimated Construction Valuation of Project(excluding land) $ 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 informs'o whicgeirally cannot be given to either the public or the subject of the data- Our purpose and intended use of this inform i isy update our records and records of other governmental agencies required by law. If you refuse to supply the inf Catio plication may not be issued. Applicant's Signature: Date: Z� 3 Owner's Signature: Date: _ Z Last Updated:03/06/2013 c� TE /,13 TIME L iCITY OF ORONO CALLED IN e- / INSPECTION NOTICESCHEDULED X12? 43� /� PIRMIT NO.,_Q f- ,:3 r//CC 7261 COMPLETED I DRESS � _ I I // OWNER TELEPHONE NO.& 6 �a �v��(A CONTRACTOR a DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS O ❑ 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 ❑ SEPTI.G INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONT R TO MEET YOU: YES—NO COMMENTS: cc W a J O oz O W cc Q 2 W W cc J d � RK SATISFACTORY:PROCEED El PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY CO BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTOTAKEN INSPECTOR WILL RETURN C]CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice DAT TIME V CITY OF ORO CALLED IN 8 INSPECTION NOTICE G SCHEDULED 8 — PERMIT NO. - �% COM LETED ADDRESS OWNER T EP ONE NO. CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ CA /GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKE HORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q El 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWN =ONTR�A�CTOR TMEET YOU:X_YES_NO MS W a Cr J O cc O 2 W cc Q 2 W W cc j d Lu LlWORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on e: Inspector. 11110-1 White Copy/Inspector's File Canary Copy/Site Notice