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Home My WebLink About2016-01056 - roofing CITY OF ORONO I* 1 01 Ili LL 0 i 1 s I* 2750 KELLEY PARKWAY DATE ISSUED: 08/30/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 965 OLD LONG LAKE RD PIN : 35-118-23-41-0028 LEGAL DESC : UNPLATTED 35 118 23 : LOT MB BLOCK MB PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 2,680.00 NOTE: VALUATION OF PERMIT:$2,680.00 (RE-ROOF THE DETACHED GARAGE ONLY) 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 92.89 STATE SURCHARGE(VALUATION) 1.34 GRUSSING ROOFING TOTAL 94.23 6921 RAVEN COURT Payment(s) EDEN PRAIRIE,MN 55346- CREDIT CARD 6799 94.23 (952)935-0557 Minnesota State License#:BUIL-BC633692 OWNER CARLSON,LARRY 965 OLD LONG LAKE RD 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 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 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 conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee ignature Date Issued By Signature Date Page: 2 of 3 08/30/2016 07 :55 AM TO: 19522494616 FROM: Amy Grussing PHONE #952 9350557 City of Orono ' Building Permit Application for Maintenance I Replacement I Remodel— Residential ONLY ' , . windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) Mailing Address: Permit number: i� 14 -( j R*. ‘., 14: N ,.,, PO Box 66 Crystal Bay, MN 55323-0066 Date received: i ' _ ( I I Street Address: Received by:2750 Kelley Parkway Plan review fee:! Orono,MN 55356 4i s;tk.ew Cc1 r L3 Total Fee: 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. Incom 1p ete applications will be returned. (Please print) GENERAL INFORMATION: WV Job Site Address: <'i L` . ;'" ' 1.,‘,Z14--f /6-- ``r- ( Will this be a Parade of Homes, Remodelers S,owcase Home or other Display Home? 0 YesNo -- If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus ervice will be required unless applicant demonstrates sufficient on-site parking is available, Non-permitted events will not be allowed, CONTRACTOR 1 APPLICANT INFORMATION: 7 , Name: ) tit i', j t ' if( a/ ). r J�'G) r._..:-.l`7( State License# `,r( (,' l /,. , ` ,. Expiration Date: 3 r,r r't' i Lead Certification Number: A% — -7 4?7 7 2. __.-. Expiration Date:t t Ito(e2,.0 (for work on homes that were constructed prior to 1978 Phone: (cell) d.,')/;, - 3/.,::, `i— 76/y (office) 6//5 1 7,: 4--)i 'C-; Mailing Address: ( V1 _ .., r Contact Person: - �F , �'v' C `./t,`, Applicant is? -'Contractor / Homeowner (Circle Ona) Email and/or Fax /r -, , ;1 a (. i (r f 1, 4. r} i, S 'r try, t. t-�/.%`i)./ y r �'E`�: ,1 PROPERTY OWNER INFORMATIO Name: tr ! e i r/s i -z_ Phone (day): c r.i /'c a , j , Address: r // r City: ` �'` yvi ZIP; ? _ �( Email and/or Fax: 7-1 PROJECT INFORMATION: Overall project iiescription:m ' U' I '! -v -'o-f / ?: ""a 1. c, ,L4,-•sq efiz type of Project: Any earth movement may also requi I ❑ Door(s) ❑Remodel 0 Fire Damage MCWD review&permits: ji e-roof,asphalt 0 Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd Re-rout.cedar ❑Restoration ❑Water Damage Minnetonka,MN 55345 ❑ Re-roof,other(specify) ❑Siding D Other (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ fs—Gia,2'0 0° APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; 1 • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are I solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to l reject it until it is complete: I • 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 you refuse to supply the information,the application may not be issued. f J Applicant's Signature: , rf ' ,r' Date: i . / / r;.7 1 ri Owner's Signature: v L.' Date: Last Updated:January 2016 V DATE TIME CITY OF ORONO CALLED IN PERMSCHEDULED IT R NAM— S"10 6 comptLETED 2• b'I ADDRESS 96 b o!d C a..,, tea. /eesz- OWNER TELEPHONE NO. CONTRACTOR 6tt 5$i /tad{#S E DESCRIPTION Re- 'oaf yI 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 0 POURED WALL 0 PLUMBING RI 0 EXCAV/GRADINGIFIWNG 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL k0 RADON SLAB • 0 MECHANICAL RI 0 SITE INSPECTION 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 0 INSULATION 0 W000 BURNER/FIREPLACE 0 COMPLAINT 0 FINAL 0 WATER HOOK-UP0W-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL 0 DEMO-SITE 0 SEPTIC INSTALL OtatIERICONTRACTOR TO MEET YOU:_YES_NO g COMMENTS /n/a4-t /40/1-e.•• 4./eV Ga!! 2 /•rgtt iris/ ec4•' - Permit has expired per MN Building Code Sec. 1300.120 subp. 11 Expiration, no record of a Final inspection. W 41 0 WORK SATISFACTORt PROCEED 0 PROJECT COMPLETE TC 0 CORRECT WORK a PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY 9 0 CORRECT WORK CALL FOR REINSPECTION • TEMPORARY BEFORE MERINO PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR o easpecnot,REQUIRED.CALL TO ARRANGE ACCESS. Call fortlre next Inspection u hours In advance.(952) 249-4000 Ownsrtcat actor on sits: Inspecton WM*CoPyanspodoes FII. Cowry covrrwl.Naso.