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HomeMy WebLinkAbout2013-00626 - roofing f , CITY OF ORONO * 2 PJ 1 3 — 0 fd 6 2 6 * 2750 KELLEY PARKWAY DATE 1SSUED: 07/09/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2450 SIXTH AVE N PIN : 28-118-23-41-0003 LEGAL DESC : WILLOW RUN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION ; $ 8,000.00 NOTE: VALUATION OF PERMIT: $8000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICG,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECT[ON 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 162.25 LOGAN ROOFING INC. STATE SURCHARGE(VALUATION) 4.00 13275 207TH AVE NW TOTAL ]6625 ELK RIVER, MN 55330 (763)286-0124 Minnesota State License#: BC281878 OWNER BOULEY, STEVE 2450 SIXTH AVE N LONG LAKE, MN 55356- AGREEMEIVT AND SWORN STATEMEIYT 7�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 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 Buifding Code.This permit may be revoked at any for due cause. / / �� / / � App icarit tee Signature Date ssue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r,. �: . . City of Orono ` Building Permit Application for Maintenance / Replacement / Renovation '�� `y �, (No structural expansion. Only windows, doors, siding, re-roof, etc.) � �� MailingAddress: Permitnumber: 0�� �� � �D�O PO Box 66 _ � � Crystal Bay, MN 55323-0066 Date received: � � ' Received by: �� - Street Address: � � ��� y �' 2750 Kelle Parkwa ; F ti Y Y Plan review fee: � • �,�' Orono, MN 55356 '� � qkESHO 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. � Incomplete applications will be returned. (Please print) : GENERAL INFORMATION: �� Job Site Address: ��SC' �--'�� �� (� �-��d1� �-�a�� Will this be a Parade of Homes, Remode rs Showcase Home o ther Display Home? ❑ Yes ❑ No �` If yes,a special event permit is required with Police Department and City Council approva/60 days pnor to the event. Shuttle bus service will be s- required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. ,,,. '. �' CONTRACTOR/APPLICANT INFORMATION: '' Name: „e a�\ � �� ,v� �ti^c,���,� ��� � � , State License# ��,��{��1j � Expiration Date: � ~k Lead Certification Number. ��� Expiration Date: �"` (for work on homes that were constructed prig�to 1978 ; Phone: (cell) �p�- �?�'i(,o�p/o2�} (office) + ' Mailing Address: %3a`7j a6-�' ,vuJ City: .'v1P�— ZIP: r`j'S 3J2p � �,. Contact Person: ��i+ Applicant is: Contractor Homeowner (Circle One) �� ����� Email and/or Fax: � � � fl" PROPERTY OWNER INFORMATION: � ►vame: 5���i �ck.,��[��t � Phone (day): '7�'� -�{'� g-CetQp� '���, Address: o2�{SC� C_•{�.� �1 lQ c�ty:�n�,�,� ziP: �;' ,� Email and/or Fax. ' `;� PROJECT INFORMATION: Overall pro�ect description: � Type of Project: Any earth movement may also require � � ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: �` ¢t �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) $ �C�a � K� ,��, �� '' 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 ctassified by State law as either private or �' r�� confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. a� 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 �a ou refuse to su I the inform tion,the a lication ma not be issued. � ApplicanYs Signature: � �ate: 7`q��,3 x � Owner's Signature: Date: � Last Updated:03/06/2013 ; DDA TIME v CITY OF ORONO c�� � INSPECTION NOTICE SCHEDULED �� PERMIT NO�Ol3���COMPLETCD ADDRESS v � 'v OWNER EPH N07 �O'�I a CONTRACTOR � � � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FIN L p EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y O FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � 2 W � W � J W �VOORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 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 REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's Flle Canary CopylSfte Notice ATE TIME v CITY OF ORONO CALLED ICr�� '�7 �-I 3 INSPECTION^NOTIC� /�7��, SCHEDULED 7-�4—/� LZ� PERMIT NO. a�I3 U U`F�`�(/ COMPLETED ADDRESS��5� ��'��y � Q,� ' OWNER TEL PHONE NO. 7�3 21��v D/Z� CONTRACTOR LD �t l� lfZ >; DESCRIPTION DOf � ��� k� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECT�ON Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q ti Z W � W � � GW ❑WORK SATISFACTORY:PROCEED A PROJECT COMPLETE � �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. r� pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspectipn 24 hours in advance. (952� 249-4600 OwnerlContractor on site: � Inspector. White Copyllnspector's File Canary CopylSite Notice