HomeMy WebLinkAbout2016-01002 - roofing l - CITY OF ORONO * Z 0 1 6 - 0 1 P1 0 2 *
r 2750 KELLEY PARKWAY DATE ISSUED: 08/18/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 951 SPRING HILL RD
P[N : 26-118-23-44-0002
LEGAL DESC : LJNPLATTED 26 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-LINDEFINED
VALUATION : $ 22,000.00
NOTE: VALUATION OF PERMIT:$22,000.00
ROOFING PERMITS[SSUED 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 387.20
VUJOVICH DESIGN BU[LD STATE SURCHARGE(VALUATION) 11.00
275 MARKET STREET TOTAL 398.20
MINNEAPOLIS,MN 55405- Payment(s)
(612)366-1883 CREDIT CARD 6734 398.20
Minnesota State License#: BUIL-BC006077
OWNER
&JOANNE PASTEL ET AL TRUST, BILL DUNLAP
951 SPRING HILL RD
WAYZATA, MN 55391-
AGREEMENT A1vD SWORIv 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 Ihe date of issuance,or if construction is
suspended fo4 a period of 180 days at any time afrer work has commenced.
The applica�t is responsible fo�assuring all required inspections are �) � ]
requested in conformance witN tha State Building Code.This permit may be � —�
revoked at any time for ue causa� , �
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Applicant Permitee ignature � Date Issued By Signature Date
� ' City of Orono
Building Permit Application for Maintenance / Replacement/ Remodel - Residential ONLY
(i.e.windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
�O� Mailing Address: Permit number: � I `d ��J �
O PO Box 66 f
Crystal Bay, MN 55323-0066 Date received: /
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Street Address: Received by:
ti � 2750 Kelley Parkway Plan review fee:
`� �'� Orono, MN 55356 ,.�
�'xFSHOR�' � . z�
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: �j�� ,S/�,n ��:"(y f.�G L — �7��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No
If yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allow�d.
CONTRACTOR/APPLICANT INFORMATION:
Name: {/U..�l� L"i G� •- a�S%� I� � U� G
State License# � C QoG, p 7 7 Expiration Date: � ��
Lead Certification Number: ���_2 y ��y c�_ � Expiration Date: y�2 7,/2 v 2 U
(for work on homes that were constructed prior to 1978
Phone: (cell) (o� �_ 3 �, � __ r��%-3 (office) ��z — 3 � � ?o z O
Mailing Address: 2 ? � ���, ��� S�I'" � S� City: /y/J� S: ZIP: %�� .
Contact Person: �� y�� � � � C Applicant is� Contract / Homeowner (Circle One)
Email and/or Fax: ���,� z ,�,� � �� � �.�u J� �,; ��/t c�a �l
PROPERTY OWNER INFORMATION:
Name: ������-Cf���t :�o /�i�-'w� li�%�S,�,E�
Phone (day): �S Z _ y�-� _ �� � O
Ac�dress: �'-f 5'�/ S �i7 i�C /'�i i C �c��� CitY� C3it c�rc.G ZIP: g 5'� ��
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 8�permits:
'� Re-roof,asphalt ❑ Repair � Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345
Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.ora
Estimated Construction Valuation of Project(excluding land) $ � � �,c�, � c�
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 inform tion is to annually update our records and records of other governmental agencies required by law. If
ou refuse to su I the i ormation,the, lication ma not b issued.
ApplicanYs Signature: �C.-u.c.,, � Gate: �6/ �
Owner's Signature: Date:
Last Updated:January 2016
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E TIME
CITY OF ORONO CALLED IN �r "�
INSPECTIO TI SCHEDULED r
PERMIT N —'�10 COMPLETED
ADDRESS 7
OWNER ERHONE NO�� s �
CONTRACTOR I� O ✓l
� DESCRIPTION c�`��
4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERKANTRACTOR TO MEET YOU:_YES_NO
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�'� WORK SATISFACTORY:PROCEED ❑PRW ECT COMPLEfE
W ❑CORHECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOA/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Own�e�fContractor on site:
Inspector: � j�'`-'`��
White CuPYnnapecto�'s File Cenary CoPY1SRe Notke
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-/�� DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION� OTICE - SCHEDULED ��`�`�'' -T-,�
PERMIT NO. �' } COMPLETED
ADDRESS
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OWNER TELEPHONE O. 9������
CONTRACTOR �^� � C
� DESCRIPTION �� � ' / �
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_ ❑ DEMO-SITE ❑�PTIC INSTALL
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2 OWNENCONTRACTOR TO MEET YiOU: YES_NO
� COMMENT5: ,
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� ❑WORKSATISFACTORY:PROCEED OJECT COMIPLETE
W ❑OORRECT VMORK 3 PROCEED ❑ ISSUE CEFiTIFICATE OF OCWPANCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE(�NNERIN(3 PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. O PHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
O INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
1 for the next in fon 24 hours in advance. (952) 249-4600
ctor on s .
Inspector: '� �
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