HomeMy WebLinkAbout2017-01135 - roofing ' CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 7 — 0 1 1 5
DATE ISSUED: 09/14/22 017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 3745 TOGO RD
PIN : 17-117-23-31-0046
LEGAL DESC : TOWNSITE OF LANGDON PARK
LOT 009 BLOCK 010
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ROOFING-ASPHALT
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 7,000.00
NOTE: VALUATION OF PERMIT:$7,000.00
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 154.85
NEMEC CONSTRUCTION STATE SURCHARGE(VALUATION) 3.50
1485 PULASKI CIRCLE MISC FEE 0.00
BUFFALO,MN 55313- TOTAL 158.35
Minnesota State License#:BUIL-BC703265 Payment(s)
CREDIT CARD 7462 158.35
OWNER
WERNER,CHRISTOPHER&KRISTINA
3745 TOGO 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. LL C
Applicant Permitee Signature Date Issued B ignature Date
City of Orono
Building Permit Application for Maintenance/ Replacement/ Remodel —Vesiidential ONLY
(i.e.windows,doors, siding, re-roof, etc.-NO STRUCTURAL EXPANSION)
MarrPermit number: _d
PC Box
0 Crystal Bay,MN 55323-0066 Date received: 9 '�
Street Address: 6 Received by:
1 y 2750 Kelley Parkway Plan review fee:
Orono,MN 55356 zz
t'KFS H 04� Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 wwyv.ci.orcno.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:
.lob Site Address: -37-11S- a O
WIN this be a Parade of Homes, Remodelers Showcade Home or other Display Home? 0 Yes No
IF yes,a special event permit Js required with Police Department and City couna7 approval 60 days prrorto the event. Shuttle bus service wit be
required unless applkent demonstrates sufficient on-site parking is available. Non permitted everts wiR not be allowed.
CONTRACTOR/APPLICANT INFORMATION: l
Name: Qtly.eC� egc `1/cJl rr011 L __
State License## C,���2- Expiration Date. - 3(—
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 9978
Phone: (cell) ').^ (office)
Mailing Add n�s: � �•`r City: J G� � ZIP: S 31
Contact Person: �ficantJs: ontractor / Homeowner Icimisom)
Email and/or Fax: 4V�E
g, c l � G Al L
PROPERTY OWNER INFORMATION.-
Name:
NFORMATION:Name: e 10 6 t r
Phone(day): 91 h -- ` cr 7- /D 'S� Ctiy ZIP:
Address: `7 i o o iE F�
Email and/or Fax:
PROJECT INFORMATION: Overall prglect descri on: Any earth movement may also require
Type of Project: MCWD review&permits:
❑Door(s) ❑Remodel ❑Fire Damage
Minnehaha Creek Watershed District(MCWD)
'%te-roof,asphaR ❑Repair ❑�rm Damage 15320 Minnetonka Blvd
/❑Re-roof,cedar ❑Restoration ❑Water Damage Minnetonka,MN 55345
Phone: 952-471-0590
( '?
(I
❑Re-roof,other(specify) ❑Siding Other: Fax: 952-471-0682
❑Window(s) www minnehahacreek.ora
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 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
u refuse to su I the inform tion,the a ication may not be issued.
Date: � /
�^! 7
Applicant's Signature:
r.
Owner's Signature: Date:
Last Updated:January 2016
L'd d97,:Z0'LL£L deS
0 PCITY OF DATE TIME
ORONO CALLED IN
INSPECTION NOTICE 2� SCHEDULED
PERMIT NO 201�— D 113 J COMPLETED
ADDRESS 0
OWNER TELEPHONE NO.
CONTRACTOR O�
n
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FI AL ❑ SEPTIC FINAL
❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNBUCONTMCTOR TO MEET YOU:_YES_NO
COMMENTS: ��'rae-�' o cus e-
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W ❑WORK SATISFACTORY:PROCEED RQIfCT COMPLETE
aC
W ❑CORRECT WORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Can for the next inspection 24 hours in advance. (952) 249-4600
Owner#Contractor on site:
Inspector:
White Cop spectoea File Canary CopylShe Notice