HomeMy WebLinkAbout2015-01007 - roofing CITY OF ORONO * 2 0 1 5 — 0 1 0 0 7
2750 KELLEY PARKWAY DATE ISSUED: 08/10/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 4725 TONKAVIEW LA
PIN 07-117-23-32-0003
LEGAL DESC BERGQUIST&WICKLUNDS PARK
LOT 000 BLOCK 001
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 6,000.00
NOTE: VALUATION OF PERMIT:$6,000.00
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.
PARTIAL REROOF,ONLY DOING A SMALL SECTION UPPER ROOF ONLY
APPLICANT PERMIT FEE SCHEDULE 139.40
WHY WAIT ROOFING LLC STATE SURCHARGE(VALUATION) 3.00
972 BAVARIAN HILLS CT TOTAL 142.40
CHASKA,MN 55318- Payment(s)
Minnesota State License#: BUIL-20156835 CHECK 13464 142.40
OWNER
CHRISTIANSON,EARL&TERRY
4641 TONKAVIEW LA
MOUND,MN 55364-
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 y7 2
revoked at any time for due cause. /(�
ZZ 0 Kow I,
pp1KktAWiTnitee Signature Date Issued By Signature Date
City of Orono
Building Permit Application for Maintenance / Replacement / Remodel
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
T Mailing Address: I
PO Box 66 Permit number:
Crystal Bay, MN 55323-0066 Date received:
Street Address: Received by:
2750 Kelley Parkway Plan review fee:
'fkFSHO�`�.
Orono, MN 55356
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee:
This application form must be completed in full and all required information must be submitted.
GENERAL INFORMATION: Incomplete applications will be returned. (Please print)
Job Site Address: -I ,( ,, ' z
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes WNo
tf yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORTIO(N:
Name: ;+ bot , ILL(—
State License# (meq-,, Expiration Date:
Lead Certification Number: k J Q,53 i_ l Expiration Date: �ZI i b
(for work on homes that were constructed prior to 1978
Phone: (cell) _ r�, .__ 7 6; 7 (office)
MailingAddress:
Z ( ✓� v I-L`�(,� �'� City: l,�_�5 ZIP:
Contact ( —
Person: Ro�� f Applicant is: rac / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: _11—01.-y C,kr4s-� 50-I
Phone(day): '1-1-L— '�_66pS 3
Address: 14 7 Z.5 T r kai g w l j At City: Qrn ncZIP:
Email and/or Fax:
PROJECT INFORMATION: Overall project description:
_ r"V ea�7
Type of Project: y earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
/❑ Re-roof,cedar 15320 Minnetonka Blvd
❑ 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.oro
Estimated Construction Valuation of Project (excluding land) $ lam, 000 .
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
you refuse to supply thwWormaWn,the application may not be issued.
Applicant's Signature: Date: sl lJ I
Owner's Signature: Date:
Last Updated:January 2015
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE_ SCHEDULED
PERMIT NO. COMPLETED /5
ADDRESS IM454"cod -Af.
OWNER 71S TELEPHONE NO.
CONTRACTOR 1t),t6e d t t•u
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ 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
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS. ✓YIA•w . Gb e74se /1 Okla►—
J,-o nL 4,Q,rJJP„�is.n. rt o2 lee.44
j
� � L
W
Q
iQ'�C Y fo.zt•-.r.d
W
W>94W KSATISFACTORY PROCEED ❑PROJECT COMPLETE
cc ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑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
Ownerr,ontractor on site:
Inspector.
White Copynnspector's File Canary CopyMe Notice
DATE
TIME
CITY OFCNO CALLED IN
INSPECTION
NOTICE SCHEDULED
PERMIT NO. 2dI 7 COMPLETED
ADDRESS
OWNER TELEPHONE
CONTRACTOR U (J
3Z DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTI INAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ 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
v ❑ DEMO-SITE ❑ SEPTI TALL
2 OWNERMNTRACTOR TO MEET YOU:_YER A NO
ti COMMENTS:
a
j
O
cc
O
W
W .30
c
Q
W
W
J
O
W ❑WORK SATISFA O EED ❑PROJECT COMPLETE
❑ RRECT WORK"PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY
O CORRECT:E0
ORK,CALL
FOR REINSPECTION -TEMPORARY
V EFORECdVERING 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 24rs in a 71fr) 24g-4600
dC
Owneontractor on site:
Inspector.
Whits Copyllnspectoes File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. CilS �1�� COMPLETED
ADDRESS '
1 7
OWNER TELEPHONE N r �Ic-7
CONTRACTOR �� l
DESCRIPTION n�-1
w ❑ 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
.�❑/�SULATION El WOOD BURNER/FIREPLACE ❑ COMPLAINT
v �f�NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_�❑ AS_BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC I STALL
2 OWNERICONTRACTOR TO MEET YOU:_YES NO 67b, `C
y COMMENTS: J
w
a
J
O
cc
O
w
cc
Q
2
z Q
w
j
W ❑WORK SATISFACTORY:PROCEEDCPRO.JECT COMPLETE
QC w
❑CORRECT WORK 3 PROCEED ❑ E CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C 1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_
Call for the next inspection 24 hours in advance. (9 49-4600
OwnedContractor on site:
Inspector.
White Copylinspectoi's File Canary CopylSite Notice