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HomeMy WebLinkAbout2013-00191 - roofing CITY OF ORONO * 2 0 1 3 - 0 0 1 9 1 2750 KELLEY PARKWAY DATE ISSUED: 03/21/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS 500 TONKAWA RD PIN 05-117-23-32-0003 LEGAL DESC REG. LAND SURVEY NO. 1305 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-CEDAR ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 280,588.00 NOTE: VALUATION OF PERMIT:$280588.00-CEDAR ROOFING 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. i APPLICANT PERMIT FEE SCHEDULE 2,142.75 GARLOCK-FRENCH ROOFING CORP STATE SURCHARGE(VALUATION) 140.29 2301 EAST 25TH STREET MINNEAPOLIS,MN 55406- MISC FEE 0.00 (612)722-7129 TOTAL 2,283.04 Minnesota State License#: 0001423 PAID WITH CC# 1130 OWNER NELSON,MR.&MRS. 500 TONKAWA RD LONG LAKE,MN 55356- 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 t any time for due cause. Applicant Permitee Signature Date Iss661 By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FRG; Garlock French Roofing 612-722-7129 (THU)MAR 21 2013 14 :18/ST. 14 :18/No, 6823051221 P 1 City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) O \ Mailinng ABddreSsBs. Permit number: rX13 Crystal Bay,MN 55323-0066 Date received: Street Address' Received by: 2750 Kelley Parkway Plan review f Orono,MN 55356 Total Fee: p�8 Main: 952-249-4600 Fax: 952-2494616 www.ci.orono.rnn.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, /oN „ 1 Job Site Address: -53F/ Will this be a Parade of Homes, Remodelers Showcase Hom6 or ot6br DIspI y Home? LJ Yes No /f yes,a Special event permit is nmquimd w$h ftioe Department and City Council approval 60 days prior to the event, Shuft bus sandca"I be reoulred unless applicant demonstrates suntient onsite parking is available. Non-perinkted events win not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: loce- e:,- State License# Expiration Date: Lead Certification Number. Expiration Date: (for work on homes that were cons"cC d prior to 1978 Phone: 7 4; (office) (cell) Mailing Address: 57rC' a ,s ZIP; r a Contact Person: Applicant is: Contract / Homeowner (cirao one) Email and/or Fax: PROPERTY OWNER INFO ON: Name: fN N Phone(day): / `/ ZIP: Address: City: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ©Door(s) ❑Remodel ❑Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Re-roof,asphalt Q Repair Storm Damage 18202 Minnetonka Blvd 2rRe-roof,cedar ❑Restoration p water Damage Deephaven,MN 55391 Phone: 952-471-0590 ❑ Re-roof,other(specify) ❑Siding ❑Other:(specify) Fax: 952-47140682 [:1 Window(8) www.minnehahacreek.orn Overall Project Description: Estimated Construction Valuation of Project excluding land) t �' 0 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 altemaWe 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 r uired by law. If you refuse to supply the information,the application ma nit be issued. Applicant's Signature: �il�' Date: Last updated: 08.09-2011 i 2 4 � i fIJ� k / •� '\l ( �, �`a4.g'y, ilk , �'f Ott@g.- }rh. b� ' �•'!` I,y: .� � � 1\� as �\��.. ,\., �. VIP !• Fj , r f i is aP 14 t It ' ` i f iu '010, if A-, 9 .0 i N �l )• VE7; INs maddl Ic¢Yf1n :nld'�• All- i !' l m 1 T1 P 11 :; DAT TIME CITY OF ORONO c ED IN INSPECTION NOTICE SCHEDULED SLsLL� PERMIT NO.��l'�— ,goMPLETED ADDRESS l / OWNER EPHONE NO. - 5�7 CONTRACTOR DESCRIPTION t~U ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICA ❑ LAKESHORE/WETLANDS O El FRAMING El MECHANICAL FINAL Ll TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC w cc 0 W cc Q z W Z W CC GW�rOIAK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE LU W ❑CORRECT WORK&PROCEED LlISSUE CERTIFICATE OF OCCUPANCY 0 ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY C) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR E)CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor onzs'te- Inspector White Copy/Inspector's File Canary Copy/Site Notice ul� DATE TIME CITY OF ORONO CALLED IN 6_`R, 13 INSPEC-ONO2TII(E",O Q I SCHEDULED ,h 1.5 13 � PE14MIT NO. 3 COMPLETED ADDRESS 'S OWNER US-630 TELEPHONE NO.(-0P- CONTRACTOR O.(-0P-CONTRACTOR DESCRIPTION "F ❑ FOOTING ❑ PLUMBING FINAL J ❑ EXCAV/GRADING/FILLING Q El POURED WALL ElMECHANICAL RI El LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W CL O cc O W cc Q Z W W CC Uj11WORK SATISFACTORY:PROCEED A<RSJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR L-]CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. o, White CopylInspector's File Canary Copy/Site Notice