HomeMy WebLinkAbout2013-01020 - roofing CITY OF ORONO
2750 KELLEY PARKWAY * 2 T 1 3 0 1 0 2 0
-
DATE ISSUED: 09/30/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS 750 TONKAWA RD
PIN 05-117-23-34-0006
LEGAL DESC PARTENS POINT 1ST DIV
LOT 012 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ROOFING-ASPHALT
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 9,500.00
NOTE: VALUATION OF PERMIT:$9500.00
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 191.75
B-K BUILDING REMODELING STATE SURCHARGE(VALUATION) 4.75
10256 KISMET LANE
GRANT TOWNSHIP,MN 55082- MISC FEE 0.00
(612)703-0872 TOTAL 196.50
Minnesota State License#: BC412379
OWNER
EDELMANN,LAWRENCE
5382 LEATHER SADDLE LA
BROOKSVILLE,FL 34609-
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..�� �l 3�lavl3
Applicant Permitee Signature Date Issd y ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
• City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, Etc.)
O Mailing Address: Permit number:
PO Box 66
Crystal Bay, MN 55323-0066 Date received: `?- 3v-(3
Street Address: Received by: �
y ` 2750 Kelley Parkway Plan review fee:
G
t ti Orono, MN 55356 / [�
�KESH0
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: / n k i�; t c� C�i� <�
�`
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 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 INF RMATION. �( 1k
Name: - r t r`1 c�za f'�� t� TTS r)6 t c>L7"e 5
State License# Expiration Date:
Lead Certification Number: ye3 A11W eJ E- PA Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) 6 Id.- 7 03- C ?7a a (office) L/J- ? 63--0 S -7R
Mailing Address: 6 1_�15L , r,` •T- I- N, City: � >�,�lx:T_ ZIP: 5-5-C r3
Contact Person. B f-C",A e_ 0-5 Applicant is: Contractt� / Homeowner (circle One)
Email and/or Fax: l3`Kb cc, 61 11 C_o ikA--
PROPERTY OWNER INFORMATION:
Name: L.A r r t E 3 e a c
Phone (day): 3 c .- --/ _
Address: 7,55- a�'1 K4 w c"_ � CitY:GrD i1C� ZIP: -
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&permits:
,®._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.org
Estimated Construction Valuation of Project (excluding land) $ 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 information is to annually update our records and records of other governmental agencies required by law. If
you refuse to supply the information,the appiicaion may not be issued.
Applicant's Signature: Date: 61' 3O - 2c)13
Owner's Signature: Date:
Last Updated: 03/06/2013
DATEf TIME
CITY OF ORONO MALLEDIN_
�D
INSPECTION N,O TI �CHEDULED
PERMIT NO. oLa "��D — COMPLETED
ADDRESS 4M 7 5 U
OWNER TELEPHONE NO.Iv/2 70 3 D&7 2.
CONTRACTOR ,B )L"— e) 1
DESCRIPTION eQ�C �jC
1 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ 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
vOi COMMENTS:
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O
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O
W
W
Qc
Q
1
2
W
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W
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ud IF%;RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El 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
Owner/Contractor on site:
Inspector.
Loll—
White Copy/InspectoPs File Canary Copy/Site Notice
CITY OF ORONO CALLED IN DATE TIME
INSPECTION NqTfE�f o Zj SCHEDULED
PERMIT NO. c MPLETED
ADDRESS
OWNER
CONTRACTOR
> DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL [I EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
C" ❑ FRA NG ❑ MECHANICAL FINAL
E] TREE REMOVAL
Z ❑ IN LATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ EMO-SITE ❑ SEPTIC MAINT.
FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
a r-1,IF
•' i70 �iKgL �yISBeLZ�e.�c �@�LG45�
0
cc
0
W
Q
Z
W
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W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
CC W
❑CORRECT WORK&PROCEED ❑1 UE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WELL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 4600
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice