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HomeMy WebLinkAbout2015-00623 - roofing CITY OF ORONO * z 0 1 5 - 0 0 6 2 3 2750 KELLEY PARKWAY DATE ISSUED: 05/19/2015 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 1100 TOWNLINE RD PIN 30-118-23-32-0007 LEGAL DESC DIESEN DEVELOPMENT : LOT 002 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 8,000.00 NOTE: VALUATION OF PERMIT:$8,000.00 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 170.38 STATE SURCHARGE(VALUATION) 4.00 LINDUS CONSTRUCTION INC TOTAL 174.38 879 HWY 63 Payment(s) BALDWIN,WI 54002- CHECK 69174 174.38 (715)684-4647 Minnesota State License#: BUIL-BC007644 OWNER DEAKINS,DOUGLAS 1100 TOWNLINE RD MAPLE PLAIN,MN 55359- 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 ti a for due cause. Applicant Perm'ee Signature Date Issued By Signature Date t 1 7�(, 36 City of Orono 'Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) Mailing Address: V PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: lJ y 2750 Kelley Parkway Plan review fee: t kfsHol�, Orono, MN 55356 g Total Fee: / '7 t/. 3� 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: 1100 Town Line Rd, Maple Plain, MN 55359 Job Site Address: 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 sen ice wd"be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Lindus Construction, Inc. State License# BC007644 Expiration Date: 3/31/16 Lead Certification Number: NAT-58924-1 Expiration Date: 6/10/15 (for work on homes that were constructed prior to 1978 Phone: (cell) (office) 651.967.0379 Mailing Address: 879 Hwy 63 City: Baldwin,WI ZIP: 54002 Contact Person: Amy J Jilk Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: amy@lindusco.com PROPERTY OWNER INFORMATION: Name: Douglas Deakins Phone(day): 480.229.0894 Address: 1100 Town Line Road City: Maple Plain,MN ZIP: 55359 Email and/or Fax.- PROJECT ax: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) $ $8000 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 ' ormation which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of tinf mation is to 4nn ably u ate our records and records of other governmental agencies required by law. If you refuse to su I the ifformation,t e a i n ftnot be issued. Applicant's Signature: Date: 5/15/15 Owner's Signature: Date: Last Updated:January 2015 DATE TIME CITY OF ORONO CALLED IN oZo� INSPECTION NOTICE �0Q3 SCHEDULED PERMIT NO. a -OLV 64;1—COMPLETED ADDRESS OWNER _DL CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS INAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNEWCONTRACTOR TO MEET YOU:_YES_NO COMMENTS: 1J 4A'_-r .bar✓IC r opec- teU 'es a CC s _ F7'77 1 14- W C - Q4COL ,pa/G/C yl�t. '40 rte. Q z d� w CC LU j ❑WORK SATISFACTORY:PROCEEDCC �9QJECT COMPLETE W ❑CORRECT WORK&PROCEED ✓❑ ISSUE CERTIFICATE OF OCCUPANCY O ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspecti n 24 hours in advance. (952) 249-4600 wne ontractor on site: V d�►'� t3 Inspector. White Copy/Inspector's Flle Canary Copy/Site Notice