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