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HomeMy WebLinkAbout2016-01433 - roofing CITY OF ORONO * 2 0 1 6 - 0 1 4 3 3 t 2750 KELLEY PARKWAY DATE ISSUED: IV14/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS 1340 VINE PL PIN 07-117-23-42-0031 LEGAL DESC SAGA HILL REVISED LOT 000 BLOCK 017 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 14,000.00 NOTE: VALUATION OF PERMIT:$14,000.00 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 263.28 ANCHOR ROOFING&EXTERIORS STATE SURCHARGE(VALUATION) 7.00 TOTAL 270.28 7197 MONTROSE RD Payment(s) WOODBURY,MN 55125- CREDIT CARD 9287 270.28 Minnesota State License#: BUIL-689351 OWNER CHERBA,RICHARD 1340 VINE PL 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 compicd 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. Applicant Permitee Signature Date Issued B ignature Date Jun 29 01 09:18p Anchor Roofing&Exterior 651-493-4527 p.2 City of Orono Building Permit Application for Maintenance/Replacement 1 Remodel — Residential ONLY .-<,�n s�Z),ns,�(rw�-::u C n..��'ru,ti.f [��tti� ehw — LC� yS9t'-'"",;.�F~'j../��P '^vtp 1Rl G..r'". �) � s-, : E �OO Mailing Address: PO Box 66 FPer-.mit number: 7i4 Crystal Bay,MN 55323-0066 received: _/ y Street Address: Received by: 2750 Kelley Parkway Orono,MN 55356 Plan review fee: 65 H DE's Main: 952-249-4600 Fax: 952-249-4696 www.ci.orono.mn.us Total Fee: X70. 6 8 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: ►l Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No Jf yes,a special event permit is required with Police Department and City Council approval 60 days actor to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wig not be allowed. CONTRACTOR/7PLICANT INFORMATION: Name: dlZfi/G2 , aQ00.�"%/Iz 1 � rQ%, State License# �' Expiration Date: Lead Certification Number: ya tyi_ Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) f X060- (office) Mailing Address: �} Cit ZIP: ntractor ,/ Email and/or Fax: Contact Person: _ ��� !t! Applicant is: CoHomeowner (Girde One) :SZ-- PROPERTY OWNER INFORMATION: Name: R)6#01,0 MseAoq Phone(day): 7 , Address: City-e © ZIP: J� Email and/or Fax: h PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require [IDoor(s) Remodel ElFire Damage MCWD review&permits: j2(Re-roof,asphalt ElRepair ElStorm Damage Minnehaha Creek Watershed District(MCWD) ❑Re-roof,cedar El Restoration ElWater Dama 15320 Minnetonka Blvd Minnetonka,MN 55345 ❑Re-roof:other(spec7fy) E]Siding F7Other: (specify) Phone: 952-471-0590 ❑Window(s) Fax: 952-471-0682 nnr.minnehahacree_ k.orr Estimated Construction Valuation of Project(excluding land) $ 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 infomiati n is to annually upda a our records and records of other governmental agencies required by law, if you refuse to su I the inf imation,the a i ti ma not be issued. Applicant's Signat c� Date: 1 / Z6'/6 Owner's Signature: Date: Last Updated:January 2016 DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED — � PERMIT NO. ` 0IJ1 COMPLETED ADDRESS OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION �'- W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 ElFOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONfTRACTOR TO MEET YOU:_YES_NO 0 COMMENTS: Qj co sv�,plr�c W 0C Q 64, #- ,nwflr.2oe_ r9A719MTORr PROCEED ❑PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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. Can for the next Inspection 24 hours In advance. (952) 249-4600 OvrrNerlContractor site: Inspector: Whits Copyllnspectoes FIN Conry CopyfSRs Nola DATE TIME CITY OF ORONO CALLEDIN RAMMI NOT= &ANS POW NO: ;Z6A-6/�/.3� COMPLETED 5-/9 Al=ll s /3 410 ,0/- CvMM TELEPHONE NO. CONTRACTOR �rlc/Fpr 40 f .e� -y- DESCRIPTION /?C—.- -OGT I O FOOTMq O DEMO-FINAL O SEPTIC FINAL O POURED WALL O PLUMBING RI O EXGWPORADNr01FNLINa O FOUNDATION WATERPROOF O PLUMBM FINAL O TREE REMOVAL O RADON SLAB O MECHANICAL RI O SITE INSPECTION O FRAMIM O MEcHANICAL FINAL O RATED WALLS O INSULATION O WOOD SUfINERIFIREPLACE O COMPLAINT O FINAL O WATER HooK-uP -FOLLOW-uP O ASSUgT-SURVEY SEWER HOOK-UP o Fo NNDATKwREMOYAL O DEMO-SITE Q SEPTIC INSTALL ! 110�y0oh_YID_ND COYMENM /0�.rrre. �l Ul®�✓ C,*./t-,0 r CQ �r Permit has expired per MN Building Code Sec. 1300.120 subp. 11 ' Expiration, no record of a Final inspection. i i i O WORK SATISFACTORY:PROCEED O PROJECT COMPLETE O CORRECT WORK i PROCEED O NISUE CERTIRCATE OF OCCUPANCY O OGMUWwaN%CALL FOR RENGPBCTION TEMPORARY BEFORE COVERIN3 PERMANEW O OOIMIECTUNSAFEOONDTTIONWITINN HOURS. O PMOTOTAKEN INSPECTOR MIIILL REnwm O CITATION 1881ED O STOP ORDER POSTED.CALL MNPECTOR O INSPECTION REGUII0.CALLTO ARRAHM ACCESS. 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