HomeMy WebLinkAbout2015-00289 - roofing CITY OF ORONO
2750 KELLEY PARKWAY * 215 - 002
9
DAT0 E ISSUED: 03/10/22 015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 2380 WATERTOWN RD
PIN 34-118-23-33-0004
LEGAL DESC UNPLATTED 34 118 23
LOT 000 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 7,415.00
NOTE: VALUATION OF PERMIT:$ 7415.00
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
BAC CONSTRUCTION SERVICES STATE SURCHARGE(VALUATION) 3.71
3032 MINNEHAHA AVE. S. MAIL-]N FEE 2.00
MINNEAPOLIS,MN 55406- TOTAL 176.09
0Payment(s)
Minnesota State License#:BUIL-20192062 CREDIT CARD 1160 176.09
OWNER
MARTIN,WILLIAM&PATRICIA
2380 WATERTOWN 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 at any time for due cause.
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Applicant Permitee Signature Date Issued PY Signature Date
Mar, 10. 2015 12: 17PM No. 0177 P. 1/2
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C'OMSTR UCTr01V SERVICES EEC.
3032 Minnehaha Ave. Minneapolis, MN 55406
Phone 612-721-5500 Fax 612-722-3447 www.bacos.net
FAX
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Fax# — 9 —W 16 #Pages Q w/cove,
Phone: Date: S-10 —1-5
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Comments: `-
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Mar, 10. 2015 12: 17PM No. 0177 P. 2/2
146 City of Orono
Building Permit Application for Maintenance / Replacement / Remodel
(I.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL. EXPANSION)
Mal!!ng Address:
PO Box 66 Permit number:. 2.06 Qfl
Crystal Bay,MN 55323.0066 Date received. [(}1 5
Street Address: Received by. p.
y� �'� 2750 Kelley Parkway Plan review fee:
Orono,MN 5535(3
1tkssttoat �l0 �`7
Main: 952-249.4600 Fex: 952-289-4816 www.ci. Total Fee,ono.mn.us ,r
This application form must be completed in full and all required information must be submitted.
GENERAL. INFORMATION:
Incomplete applications will be returned, (Please print)
�a
Job Site Address: a (� �- r a
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes Jallo
If yes,a special event permit is required with Poke Department and City Council approval so days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sutgclent on-sile paddng is available. Non-pemtified events will not be allowed.
CONTRACTOR/APPLICANT INFOR ATION:
Name: `Z)4C �ongiruc
State License a Z Expiration Date: 3
Lead Certification Number: NA-T Expiration Date: S-. /r' Zo
(for work on homes that were constructed prior to 1978
Phone: (cell) (office)
Mailing Address: 363 tin, ba LN A y, Cit . y,) !P ZIP: yn N
Contact Person: Applicant Is: kQontractorHomeowner (Circle 0ne)
Small and/or l=ax: 1b r b
PROPERTY OWNER INFORMATION:
Name; T,r ;
Phone(day): q S'Ca - y
Address: 03,80q�1tr owrl c� City: 1,gLe ZIP:<53 sb
Email and/or Fax: ,t.n O
PROJE=CT INFORMATION: Overall project descry tion: ra\ 0 �NoUoq ,l^-k-t Ao�s_
Type of Project: Any earth n1ovement may 97so require Lar,
❑ Door(s) ❑Remodel MCWD review&permits:
❑Fire barrage p
XRe-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD)
El Re-roof,cedar ❑Restoration 18202 Minnetonka Blvd
❑Water Damage Deephaven,MN 55391
❑Re-roof,other(specify) ❑Siding ❑Other:(specify) Phone: 952471-0590
❑ 82
Window(s) www.Wlnnehahacreek.org
Estimated Construction Valuation of Project(excluding land) $�+ / ,ao
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 govemmental agencies required by law. If
you refuse to supply the Information t �Ilcon may not be issued.
Applicant's Signature Date: /
Owner's Signature: Date:
Last Updated:January 2015
y DAYE TIME
CITY OF ORZ � CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED
ADDRESS
OWNER T LEP SNE NO.
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W G� SATISFACTORY:PROCEED ❑PROJECT COMPLETE
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
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspect
White CopyAnspectoes File Canary Copy/Site Notice
opedDAT TIME
CITY OF ORONO CALLED IN 0
INSPECTION dDCI�_ �ZrfcHEDULED l L S
PERMIT NO. o /COMPLETED
ADDRESS a 3 S
OWNER M0,6--in.) TELEPHONE NO.
CONTRACTOR
DESCRIPTION
l~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
a For 0/per ( rvE 04� LkAe -
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n&RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C> BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContra or on site:
w
Inspector. r�...
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN -4-`1-[ $�
INSPECTION ��� SCHEDULED —(�
PERMIT NO.M9tCOMPLETED
ADDRESS
OWNER TELEPHONE NO,(_hc �
CONTRACTOR
3: DESCRIPTION ( P + ►
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL [I PLUMBING RI ❑ EXCAV/GRADING/FILLING
C [IFOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
r ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: ,
ac
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W
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Q
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Uj ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE
W O CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT 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 inspection 24 hours in advance. (952) 249-4600
OwnedQx tractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice