HomeMy WebLinkAbout2016-01354 - roofing CITY OF ORONO * z 0 1 6 — 0 1 3
2750 KELLEY PARKWAY DATE ISSUED: 10/24/2016
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3785 WATERTOWN RD
PIN : 32-118-23-33-0002
LEGAL DESC : UNPLATTED 32 118 23
LOT 000 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ROOFING-ASPHALT
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 14,735.00
NOTE: VALUATION OF PERMIT:$14735.00 REROOF TEAR OFF
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 278.77
STATE SURCHARGE(VALUATION) 7.37
JOHN HALEY#1 ROOFER TOTAL 286.14
7204 W.27TH ST. Payment(s)
SUITE 104 CREDIT CARD 7042 286.14
ST.LOUIS PARK,MN 55426
(952)925-6156
Minnesota State License#:BUIL-BC126880
OWNER
BROOKS,JAMES
3785 WATERTOWN 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.
Zapp]' s responsible for assuring all required inspections are
nform c_e the State Building Code.This permit may be
tim r cause.
^-pplicaildre7rimitee Wature Date Issued By ' ature Date
City of Orono
Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
A, Mailing Address:
PO Box 66 Permit number:
Crystal Bay, MN 55323-0066 Date received:
Street Address: Received by:
2750 Kelley Parkway Plan review fee:
FSHOOrono, MN 55356
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us I
Total Fee:
This application form must be completed in full and all required information must be submitted.
GENERAL INFORMATION:
Incomplete applications will be returned. (Please print)
/
Job Site Address:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? El 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 I F RMATION-
Name:
State License# - ;z Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell)E;/Z. D//S (office) �7�� 9��� /4-E,
Mailing Address: ® ' � f� City: S' G ZIP: f5,
Contact Person: _ �� Z4.,, Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: r=T= .�
Phone (day): _
Address: �`f8g , `{ �� City: 4,H ZIP:
Email and/or Fax:
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
MCWD review& ermits:
ElDoor(s) r_1 Remodel [:1 Fire Damage p
JE�Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
El Re-roof,cedar 15320 Minnetonka Blvd
❑ Restoration ❑Water Damage Minnetonka, MN 55345
❑ Re-roof,other(specify) ❑ Siding ❑ Other:(specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.oro
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 i a n is to annually update our records and records of other governmental agencies required by law. If
you refuse to su the inf ation cation may not be issued.
Applicant's Signature: Date: ;:z,Ztl/'r'�
Owner's Signature: Date:
Last Updated:January 2016
\ /
CITY OF ORONO CALLEDIN DATE TIME—E v
INSPECTION - SCHEDULED
PST NOVO. 0 of
ADDMU 37�s` ti/ �tom OL rte
OWNER TELEPHONE NO.
CONTRACTOR -7ah&
DESCRIPTION RO—/oo-�
I 0 FOOTING 0 DEMO-FINAL ❑SEPTIC FINAL
t 0 POURED WALL 0 PLUMBING RI 0 EXCAV
0 FOUNDATION WATERPROOF O PLUMBING FINAL O TREE REMOVAL
0 RADON SLAB O MECHANICAL RI 0 SITE INSPECTION
O FRAMING O MECHANICAL FINAL 0 RATED WALLS
0 INSULATION 0 WOOD E 0 COMPLAINT
0 FINAL 0 WATER HOOK-UP ,FOLLOW-UP
1 0 AS BUILT-SURVEY 0 SEWER HOOK-UP O FOUNDATMMEMOVAL
0 DEMO-SITE O SEPTIC INSTALL
� 7iD1lEil101k_�Y�`_�ND
! COMMEM 100!vw•C /CaeY�e✓ �4•%� TO C.o G
! OL ,wGra-( ��s ♦~�
Permit has expired per MA Building Code Sec. 1300.120 subp. 11
Expiration, no record of a Final inspection.
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i O WORK SAMOZT01ft.PROCEED O PROJECr COMPLETE
O COWIE CT WORK S PROCEED O ISSUE CERTW"TE OF OCCUPANCY
O 00191ECT WORK.CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PWMAANENT
O OORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKE!
WSPECIORWILLRETURN
O CITATION MGM
O STOPORDER POSTED.CALL WRIFECTOR
O MISPBCTION FMQU AER CALL TO ARRANGE ACCESS.
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