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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. i I i E i 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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