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2014 - 00742 - roofing
CITY OF ORONO 11111111111 IIII III 111111 I III III II II 1111111 * 2014 - 00742 * 2750 KELLEY PARKWAY DATE ISSUED: 07/14/2014 4 4ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2000 WEBBER HILLS RD PIN : 03-117-23-34-0017 LEGAL DESC : WEBBER HILLS : LOT 010 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 12,900.00 NOTE: VALUATION OF PERMIT:$12,900.00 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 236.00 STATE SURCHARGE(VALUATION) 6.45 COATES ROOFING TOTAL 242.45 5812 WOODDALE AVE. S. Payment(s) EDINA,MN 55424 (952)929-8141 CREDIT CARD 4708 242.45 Minnesota State License#: BUIL-BC- 176628 OWNER OMERA, WILLIAM&MARY 2000 WEBBER HILLS RD WAYZATA, MN 55391- 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. Ar • App .c.nt Permitee Signature Date Issued By Si.nature Date Ci of Orono ��� ��0� Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: W OPOBox66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Plan review fee: Orono, MN 55356 Total Fee: 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: Job Site Address: ZCGC, GIVC/ E1 )4(LLS R041) 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 service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: cCSnTi-S (Z 00F(4."4., .L-UC._, State License# RC- i-K 4, Zg Expiration Date: ©3//S--/js— Lead Certification Number. A)47-- /0/9i Z cl- Expiration Date: 02.//2 y// , (for work on homes that were constructed prior to 1978 Phone: (cell) (,(z-- 272-- 'B 2-i-t 6 (office) 95-2_-92_ -- h itt/ Mailing Address: 5-8/z 6126or Ylt .44,'i City et),/,a ZIP: 55 , ../2,4/ Contact Person: /� -v/,� (6,4 T/`S Applicant is: ontract / Homeowner (Circle One) Email and/or Fax: ccs f __sf,G04\,' J i„1,i;/, c,,,7 PROPERTY OWNER INFORMATION: Name: i3/2-L CAI -.7.R4 Phone(day): �sz /,.,—--/,‘.5-/ Address: 2,c- c, tt-'c.E23E/� ///L ...5 A?e).4-0 City: 621)..c.,67 ZIP: 5-5---3 Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) 0 Remodel 0 Fire Damage MCWD review&permits: ®Re-roof,asphalt ❑ Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof,cedar 0 Restoration 0 Water Damage Deephaven,MN 55391 ❑ Re-roof,other(specify) 0 Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Estimated Construction Valuation of Project(excluding land) $ /?/ 9CC , C I) 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 governmental agencies required by law. If you refuse to supply the information,the application may not be issued. Applicant's Signature: 7r ( cZ - Date: 7-/'Y-/G/ Owner's Signature: Date: Last Updated:03/06/2013 IIPPr— . • , i„. ,. 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''''',111, ;'' 114- '. t ,. . . . .. 11,4., .,. . . • , I .. k",,,,o.''--/ ,i 4. \ i .4;,„, , 4: 1-.4yOir.-A l' , ;,:, , - W.I ''..k.11.=0:°:-.'••• '' ..,7%., ''';`\-- .;* ,r, - 0 ' lir' . . .7), , .,,,,.,,,i, ).- '1,...,7- 1,, ,„... v, ; ,, zr.),,,, -,.. .,, . :•,-4,-:‘, I 44 • - . - 0-:-• ' ,,,,w F . '10 DDATE1-./y / TIME ClOF ORONO CALLED IN / `it INSPECTION N TICE , , SCHEDULED 7—o2 SF—t y %• -- PERMIT NO. 60// vu 7) COMPLETED / ADDRESS 424, ���C2� �l15 OWNER TELEP ONE NO.b/ - -? 4' CONTRACTOR . 4 s / orGU Lit. , 4 if DESCRIPTION I-. W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Ll.. 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING 0 MECHANICAL FINAL El TREE REMOVAL Z 0 INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION ' ON SLAB ❑ WATER HOOK-UP 0 PROGRESS FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J 0 DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP Lti ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL • 2 OWNER/CONTRACTOR TO MEET YOU:_YES O cc.) COMMENTS: cc W a CC CC O W CCQ W Z W CC sSa W ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE CCW ❑CORRECT WORK&PROCEED ❑I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: ....1*9 f Inspector. White Copyllnspector's File ` Canary Copy/Site Notice 0111-1\-9 7-DAT/ V E TIME / CITY OF ORONO CALLED IN 67241'/(-1INSPECTION NOTIgE 1 SCHEDULED 7-17- /4 PERMIT NO. 6.X9/1 -007"1 COMPLETED ADDRESS c2DDo zoe, tzecek A OWNER TELEP ONE NO. 952' 929 g/4/ CONTRACTOR CEJL2----,--4 ee207 ,1j 3: DESCRIPTION teet r D "1 I- Lij ❑ FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS C") 0 FRAMING ❑ MECHANICAL FINAL OEl TREE REMOVAL • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v 0 PLUMBING RI CISEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc Q. a j / O ,f,0 u..ti cc Q W „.........T64U.i '1 ilg:..------;CC d CC ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W LICORRECT WORK&PROCEED IIISSUE CERTIFICATE OF OCCUPANCY 0 ID CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (.) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hour 'n advance. 9 ' 49-4600 Owner/Contractor on site: AO Inspector. / ; White Copy/Inspector's File Canary Copy/Site Notice