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HomeMy WebLinkAbout2017 - 00627 - roofing CITY OF ORONO 1 1111111 11 11 11311 3 1 1 111 • 2750 KELLEY PARKWAY * 1 7 — P 0 1 2 7 DATE ISSUED:: 06/12/2017 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2015 WEBBER HILLS RD PIN : 03-117-23-34-0029 LEGAL DESC : WEBBER HILLS : LOT 012 BLOCK 003 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 247.79 COATES ROOFING STATE SURCHARGE(VALUATION) 6.45 5812 WOODDALE AVE. S. TOTAL 254.24 EDINA, MN 55424 Payment(s) (952)929-8141 CREDIT CARD 4708 254.24 Minnesota State License#: BUIL-BC- 176628 OWNER REIMANN,JOHN&KRISTIN 2015 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. /- / //ist`- / Ap lie t Permitee Signature Date Issued B ignature Date City of Orono ,Building Permit Application for Maintenance / Replacement/ Remodel — Residential ONLY e. vti:ldov.'s, doors .D riciy. re-roof, etc. Ne i ` ue cif:AL .`v,X i- �Q<V Mailing Address: Permit number: '- �! PO Box 66 Crystal Bay, MN 55323-0066 Date received: 0—/2 f 7 Street Address: Received by: S `� 2750 Kelley Parkway Plan review fee: Orono, MN 55356 rkt'sHo�` a. �j,/ Total Fee: I 1�-� ' Main: 952-249-4600 Fax: 952-249-4616 . _ • 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: 2_0/5' UJ3 7? 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: COA-i Z.5 /d Oo,-A-)& Z-,(JC State License# /3(' / 7 r. Z2_6g Expiration Date: Q 3� G Lead Certification Number: 4T--/ ( q 2- - Expiration Date: p z,/ 2 o Z (for work on homes that were constructed prior to 1978 Phone: (cell) 4/Z_ Z71_ 2 4'4 (office) 9 _z- 9 2 - g/4 / Mailing Address: 2_R/2 (.c)(.)Lail/D4 L 4 tJc City: 44./4 ZIP: _575---e-re Z[/ Contact Person: / / 1 C O,Q Applicant is: ontractor / Homeowner (circle one) Email and/or Fax: c� -7te3 4r 11,196 q Mme; (, c©Al PROPERTY OWNER INFORMATION: \l Name: 5'0.E-.IlJ R t M AA) Phone (day): ( (Z._ ° 1e _ S-320 Address: 2-0/6W c13E/e 1-{/w< /2.L2 City: /2 DAlc) ZIP: \_)--:<-3-3?/ Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ElDoor(s) 0 Remodel 0 Fire Damage MCWD review&permits: Re-roof, asphalt ❑ Repair El Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑Re-roof, cedar 0 Restoration ❑Water Damage Minnetonka, MN 55345 0 Re-roof, other(specify) ❑Siding IDOther: (specify) Phone: 952-471-0590 Fax: 952-471-0682 0 Window(s) ' Estimated Construction Valuation of Project(excluding land) $ /2 , S 06 . 0 0 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,thehe/application may not be issued. Applicant's Signature: .u.�.v, ( _79 Date: ( -/Z - Z Di 7 Owner's Signature: Date: Last Updated:January 2016 67/titJ TIME CITY OF ORONO CALLED IN INSPECTION I SCHEDULED b,-/3--/7 / 1�J PERMIT NO:J f�I COMPLETED� g ADDRESS COAs id r ► s r OWNER TELE ONE NO. CONTRACTOR 31111F -4 / / DESCRIPTION lea W 0 FOOTING 0 DEMO-FINAL OF 0 SEPTIC FINAL c ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING v) 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL CI ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL r 0 DEMO-SITE 0 SEPTIC INSTALL Z W ONERICONTRACTOR TO MEET YOU: YES_NO rte., COMMENTS: Q.W TP1,r- c* 5°2) Cawip(r• i IP k.r res l cc It •prat/1 � a u ��s 154.- ee' h t-w�-c✓ o �• W et Q _ Z — C00'6vvaF�G 6, Wer( ` too iso G'r'c e2 '�r )4/15. ti v1s• e .:n der W cc L I)oRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY LIJ O ❑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: Inspector. I Is"' N4 (i? White Copyllnspector's File Canary CopylSite Notice C-Ts":„..5 CD )- e_.- 1A___— - 1./ DATE TIME CITY OF ORONO CALLED IN A -I l //'' y INSPECTION N T7 GG SCHEDULED /- - -/7 /2 —_ PERMIT COMMPL DD ] ADDRESS old/-S J'()( 2&/ 177.1-57-- /s OWNER / ,j�EPHONE NO. ''" -71 -&W 3 CONTRACTOR 4,„, ��0./ i . S�• DESCRIPTION � - 4, ❑ FOOTING 0 DEMO-FINAL ❑ SEP IC FINAL Q ❑ POURED WALL 0 PLUMBING RI ❑ EXC V/GRADING/FILLING wi 0 FOUNDATION WATERPROOF 13PLUMBING FINAL E REMOVAL C Z ❑ RADON SLAB ❑ MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS I, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 13FINAL 13WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO H COMMENTS: Ver,71-,.,9 J00ks own/ CC 7 CC i O 0/)o _IS' oc i G�cii L.,,,-,0,71/1 c- On .c '71-e- a,-7d CC A--/-77/0_,e2 rS Go rnp/M yet 0 W CC Q 12 / W Z W CC LUWORK SATISFACTORY:PROCEED COMPLETE CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. U PHOTO TAKEN INSPECTOR WILL RETURN CI STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED o INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. �2 a---/e. `-• White Copy/Inspector's File Cenary Copy/Site Notice