HomeMy WebLinkAbout2016 - 00376 - roofing CITY OF ORONO II II III I I I I I I I II I I I I I I I I I I I I II
2750 KELLEY PARKWAY DATE ISSUED: 04/15/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2445 WOODHAVEN DR
PIN : 33-118-23-41-0010
LEGAL DESC : LEVERINGS WOODHAVEN
: LOT 007 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 6,000.00
NOTE: VALUATION OF PERMIT:$6,000.00
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 139.36
STATE SURCHARGE(VALUATION) 3.00
ZUPS CONSTRUCTION,LLC TOTAL 142.36
3122 SHOREWOOD DR
ARDEN HILLS,MN 55112- Payment(s)
(612)384-2679 CHECK 1143 142.36
Minnesota State License#:BUIL-BC668324
OWNER
HARRIS,JOHN&PATRICIA
2445 WOODHAVEN DR
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.
Applic ermitee Signature Date Issued By Signature Date
City of Orono
*Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION)
��f V Mailing Address:
ox 66 Permit number: (�((p-Cid
O Crystal Bay, MN 55323-0066 Date received: 1. - /5j--/b
Street Address: Received by:
I LE 2750 Kelley Parkway Plan review fee:
`�kFSHO�� Orono, MN 55356
Total Fee: / to_ • 1)
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
Job Site Address: (-)4q5 WOOd l-aveit J r^ . LO.-, LG/Se , t"1
Will this be a Parade of Homes, Remodelers Showcase Home dr'other Display Home? ❑Yes gi 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: Zutps COo.5tr i-t c ,o,1 L L C
State License# J3CG,g3ay Expiration Date: 03/ 3 //a:017
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) 6 f -338'(- ?C71 (office)
Mailing Address: 31aa ShorealeocA dr City: Arde.^ 1-f,115 ZIP: $5 //a
Contact Person: Er:C ?claw,'C t i Applicant is: C�ojltract / Homeowner (circle One)
Email and/or Fax: e-r:C.Z-IPSCo,nSf/uCLLOvt ;4046,j. C Wt
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PROPERTY OWNER INFORMATION:
Name: John Hort,-
Phone(day): I$a-o)70-p/01
Address: 00 CJMd11aoew DP Pi, City: Lo,4p' (APR_ ZIP:
Email and/or Fax: ,J
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) 0 Remodel 0 Fire Damage MCWD review&permits:
`( e-roof,asphalt 0 Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑ Re-roof,cedar 0 Restoration 0 Water Damage Minnetonka, MN 55345
❑ Re-roof,other(specify) 0 Siding 0 Other:(specify) Phone: 952-471-0590
Fax: 952-471-0682
0 Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ WOO
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: �j�f Date: 0g/45426/6
Owner's Signature: Date:
Last Updated:January 2016
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DATE TIME
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OWNER TELEPHONE NO. LP (2-3'q-2107
CONTRACTOR Z l. 1 pS C 0-- ' SL
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❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC TALL
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
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El CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. Q/ u.---
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
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❑ RADON SLAB ❑ MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
_ ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
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Z OWNERlCONTRACTOR TO MEET YOU: YES_NO
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❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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Owner/Contractor on site: A �f�
Inspector.
White Copyllnspector's File Canary Copy/Site Notice