HomeMy WebLinkAbout2016 - 00015 - roofing 111111111111111111111111111111111111111 III
CITY OF ORONO * 20 1 6 - 000 16 *
2750 KELLEY PARKWAY DATE ISSUED: 01/06/2016
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2525 WOODHAVEN DR
PIN : 33-118-23-41-0016
LEGAL DESC : WOODHAVEN 3RD ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 11,000.00
NOTE: VALUATION OF PERMIT:$11,000.00
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 216.81
JOHN HALEY#1 ROOFER STATE SURCHARGE(VALUATION) 5.50
7204 W.27TH ST. TOTAL 222.31
SUITE 104 Payment(s)
ST.LOUIS PARK,MN 55426 CHECK 17894 222.31
(952)925-6156
Minnesota State License#: BUIL-BC126880
OWNER
O'CONNOR,CHRISTOPHER&LYNETTE
2525 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 confo• ance with the State Building Code.This permit may be
revoked at any t. (e for due cause.
'111G1 (S / (CD/
Applic.• 'e = a�byre Date Issued By : ;nature Date
City of Orono Q.r-- l7 S9 y
Building Permit Application for Maintenance / Replacement / Remodel
i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION)
Mailing Address: Permit number: 0/ — DOO)
PO Box 66
1VO
Crystal Bay, MN 55323-0066 Date received: 1 _ /)'=='
Street Address: Received by:
2750 Kelley
� Parkway Plan review fee:
t Orono, MN 55356
�KESHO�� �,3-)
Total Fee: 4),
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: 25-z L tx,-I'.i Jt-1 ) ,
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes to
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: t\ z 1,Th A-1 -f Ute. – -e-- Oa\-r-
State License# (7,� 1 � Expiration Date: 3 i I//s,
Lead Certification Number: 041- — \\6b 1 Expiration Date: /�/ i6
(for work on homes that were constructed prior to 1978 / t
Phone: (cell) `Z(o, 251 ( 3511 (office)
Mailing Address: •v_ co, 2-\ `�E. City: � (06 ZIP: cid
Contact Person: >,( ` Applicant is: ` / Homeowner (circle One)
Email and/or Fax: \-\A„Fo-c- -6) cwt.c' -t `q _,cl Z s-5—
PROPERTY OWNER INFORMATION:
Name: CVN.,( et,,,E)0Oke_vvi.lx d r`
Phone (day): (.y blot _L3-C.i-j
Address: -1-5 v0oackiivGt City: Llv,o ZIP: Ljzj ,
Email and/or Fax:
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
1:1 Door(s) ❑ Remodel 1=1 Fire Damage MCWD review&permits:
KRe-roof,asphalt CIRepair CIStorm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑ Re-roof, cedar [' Restoration ❑Water Damage Minnetonka, MN 55345
❑ Re-roof,other(specify) ❑ Siding CIOther: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ \\t Xc cf ,. L,
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 a••lication ma not be issued.
Applicant's Signature: //%.--~ Date: / - /
Owner's Signature: Date:
Last Updated:January 2015
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CITY OF ORONO CALLED IN
INSPECTION _ OD
SCHEDULED — es?.'
PERMIT NO.QS(J COMPLETED
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ADDRESS If/` ei / _4(01‘4.1 4.
0I‘IL4. -Al
OWNER ,��ELEP.ONE NO.70-29/d377
CONTRALTO �, A i e.
DESCRIPTION Midir;
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
LI-
❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
Z
❑
F. INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
Q OWNER/CONTRACTOR TO MEET YOU: YES NO AA
COMMENTS: recr-Qr-- stMAIAly,�� I,
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W ' •RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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❑ ••RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
`O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS- ❑PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (95.401 49-4600
Owner/Contractor on site:
i
Inspector.
0
White Copy/Inspector's File Canary Copy/Site Notice