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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 re_, giieL— TE TI V1 CITY OF ORONO CALLED IN INSPECTION _ OD SCHEDULED — es?.' PERMIT NO.QS(J COMPLETED / 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, 111 CC (0)/6 t 0- ' 11( G 0 CCO IQ C Q W Z W CC d W ' •RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑ ••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