HomeMy WebLinkAbout2013-01063 (Roofing) � CITY OF ORONO * 2 PJ 1 3 - 0 1 0 6 3 *
2750 KELLEY PARKWAY DATE ISSUED: 10/10/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
REPRINTED ON 10/10/2013
ADDRESS : 1424 BALDUR PARK RD
PIN : 08-117-23-34-0013
LEGAL DESC : BALDUR PARK
: LOT 009 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 8,000.00
NOTE: VALUATION OF PERMIT: $8000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLGTE 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 TFIE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 162.25
STORM GROUP, LLC STATE SURCHARGE(VALUATION) 4.00
10911 EDGEWOOD AVE N
CHAMPLIN, MN 55316- MAIL-IN FEE 2.00
(612)559-2449 TOTAL 16825
Minnesota State License#: BC667571
OWNER
HUTCHINSON, SONJA
1424 BALDUR PARK RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfonned according to
the approved plans and specifications,applicable City approvals,and the
State[3uilding Code. "Chis 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 whe[her 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 construc[ion is
suspended for a period of I 80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with[he State Building Code.This permi[may be
revoked at any time for due c se.
�Dl �Ol �����'V�-�.1� �Dl �D / �_J
App cant Permitee Si ture Date Issue y ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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Plan rewiew fee
Mair�� 952-249-�464� Fax, 952-249-46'� �
This ap�licatlan form must bt c4rnpleled i�ta�l a d�a\'�r�, u����,� To�a��ee� j�4+�
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GENER�aL 1�1�4RM1ATibN. � � pp �B�IOID�WI�� �e f�'�1lCit�{�. (I�1��SBprira�,}
Jab Sit�Address: }—11��i�,�� ��-._��`. �
Wiif thi$be a Parade af FMatm�s,➢�e o �Cers Shawcase Horne or r,tnQr DispPay Home7
/f}�es,a spe�+a1 eWa+�t perntit rs r$c�uiFed wlfh Polar�Dspertmerrt��td�y�y�aun�crJ appr�,va!BO days prior to the��+en�YGa 4us serviee�wp pe
requiced unless appJicant demonstrates srr/flcier7l qn-srte parking rs ava�lable: No�permrited evenls witt nof be a/lowed.
CQIUTRACTOR!AF�PLPCAN7"tNFC}RMA1"IK)N;
�lame ,, � �1* �`�d""�.. �''��` �„�',,::�.
State License# Expiratican D�t�:
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Lea��e�tif�eatian N�tm er; ' � I �CJ�,�'
(for work on hor►aes fhat were canstrutte�f prit�r to 19 8 EXP����CiOn Date �
Phane. (�ell) �.0( r� � � (atfic2) �1�yr� �
Mailmg P,ddress` �����___, �
� . C�fy: ' - �� ZIP. �"��"�2
Conta�t�erso�: ,�� ApPla�an#is: orrtractar / Homeowner
Email and/or Fax. r� � rc,rcie anea
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PROPEf2TY�iM1�JER rNFQE?MATtflN; ' �
N�rne. �
Phone(tlay): �, �
Address: • ' —
Giky: ('Z3 ZIP: s�
Emai►and�r�r Fax: ` ,�; �;, ., ��� : ;
PRO,�EG�'tNFQRMATI�N: {�veral!pra�ct descri tion: �j ' , � (`
TYAe of Praject:^ " 1'.'.'.C�"�
Any earth movement may aisa require
�Daar(s) ❑RemodeF ❑Fire damage MCWD review&permits: `
�Re-roof,asphalt Q Repair ❑SCorm Damage ��nnehaha Creek tNafershe�l Disirict(MCVWD} �
[]Re-roof,c�edar 18202 Minnetanka Blvd
❑RestoraUon ❑tN�ter Damage
❑Re-roof, other fspec� Deephaven,Ml� 55391
�Y) �]Si�ir�9 �t3ther.(specify) , Phone: gS2-a71-0594
❑Window(s} Fax: 952-471-q6$2 1
www.man raehaha�reek.�rq
�stitTa�ted Constr�ctioo� V�luation of Project(excluding land� $ �,�;,,�
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APPLlCANT ACKNQ4ULEDGEA+IENT: T�
• Agrees to provide all infprmakion requir�ed or requ�sted by the g�ilding Department,
• Cer�ifies that the infprmation suppGed o�true and correct ta ahe best trf his(her knowledge, The appl�cant recognizes tt�at they are
salely r�sp4nsibie fpr subm�tting a ccrmpiete applicaUon being aware lhat upon failure to do so,the staff has no alfernative btrd to
reject it unt;l it is complete
• Same or ai� of th�e dnfiormacion thaf you are asked to provitle on this application is classified b� 5tate law as either private +pr
eonfidentiaL Private data is infarmat�on w�tfch generaqy cannqt be given to the p+�bBic but ca�be giuen ta th�subject of the data.
Ganfidential data is information which generaily cannot be given to'e�ther ihe pu�lic oX ing subject of th�dafa. C3ur purpose and
intended use of this infarcnatian r�t4 annuaily a�pdate our records and rec�ards of afher�govemment�l agencres�equired by Iew. !f
ou refuse Co su ! the informatian,the a lication ma not be issuet@.
�4ppliC�inf°s Signature: p._.- � ��
Date:
Qwner's Signafure: Date:
Last Updatad:(}3Y051202 a
oar� r9�w� ✓
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BG�����.�8�� ��� ,�C�.� SCHEDULED ��
t���a����@BC�. � ���—/ COMPLEfE ��� �
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�u�6�1f'�i��°T�E� �� � J^ —
s: �����IE�TI�6� "� /�
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� ❑ FOOTING ❑ PLUM84NG FINAL ❑ EXCAV/GRADING/FILLING
�� ❑ POURED WALL ❑ fWECHANICAL RI
❑ LAKESHORE/WETLANDS
� ❑ FFiAMING ❑ UiECHANICAL FINAL ❑ TREE REMOVAL
� 0 INSUL TION O WOOD BUR(JER/FIREPLACE ❑ SITE INSPECTIOhI
� ❑ R ON SLAB ❑ WATER HOOK-UP
❑ PROGRESS
��„ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
`' ❑ EMO-SITE ❑ SEPTIC MAIPJT. ❑ FOLLOW-UP
� ❑ DEMO-FtNAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUP✓IBING RI ❑ SEPTIC FIfJAL ❑ FOUNbATION/REMOVAL
� �e14fP9�6il�O�TRA�C'�OI��O W9�le d`d��0:_Y�S_6'da�
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� *OLD PE NiIT — NO FINAL INSPECTION REQUESTED
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�ta ❑WORK SATISFACTORY:PRO�EED �ROJECT COMPIEfE
� ❑GORRECT WORK�FRQCEE� ❑ IS UE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WOROC,CALL FOFl REtfVSPECTBO�f TEPA�PORARY
� 3EFORE COVERING PERMAfVENT
❑CORRECT UNSAFE CONDIT60N iNITH9N HOURS. � pp�OTO TAKEN
lNSPECTOR WILI RETUR6V
❑CITAT109d ISSUED
❑STOF'OflDER POSTED.CALL INSPECTOR
❑IPISPECTIOFd REQUIRED.Cr�vL TO ARRAfVGE F�CCESS.
���s����n����s�����o��������o��������e �952) 249m4690
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WhuBe CopylVnsp�c4or's F'sl� snary CopyfSs4e WoBice
A� TIME �
CITY OF ORONO CALLED IN �'
INSPECTION N TICE SCHEDULED ! - -/ O
PERMIT NO. � " D OMPLETED
ADDRESS �
OWNER LEPH NO - �O !
CONTRACTO l%�� "
� DESCRIPTION
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WO00 BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTAACTOR TO MEET YOU:_YES_NO
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W� ❑WORKSATISFACTORY:PROCEED �PAOJECTCOMPLEfE
w ❑CORRECT WORK 8 PROCEED /� ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. "�
White Copyflnspector's File Canary CopylSite Notice