HomeMy WebLinkAbout2013-00339 - roofing CITY OF ORONO * z 0 1 3 — fd 0 3 3 9 *
' 2750 KELLEY PARKWAY DATE ISSUED: OS/10/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1335 BRIAR ST
PIN : 10-117-23-31-0057
LEGAL DESC : MARKVILLE
: LOT 001 BLOCK 003
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDiNG-UNDEFINED
VALUATION : $ 6,000.00
NOTE: VALUATION OF PERMIT:$6000.00
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 132.75
MIDWEST EXTERIORS PLUS STATE SURCHARGE(VALUATION) 3.00
6451 SYCAMORE CT.N.
MAPLE GROVE,MN 55369- TOTAL 135.75
Minnesota State License#: BC010277
OWNER
PRINTUP JR.,GARY M
PO BOX 175
CRYSTAL BAY,MN 55323-
AGREEMENT AND SWORN STATEMENT
The work Yor 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 goveming 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 tim or due cause.
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Applica Permitee Signature Date Issued Bv Si n ture � Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
� City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
/ ;�O ; MailiPO Bo�r66� Permit number:
/ ``j� Crystal Bay, MN 55323-0066 Date received:
Street Address: Received by:
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-�. � � 2750 Kelley Parkway Plan review fee:
`�t `' ' Orono, MN 55356
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_ _ Total Fee:
~ 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: ��3 S ��;�±" ���.
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes �Lo
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: �y � � �,-e � - S
State License# ���� ��-7'7 Expiration Date: '3 '3 f'
Lead Certification Number: ��-3C��— , Expiration Date: ���--� ��-
(for work on homes that were constructed prior to 1978
Phone: (cell) (office) �-/�� -�27-9(�',
Mailing Address: �,�js�( � ��,.,`,,e_ City:�. „ e (��.� ZIP:S-S 3
Contact Person: � Applicant is: C tracto�/ Homeowner (Cirde One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: �c�'�l`� 'P��n,-�-,-t�p
Phone (day): q�_� ��g r� ��
Address: S�„�� City: ����.2,,-, ZIP: S S"3 �j�
Email and/or Fax:
PROJECT INFORMATION: Overall pro�ect descri tiorr. �2 � , �� �s ��\� ��. �� �(�,>
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
[�Re-roof,asphalt �Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD)
18202 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
�Re-roof, other(specify) ❑Siding ❑Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
F��..� 'C"Z�p� ❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ C�'��
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
confdential. 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
ou refuse to su I the information,the a lication ma not be issued.
ApplicanYs Signature: 'G Date: �� �O 1 3
Owner's Signature: Date:
Last Updated:03/06/2013
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CITY OF ORONO � a,d LLED IN �;`--���-r .
INSPECTION�NOfT,,ICE 2(�, SCHEDULED � _�C — .
PERMIT NO. �'V��G�-'�J-/ COMPLETED
ADDRESS I �� c.� �,Y ��� �
OWNER TELEP ONE,.NO.�� ������7(P�
CONTRACTOR � ��-V ���� ��� '
>; DESCRIPTION ����� � ���/
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l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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Q ❑ FRAMING � MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINI�I� � FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES��NO . /�y�;�,�
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W{LL RETURN
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. � .,
White Copyllnspector's File Canary CopylSite Notice
�� DAT TIME "
CITY OF ORONO CALLED IN 5' ��
INSPECTION NOTICE SCHEDULED _�!3_� -f�
PERMIT NO. o'ZO I 3- D d 334 COMPLETED
ADDRESS I 335 Qr � c��- S 1—
OWNER TELEPHONE NO. ��� -7�a ` ��
CONTRACTOR ��-�°�
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>; DESCRIPTION '
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� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ AADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-460�
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice