HomeMy WebLinkAbout2015-01511 - roofing , CITY OF ORONO * 2 0 1 5 - 0 1 5 1 1 *
, 2750 KELLEY PARKWAY DATE ISSUED: 1 U30/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 710 BIG [SLAND
PIN : 22-117-23-24-0009
LEGAL DESC : RECREATION PO[NT LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING -LINDEFINED
VALUATIOI�I : $ 25,067.80
NOTE: VALUAT[ON OF PERMIT:$25,067.80
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF[NSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECT[ON MAY NOT BE ISSUED.
SIGNS-ADVERTIS[NG SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF[S BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 444.96
STATE SURCHARGE(VALUATION) 12.53
GATES GENERAL CONTRACTORS MAIL-IN FEE 2.00
3500 V[CKSBURG LANE N
SUITE 400-351 TOTAL 459.49
PLYMOUTH, MN 55447- Payment(s)
(612)723-6345 CREDIT CARD 2270 459.49
Minnesota State License#: BUIL-BC006793
OWNER
NEUGENT, CHRISTOPHER& LESLIE
2110 PORTICO GREEN
WAYZATA, MN 55391-
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 no[
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of l80 days at any time aftec 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 ��-j���
C.
revoked at any[ime for due cause.
i� l��`� � � ;��� �/�'��`� /l �_�_�r- �(:_ , ���;, ����
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Applicant Permitee Signature Date Issued By Signature b Date
Nov 27 2015 1220PM HP Fax page 1
• Vlty VI VI VI IV
� ' Building Permit Application for Maintenance / Replacement/ Remodel
(i.e. windows, doars, siding, re-roof, etc. - NO STRUCTURAL EXPANSIQN)
� MailingAddress: i�- ,�- _ � ,
,�/1is�� P4 Box 86 Permit number: _-� ;� � (j E �
��� � �'T� Cryst�l Bay, MN 55323-0068 Date received: ° �- 5�
/
� �, 11�� � �eetA[ldress: Rsceivedby: �'l a'� f r��._'�
� V 2750 Kelley Paricway Plan review fee:
`� L Orono, MN 55358 �
t�Kf5H0�'� � R I�� �-��1
� 7otal Fee: ��
Main: 952-2�9-4800 Fauc: 952-249-4816 www.ci.orono.mn.us � ���
This application form must be completed in full arrd all required intormation must be submitted.
Incamplets appllcatlon�wlll be retumed. (Please prrnt)
GENERAL INFORMATION:
Job SFt!Addriss: � l G� �j �.��
Wilf thls b�a Pande af Homes,RemodN�n Showcase Home or other Dlsplay Harr�? Yes No
N Yrot�a apecfa/evarrt permit rs reqwired wifh Potice Department and Clty Carrx�l a�roval BO days pnior to tha svenl. Shuttle bua mervice wdl be
required unf�ss appliCAnt de►►ivristretes au�icient on-site pariring is aveileble. Non-permitted events wiF!nof be alfowed.
CONTRACTOR/APPUGANT INFORMaTlO
Name: ��
,
Stnte License� ;'t�� p��, a�Z�, Expiration Date: �.� �_
Lead Certification Number: �r/¢�- g^/� � Expiration Date: y 2,
(for worlr on homas that wrn conatrucMd prlor to 197�
Phone: (cell) /� --;���r � � j (office) �—
Mailing Address: p „ City: �� ZIP:
Contact Person: l .�,.� Applicant is: Con or ! Homeowner �c�ra.on.�
Email and/or Fax: ' �4.��'y. � �,y,�,,�, � , ., _ -�r ,,�7�
_ A
PROPEFiTY OWNER IN ATION: �;-��{r��y�j �'
Name: p,,,y� ��y •
Phone (day): ���_._ s��,,� f��T ,f
Address: , City: 2lP: ��''���
Email and/or Fax:
PROJECT INFORMATION: Over�ll ro" descri tion:
Typ�of ProJ�ct; Any�arth movement may also rpulrr
❑ Door ❑ Remodel ❑Fire Damage MCWD review i p�rmlts:
e-roof,�sphslt ❑Rep�ir ❑Storm Damage Minnehaha Creek Watershed Oiatrict(MCWD)
❑ Ra-roof,cedar 18202 Minnetonka Blvd
❑Restoration ❑Water Qamage Deephaven,MN 55391
❑ Re-roof,oth�r(ap�cxy� ❑Siding ❑01her.(specify) Phone: 952�171-0590
Fax: 952-471-0682
❑Window(s) _ www.minnehahacreek.ora
Estimat�d Conatructlon Yaluatlon of Project(excludln�land) S '��S � l�?
APPLICANT ACKNQWLEDGEMENT:
• Agrees to provide all infoRnation required or requested by the Building DepaRment;
• Certifiea that the intormation supplied is true�nd correct to the best oi hialher knowledge. The applicaM recc,�gnizes that they are
sol�ly responsible for su0mitting a complele application bei�g eware that upon failure to do so, the slaif haa no allemalive but to
reject it until it is compfete;
• Some �r all of the information that you are aaked to provide on this app(ication ia dassified by State law as aither private or
confidential. Privat�data is information which generapy cannot be given to the public but can be piven to the sub}eat of the data.
Confidenti�l data is ir�formstion whiCh gene� cannot be given 10 either the public or tha subject oi the data. Our pwpose and
intended use of t�ia info ' is to annual update our recorda and rocorda of other gover ental age ciea required by law. It
ou retuse to s i ortnation the i ion ma issued.
ApPlicant'a Signature: � Date: / 1 �7 /
Owner's Signature; Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �4r - �Jl.��l COMPLEfED ��� �
ADDRESS � �
OWNER TELEPHONE NO.
CONTRACTOR �c�C fes (9-��t�^/ ��y� ��''�C�m�
� DESCRIPTION
t►� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
Z
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �.Q '-' �O L
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W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ IS CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECddERiNG PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILI RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-460�
OwnerlContrac n site:
Inspector.
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