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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- �(:_ , ���;, ���� � � 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 W a o � (+'� "" ��Q '� ! I�Q �C�^ � � a�C /�c� 5' m��� `'�a�s 0 � W � � Q 2 �Gt� !/jS�r- : W � W � J d W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ IS CERTIFICATE OF OCCUPANCY W 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. White Copyllnspector's Ffle Canary CopylSite Notice