HomeMy WebLinkAbout2014-00647 (minor alter. - roofing) ' ; CITY OF ORONO * 2 0 1 4 - 0 0 6 4 7 *
2750 KELLEY PARKWAY DATE ISSUED: 06/24/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3704 CASCO AVE
PIN : 20-117-23-31-0039
LEGAL DESC : REG. LAND SURVEY NO. 0467
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 7,000.00
NO"I�E: V.ALUATION OF PERM[T: $7,000.00
ROOF[NG PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSY6'CTIONS. (WF.REQUIRG 24-48 NOTICE,PRIOR'[�O
WORK BEING STARTED) MUST PROVIDG COMPLGTE SET OI� PICTURES OR A F1NAL INSPECTiON MAY NOT BE ISSUF,D.
SIGNS-ADVGRTISING SIGNS MAY ONLY BE ON THE PROPGRTY DURING"I�I�E"I�IMI:'[�HE ROOP IS I3T;ING DONE.
ONC1��;WORK IS COMPLE?'i'FD THE SIGNS MUS"C BE REMOV{?[).
APPLICANT PERMIT FEE SCHEDULE 147.50
PEAK XTERIORS STATE SURCHARGE(VALUATION) 3.50
14939 RAVEN STNW MAIL-IN FEE 2.00
ANDOVER, MN 55304- TOTAL 153.00
(763)757-0060 Payment(s)
Minnesota State License#: BUIL-BC629858 CREDIT CARD 5418 153.00
OWNER
SCHRADER, DONALD
3704 CASCO AVE
WAYZATA, MN 55391-
AGREEMF.NT AND SWORN STATEMENT
l�he 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. 'fhis permit is for only the work described and does
not arant permission for additional or rclated 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 con(ormance with the State Building Code.This permit may be
revoked at any time Yor due cause.
� ' � � � ,���
��
Applicant Permitee Signaturc � Dat Issue By Signature Date
Jun 241408:11a p.1
' ' City of Orono
Building Permit appfication for Maintenance 1 Rep�acement ! Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
� r Mailing Address: Permit number. �� (/(/� 7
�O�YO PO Box 66
I 1, Crystal Bay, Il9N 55323-0066 Date received: -q7
f
� � y� Streef Addiess: Received by:
�y�. � 2750 Keiley Parkway
�qkFSKt�.��'�' Orono, MN 55356 P�an review fae:
Totai Fee� l�3• �
Main: 952-2G9�fi00 Fax: 952-249�616 v�r�nnv ci.orono mn us
This application form must be completed in full and all required information must be s�bmitted.
Incompiete applications will be returned. (Please pnntJ
GENERAL INF�RMATION:
Job Site Address: ,� 7d �f �c�S`� �(f��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o
lfyes. a specral eveniper,nit;s requrred wifh Police Depariment and City Counal app�ovaJ 60 days pnorto the event. 5huttJe bus service�vill be
2qurred unJess apA6cant demonstrafes sutficrent on-site parking is availa6Je. lJon-pe�mifted events tvill not be allowed.
CONTRACTOR 1 APPLICANT INFORMATION:
Name: �z4� �'��,,.: o �f
State License# lSC ��9 �yf� Expiration Date: ���--�6 �
Lead Certification Number: �J/j-T-t�� !e o� �/ Expiration Date: �� --/�-
(!or work on homes that were constructed prior to 1978
Phone: (cell) ��� - �,� 9 -j-7 ff�, (offce)
�6��—���"�—d� �c�
Mailing Address: � y� 3 S ,����� r-y ,.vr;.� Cify: -. �Co.•�.- ZIP: S`S'-3 � �
Contact Person: t�f--„•� Applicant is• Contracto / Homeowner (CircleOne)
Emaiiand/orFax: _ �c.�lc ,F f-�.,.-�e� J' G�C ���c . co.�
PROPERTY OWNER INFORMATION:
Name� �.> � .��� .���.��
PF�one (day): `�S^�� Y?( - g'is�Cj
Address: o�-�/ C 2 c m ✓�`�� City: Qn�� ZIP: S�.S'_'3�
Ernail and/or Fax:
PROJECT lNFORMATION: Overall roject descri #ion:
Type of Project: Any earth movement may also require
❑ Door(s; Q Remodel ❑ Fire Damage MCWD review8� permits:
� Q Re-roof,asphalt ❑ Repair ❑Storm Damage Minnefiafta Creek Watershed Dis#rict(MCVWD)
❑ Re-roof,cedar ❑ Restoration 18202 MinnetcnKa Blvd
❑Water Damage Deeohaven, MIV 55391
❑ Re-roof, other(specffy) ❑ Sidfng ❑Other. jspecify} Pho,�e: 952-47'J-059�
�Window s �ax: 952-471-0682
� � wtivw.minneFahacree'i orq
Estimated Construction Valuation of Project(excluding land) $ 7�0�, ��
APPLICANT ACKNOWLEDGEMENT:
• Ag�ees to provide all nformation required or requested by the Buiiding Department,
• Certifies that th2 i�forrr�.ation supplied is true and correct to the best of his/her knowledge The applicant recognizes thatthey are
solely responsible for submitting a complete application being aware tnat upon failure t� do so, the staff has no altemative but to
reject it until it is complete;
i • Some or all cf tne information that you are asked to provide on this applicatio� is classi�red by State iaw as either private or
confdentfal. Private aata is infarmation which generally cannot be given to the public but can be gfven to the subject of the data.
Ccnfidenbal data is information which generally cannot be given to eitner;he public or the subject of the data. �ur purpose and
intended use of this informafion is to annually uadate our records and records of other governmental agencies required by law. If
ou r2fuse to su I ihe iniormation the a lication ma not be issued.
Appficant's Signature: �^�- .l� ��v ,--�---- Date: 6 `���
Owne�'s Signature� Date�
OP� DATE TIME (�
CITY OF ORONO CALLED IN 7' �
INSPECTION NOTI E�����SCHEDULED 7-4-/ �
PERMIT NO.��� COMPLEiED
ADDRESS 37D� �4,4�-O f�'(J�
OWNER TELEPHONE NO. ?�p3 ZS7 DO(D
CONTRACTOR �� �f 9s2 4�3 f.�o3
�; DESCRIPTION ��K� ��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �,EINAL ❑ SEWER HOOK-UP p COMPLAINT
� r❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:_T,v�S e ort!c. ` I10 �4 L` d�� '�
.
a `i�5 De�►KIt � .
�
�
o ,
� I��CL4�c-S �r�vs�Cp �G� IC� �- [,�t L�r
O .
�41'O L�G t��v -E- r'ba� �t � ✓ �rG�
W �
�
Q �/
� zT lG �/e�Z��l� 'L�'l6.�, t7I'L7U!(OC�d
W
�
�
, �Or� C� �� S �awll�e?'��P' d��:���
a �� �
W� ❑WORKSATISFACTORY:PROCEED �frT COMPLEfE
W ❑CORRECT WORK 8 PROCEED � ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerfContractor on site:
Inspector. w
W e Copyllnspector's File Canary CopylSite Notice
� -l/ �
DAT � TIME
CITY OF ORONO CALLED IN —
INSPECTION OTICE SCHEDULED � —
PERMIT N� ��lD PLEfED
ADDRESS �7O
OWNER L NE NO. 7 'LIJ
CONTRACTOR ��
� DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIETLANDS
O O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ 1 ULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ EMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
�
W
a
2
�
O
�.
a�
O
�
W
�
Q
�
2
W
�
W
�
J
d
� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours'n a 2) 249-46��
OwnerlContractor on site:
Inspector.
White Copy/lnspector's File Canary CopylSite Notiee