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HomeMy WebLinkAbout2013-00819 (minor alterations-roofing) '` � CITY OF ORONO * z 0 1 3 - 0 0 8 1 9 * 2750 KELLEY PARKWAY DATE ISSUED: 08/20/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3704 CASCO AVE PIN : 20-117-23-3]-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 : �$ 3,000.00 NOTE: VALUA'I'ION OF PERMIT: $3,000 TEAR OI'P AND SHINGLE(2)SMALL SHEDS. ROOFING PERMITS ISSUED WITHOUT F.,NOUGI I NOTICE FOR TEAR OFF INSPECT[ONS. (WE REQUIRE 24-48 NO"1ICE, PRIOR TO WORK BEING STARTFD) MUST PROVIDE COMPLETE SET OF PICTURLS OR A FINAL INSPECTION MAY NOT BE ISSUF,D. SIUNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME'I'HE ROOi'IS BEING DONE. ONCE WORK IS COMPLGTED THF SIGNS MUST BE REMOVED. � APPLICANT PERMIT FEE SCHEDULE 88.50 PEAK XTERIORS STATE SURCHARGE(VALUATION) 1.50 14939 RAVEN ST NW ANDOVER, MN 55304- MAIL-IN FEE 2.00 (763)757-0060 , TOTAL 92.00 Minnesota State License#: BC629858 PAID WITH CC# 5418 OWNER SCHRADER, DONALD 3704 CASCO AVE 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 [he State[3uilding 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 typc 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 a[any time after work has commenced. l�he applican[is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any[ime for due cau� . � ^ t/ ' D� � � ����1Y//J'`� � / .2� / � Applicant Permitee Signa ure Date [ssu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Aug 20 13 07:14a p.1 . �. Ci#y af Orono Building Permit ApAlicatian for Maintenance I Replacement / Renavation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �Q�O Mailing Addr�ss: P2rmit number: 20/3—� �/� PO Box 66 � Crystal Bay, MN 55323-0066 Date rece�ved: �'�l3 �a ,� Street Address: Received by� ti� G� 2750 Kelley Parkway Plan review fee: `q'�fSfi�¢� Orono, MN 55356 Main: 952-249-4600 Fax: 982-249-4616 �nn,vwci.orono,mn.us Total Fee: �1' 9p� ,� This application form must be completed in full and al!required information must be submitted. fncompfete applications will be returned. (Please prrntJ � GENERAL INFQRMATtON: Job Site Address: __ ��d�{ �f�� �„�lj,� Will this be a Parade of Homes, Ftemodeiers Showcase Home or other Display Home? Yes lfyes, a special evenf permrtis required with Po/ice Departmenf and City CourtrJl approval 60 days pnor to(fie event. Shuttle bus service wifl be required unless applicant demonshates sufficienton-ste parking rs avaiJable. Non-permitfed events v�ill not6e allowed. C�NT{ZACTOR!APPLICANT INFORMATION: Name: ���� � �.o --�s StateLicense# t � : � 9 ���--� Expiration Date: 3�3(—�`� Lead Certification Number: Expiration Date: (for wor►t on homes that were constructed prior to 9978 Phone: (cell} '7��- 7 s� -a n G� {o�ce) `�E �--�s-�.-cso G G Mailing Address: l Y�'�Y ��,�c., r�. ,,,i�-..�. City: , ..,�la� c�-- ZIP: 5�'30 Gontact Person: ��,�,.,,. �,� Applicant is: Contractor Homeowner (Cirde One) Emai!andlorFax: �6� _�s--7 � �y_�J � , � k_ ��� ��� E G s �-�c �.�-iQ c c �,�.� PROPERTY OWNER INFORMATION: Name: �c�..� .S'� C .�,�G,/� �-. Phone (day}: �S a _ y?r- �i r--�� Address: 3 ��y C�s c� /��'!' City� �.-. � � ZfP Email andlor Fax: • 5� S�'�!� PROJECT INFORMATION; Overall ro�ect descri tion: /���� ��� £'��� �� S•-�til� 5 �� �s', Type of Project: ny earth movement may also require 0 Door(s} ❑Remodel MCWD review& ❑ Fire Damage permits: e-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed bistrict(MCWD) ❑ Re-roof, cedar ❑ Restoration 18202 Rrtinnetonka Blvd ❑Water Damage Deephaven, MN 55391 ❑ Re�-roof,other(specify} ❑Sidfng ❑Other (specify) Phone 952�71-0590 ❑Window(s) Fax: 952-471-0682 wwwminnehahacreek orq Estimated Construction Valuation o#Project(excluding land) g 3��n ._ � APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Departmertt; • CertiFies that the information supplied is true and correct to the best of his/her knowJedge. 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; • Sorne or all of the information that you are asked to provide on this application is cfassified by State law as either private or confidential. Private data is informatian which generally cannot be given#o the pubGc 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. Qur purpose and intended use of this informat'on is to arnually update our records and records of other governmental agencies requrred by law. If o�; refuse to su I the information the a li ation ma not be issued. Applicant's Signature: ���1` Date: �--- /Y --/� Owner's Signature� Date: DATE TIME �/ CITY OF ORONO CALLED IN 9'l�B ' /3 � C7`� INSPECTION NOTICE SCHEDULED � PERMIT NO. ZD) �"bC7�BI�l COMPLETED ADDRESS �"7Q`1 G�3� Av-P OWNER �v S�*tM�vti� TELEPHONE NO. q�2'`��f' ��55 CONTRACTOR �� �"�T• >; DESCRIPTION ��� � ��r � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 O SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O >. � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALI TO ARRANGE ACCESS: Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on sit . Inspector. White Copyllnspector's File Canary CopylSite Notice