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