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HomeMy WebLinkAbout2013-01110 - roofing � ' CITY OF ORONO * z 0 1 3 - 0 1 1 1 0 * 2750 KELLEY PARKWAY pATE [ssuEn: 10/22/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2659 CASCO POINT RD PIN : 20-117-23-23-0022 LEGAL DESC : SPRING PARK : LOT 137 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AI, CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 8,500.00 NO"I'G: VALUA"I�ION OF PERM[7�: $8500.00 ROOFING PERMI"rS ISSUED WITI IOUT ENOUGH NOTICE FOR T�AR OFF 1NSPECTIONS. (WE REQUIRF 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUS"r YROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVER'fIS1NG SIGNS MAY ONLY BE ON THE PROPERTY DURING TI-IE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLF,TF;D THE SIGNS MUST BE RGMOVL'D. APPLICANT pERMIT I'EE SCHEDULE 177.00 GROVE BUILDERS STATE SURCHARGE(VALUATION) 4.25 ]0161 JAMES AVE OTSEGO, MN 55330- TOTAL 18125 (763)229-0923 Minnesota State License#: BC651101 OWNER FREIENMUTH, KARL 2659 CASCO POINT RD 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 permi[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.'Cl�is permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construc[ion is suspended for a period of 180 days at any time aftrr work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with die State Quilding Code.This permit may be revoked at� me or ue causc. i 6 � �.� � I� p� Z2� / npplic Permitee Signature Date Issue 3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O�O Mailing Address: Permit number: ���j— PO Box 66 Crystal Bay, MN 55323-0066 Date received: �� 'ZZ— Street Address: Received by: �F � 2750 Kelley Parkway Plan review fee: �' Orono, MN 55356 �/ �'�kFsx o��' � Total Fee: �� ��� � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �SG � � �_ /�' Wilt this be a Parade of Homes, Remodelers Showcase Home o other Display Home? ❑ Yes "No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to fhe event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: (;Sz�� ���; \� ��— State License# ��,�S��o � Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) 7� �b��,c�— �� �-3 (office) Mailing Address: 1�` 6 ` ��a�� ��� City: a•f��.y a ZIP: 55.3 s,,�, Contact Person: �� �,�l Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: h����_ h;,; ��.,,� _ �,, ;,,� PROPERTY OWNER INFORMATION: Name: ��-- .�e�n y k�� � ��`��✓�✓v�.��=Y� Phone (day): Address: ��sc� �io � � City: �.�v� c� ZIP: Email and/or Fax: � PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: �Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orp Estimated Construction Valuation of Project(excluding land) $ �'TS�fa_� APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowtedge. 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; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public 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. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the information,t lication ma not be issued. Applicant's Signature: Date: L���d�,ll Owner's Signature: Date: Last Updated: 03/06/2013 � DATE (TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.v�l�/�-a/!�a COMPLETED �.?--d �/y ADDRESS a�bS� �4SGa �; ��� OWNER TELEPHONE NO. CONTRACTOR 6rav r ��u��"S� �: DESCRIPTION �'`—�"� � � lu ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � �NAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. OLLOW-UP � O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEii REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: � n a /''�/w+�� `10���� �4•��� � G4 // �r 4 j ` o i.�t`cc G � •� s�e c�ia � �. � ° �����/y � Qc:L�c r�e� �•P�'�sc �ro� W � d�?G �✓ s ` Q�l�1�Z� ^ Q Z -�'Iv r-✓ �1 a r.�l r rl i'Go � r��i�s 7`�.�c � ,fJa li� �.P.o��S �'o•yt/��G�� W .•*�'.�.s,Els+O � j ,/Jv.� GW ❑WORKSATISFACTORY:PROCEED �$Q,lECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION FEQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerfContractor on site: Inspecto -�-- White Copyllnspector's File Canary CopylSite Notice DATE TIME \ / CITY OF ORONO CALLED IN v INSPECTION OTICE SCHEDULED PERMIT NO. I � «I D OMPLETED � ADDRESS OWNER ��TE�LEPHONE NO. COf�TRACTOR �Cffl� � DESCRIPTION � � ❑ FOOTING ❑ PLU B N FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHA CAL RI ❑ LAKESHOREM/ETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � INAL ❑ SEWER HOOK-UP � COMPLAINT v MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ EMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT�C FINAL ❑ FOUNbATION/REMOVAL � OWNERJCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a *OLD PERMIT - NO FINAL INSPECTION REQUESTED. ¢ J O � ` � O � W � � Q � 2 W � W � j O � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK 8�PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in adxa .rtEe �y5 � 249-46QQ OwnerlConVactor on site: Inspector_ White Copyllnspector's File Canary CopyfSite Notice