HomeMy WebLinkAbout2013-00315 - roofing � CITY OF ORONO * 2 0 1 3 - PJ 0 3 � 5 *
2750 KELLEY PARKWAY DATE ISSUED: OS/09/2013
�� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2677 CASCO POINT RD
PIN : 20-1 17-23-23-0020
LEGAL DESC : SPRING PARK
: LOT 135 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING- UNDEFINED
VALUATION : $ 16,747.00
APPLICANT PERMIT FEE SCHEDULE 295.00
BAC CONSTRUCTION SERVICES STATE SURCHARGE(VALUATION) 837
3032 MINNEHAHA AVE. S.
MINNEAPOLIS, MN 55406- MAIL-IN FEE 5.00
�� TOTAL 308.37
Minnesota State License#: 20192062
OWNER
SNYDER, WILLIAM& JULIE
2677 CASCO POINT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall bc performed according to
the approved plans and specifications,applicablc 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 ot�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 180 days at any time aYter work has commenced.
The applican[is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Sign e Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A O .
. � s�6 �,�
� ' Cit f r n ��� '
yo0oo
t Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
/��;� Mailing Address: Permit number:
/'� �/� PO Box 66
ft` Crystal Bay, MN 55323-0066 Date received:
� Street Address: Received by:
S �` 2750 Kelley Parkway Plan review fee:
F �' Orono, MN 55356
��x����� 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. (P/ease print)
GENERAL INFORMATION: p
Job Site Address: �e a$co drn /�Oac�
Will this be a Parade of Homes, Remodelers Show se Home or other Display Home? ❑ Yes No
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the 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: ��(� aht( �tl � i 2 S Yl����
State License# �� _ 2 �(�� Expiration Date: � �_ 31 ,- ac�l5
Lead Certification Number., �- a�� �`�- � Expiration Date: ; y- a� - BS _
(for work on homes thaf were constructed prior to 1978
Phone: (cell) (��z _a�3�SSa � (office) 6/2 --1 ZJ — 550 0
Mailing Address: 303� M�nne �,�.� .� �.}t . S C�tY� 71'I;nnea-Pa/�SZIP: �"��/Q�
Contact Person: �,�,�� E'n qe� Applicant is� ractor Homeowner (Circle One)
Email and/or Fax: ��na Pn 9 barc S,nt �-- __
PROPERTY OWNER INFORMATION:
Name: �, (I 1� 3u ��e S r1 u de r
Phone(day): $o� - `/YO - 6 2 2 9-�
Address: (o ._ f�o f, � City: Q rGn a ZIP:
Email and/or Fax:
PROJECT INFORMATION: Overall pro'ect descri tion:____________________________________
--------------
Type of P 'ect: Any earth movement may also require
❑ D r(s) ❑ R odel ❑ Fire Damage MCWD review 8�permits:
Re-roof,asphalt epair ❑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
____________________ ❑Vdindow(sj _____________________ www.minnehahacreek.org
Estimated Construction Valuation of Project(excluding land) $ /(o,, 7�/7
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 knowledge. 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,the a lication ma not be issued.
ApplicanYs Signature: __���,� � � Date: -�" 6 - �a ?3
�, -
Owner's Signature: Date:
Last Updated:03/06/2013
: / ��ATE TIME
CITY OF ORONO CALL��
INSPECTION NOTICE y� 2 �CHEDULED ' _1���e�
PERMIT NO.�D�� �vD`�/J COMPLETED
ADDRESS c��.�7 7 ��-S� �� ��
OWNER TELEPHONE NO.li��� — zG� 's�j�
CONTRACTOR ,t�
� DESCRIPTION ` �a� a�
�
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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 ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site•
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
�i� � DA�E, TIME v
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED lo-��-��3 _���
PERMIT NO.��3 -��3�S COMPLETED
ADDRESS a�7 7 �� �t /�
OWNER TELEPHONE NO. ��a ad3 55D�
CONTRACTOR ��G ��'�
>: DESCRIPTION ��� G�-""�1
�
Ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �WORK SATISFACTORY:PROCEED �QJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on site:
Inspector. ,, /`7 C.__
White Copyllnspector's File Canary CopylSite Notice