HomeMy WebLinkAbout2014-00745 - roofing , � CITY OF ORONO * 2 P1 1 4 - 0 0 7 4 5 *
2750 KELLEY PARKWAY DATE ISSUED: 07/15/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2818 CASCO POINT RD
PIN : 20-117-23-32-0017
LEGAL DESC : CASCO HEIGHTS
: LOT 016 BLOCK 004
PERMIT TYPE : M[NOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 11,200.00
NOTE: VALUATION OF PERMIT:$11200.00
ROOFING PERMITS ISSUFD WITHOUT ENOUGH NO"CICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE, PRIOR TO
WORK BEING STARI�ED) MUST PROVIDE COMPL,ETE SF,"I'OF PICTURES OR A FINAL [NSPEC"I'ION MAY NOT F3E ISSUF,D.
S[CiNS-ADVF,R"I�ISING SIGNS MAY ONLY BE ON THG PROPERTY DURING THE TIME THE ROOP IS B�ING DONE.
ONCE WORK IS COMPLETED T}tE SIGNS MUST BG REMOVED.
APPLICANT PERMIT FEE SCHEDULE 221.25
STATE SURCHARGE(VALUATION) 5.60
JOHN HALEY#1 ROOFER
TOTAL 226.85
7204 W. 27TH ST. Payment(s)
SUITE 104 CHECK 17176 226.85
ST. LOU1S PARK, MN 55426
(952)925-6156
Minnesota State License#: BUIL-BC126880
OWNER
WOODIS, TAMMY
28l 8 CASCO PT RD
WAYZATA, MN 55391-
ACREEMENT AND SWORN STATEMENT
I�he work 1br which this permit is issued shall be perfonned according to
the approved plans and specifications,applicable City approvals,and the
Statc Building Code. "�his permit is for only thc work described and does
not grant permission for additional or related work which requires separate
perniits. All provisions of laws and ordinances governing this type of work
shall be compied with whe[her or no[specitied herein.'I his 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 conformance with the State Building Code.'I�his permit may be
revoked at any time for due cause. �
.��. . �� - �7 �%S � 1
Applicant Permrtee Signature Date Issue y Signature Date
; , City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
�O�O Mailing Address: p/
PO Box 66 Permit number: � - �� 7
Crystal Bay, MN 55323-0066 Date received: / -/ -/
Streef Address: Received by:
y�, �� 2750 Kelley Parkway Plan review fee:
� Orono, MN 55356
`�k£sHo�� ���J, U�/
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: n /
Job Site P_ddress: ,� � ( � � � � U II/C�/( 1� � � U ✓��%
Will this be a Parade of Homes, Remodele Showcase ome or other Display Home? ❑ Yes ��-
!f yes, a special event permit is required with Police Department and City Council approva160 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: ' , j --p
State License# a ��' Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) �'�" S � _� 6 � — �C/"�� (office) � �� - �'j� 1= G ( ��,
Mailing Address: � � �-� City: �� /� -ZIP: ��1��
Contact Person: i � Applicant is: ontractor /` omeowner (Circle One)
Email and/or Fax: � � U � � ------
PROPERTY OWNER INFORMATION:
Name: �[IJ � � � �t C �c ✓li1 V3�/t
Phone (day):
Address: 02 �' � �— �'�S� �� �,� � ,/�� City: ��C,� (� ZIP: �)'� � �
Email and/or Fax:
PROJECT INFORMATION: Overall pro�ect description:
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits:
e-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.orq
Estimated Construction Valuation of Project(excluding land) $ � /, ,� G v
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 info ion, the a lication ma not be issued.
ApplicanYs Signature: Date: � — f �— � ��
Owner's Signature: Date:
Last Updated:03/06/2013
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CITY OF ORONO CA�LED IN 7
INSPECTION NOTICF_ � HEDULED — '!
PERMIT NOQ�1 PLEfED
ADDRESS
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CONTRACTO
�; DESCRIPTION C�7JT !
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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
�� 0 SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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w ❑CORRECT WOHK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerfConVactor on site:
Inspector. ` �
White Copyllnspector's File Canary CopyfSfte Notice
DATE TIME ✓
CITY OF ORONO �LLED IN
INSPECTION NOTI E SCHEDULED
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OWNER TELEPHONE NO.
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
� ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
Inspector.�i .,..�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME ✓
CITY OF ORONO CAL�ED IN
INSPECTION NOTICE � SCHEDULED
PERMIT NO. ���'�7�!S COMPLETED ��
ADDRESS D��ll� CGS�cI /�� IQ�•
OWNER TELEPHONE NO.
CONTRACTOR ��Ih �'l �4I.��
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y ❑ FRAMING ❑ MECHANICAL FINAL
Q p TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/FEMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
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❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-460�
OwnerlContractor on site:
Inspector.�/w �
White Copyllnspector's File Canary CopyfSite Notice