HomeMy WebLinkAbout2014-00227 - roofing �� , CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: 03/2U2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3045 CASCO POINT RD
PIN : 20-117-23-34-0012
LECAL DF,SC : SPR[NG PARK
: LOT 057 BLOCK 000
PERMIT TYPE : MINOR ALTERA'I,IONS
FROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING- ASPHALT
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 4,000.00
N01'E: VALUATION OF PERMIT: $4,000.00
ROOFING PERMITS ISSIJED WITHOUT ENOUGH NOTIC�FOR TEAR OFF INSPF,CTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERT[S[NG SIGNS MAY ONLY BE ON"I�HF;YROPFRTY DURING THE TIM�THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MLJST BE RGMOVED.
APPLICANT PERMIT FEE SCHEDULE 103.25
STATE SURCHARGE(VALUATION) 2.00
MIDWEST EXTERIORS PLUS TOTAL 105.25
6451 SYCAMORE CT. N. Payment(s)
MAPLE GROVE, MN 55369- CHECK a�aas 105.25
Minnesota State License#: BUIL-BC010277
OWNER
KASTENS, RICHARD& BARBARA
3045 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
I�he work tbr which this pennit is issued shall be performed accordin�[o
the approved plans and specitications,applicable City approvals,and the
State[3uilding Code "I�his permit is for only die work dcscribed and docs
not grant permission for additional or relatcd work which requires separate
permits. All provisions of�laws and ordinances goveming this type of work
shall be compied�+�ith�chether or not specified hercin."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 I RO days at any time a(ter work has commenced.
�he applicant is responsible for assuring all required inspections are
requcstcd in conformance with the Stare Building Code.This pennit may be
revoked at any time for due cause.
'`'�- �-1- 3 / Z-/ / i
Applicant Pe �itee Signature ate Iss d By Signature Date
. ,
City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
/�O�\\ Mailing Address: Permit number:��/ -- ��o�
PO Box 66
Crystal Bay, MN 55323-0066 Date received: ��—��
� Street Address: Received by:
�
�.�' � 2750 Kelley Parkway Plan review fee:
! �� Orono, MN 55356
�kCSH�� . /0�5. �5
�__ __ 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 s� ��a-��
Incomplete applications will be returned. (P/ease print)
GENERAL INFORMATION: -� L f
Job Site Address: � (_J�f � �ccS C �: �'e?i;l 1 ��)U •
Will this be a Parade of Homes, Remodelers Showcase 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 ervice will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ry` ;d w�SSi' Cyc.�- , t'�.� �
State License# ��;E�;/�� ��� Expiration Date: � -�, �_rc�
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) •�� _y 2 7. y'�j�, (office) Sa. =i.�----
Mailing Address: �, � �. cy ,.,.� C •{ � CitY: ,�f� ,-�. IP: ���
Contact Person: ,ti,� Applicant is: Contrac / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: �X�� �c:S�c°-�1 :
Phone (day): fS-Z- �17�- ?l1jl�
Address: ��,,�_ City: ���, -Z��,� ZIP: S�j �y�
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&permits:
�-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) $��, G
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
. Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are
solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to
reject it until it is complete;
• Some or all of the information that you are asked to provide on this application is classified by State law as either private or
confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data.
Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and
intended use of this information is to annually update our records and records of other governmental agencies required by law. If
ou refuse to su I the information, e a lication ma not be issued.
Applicant's Signature: ��L" � Date: ��" -��"��
Owner's Signature: Date:
Last Updated:03/06/2013
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION N TIC SCHEDULED
PERMIT NO. � ��a / COMPLEfED � �-'
ADDRESS �
OWNER T HONE NO.
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CONTRACTOR
'>; DESCRIPTION
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q�DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT.
�$FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATIONlFiEMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN �CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. _
White Copyllnspector's File Canary CopylSfte Notice
C ��� DATE TIME �
CITY OF ORONO CALLED IN c3' -I
INSPECTION NOTIC SCHEDULED 3-oZ - ___C��J
PERMIT N ' � COMPLETED
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OWNER T,�EL.E ON N0711�-���"I,�
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❑ TREE REMOVAL
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Q ❑ DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
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� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pE{OTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �9 -46QQ
OwneNContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� DATE I/ TIME ( /
CITY OF ORONO CALLED IN �-�-/�`'
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INSPECTION NOTI E���-, SCHEDULED �-Z - ,��j�77 -l•�
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CONTRACTOR ��-S �l I
� DESCRIPTION -
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y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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
? O DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REOUIRED_CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952 j 249-4600
OwnerlContractor on site:
Inspector.
Whi e Copyllnspector's File Canary CopylSite Notice