HomeMy WebLinkAbout2013-01067 - roofing , ' CITY OF ORONO * Z 0 1 3 - B 1 P1 6 7 *
2750 KELLEY PARKWAY DATE ISSUED: 10/10/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2916 CASCO POINT RD
PIN : 20-117-23-31-0032
LEGAL DESC : REG. LAND SURVEY NO. 0461
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
COIYSTRUCTION TYPE : ROOFING-ASPHALT
ACTNITY ; O/S BUILDING -UNDEFINED
VALUATION : $ 10,240.00
NOTE: VALUATION OF PERMIT:$10.240.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (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-ADVERTISING SIGNS MAY ONLY BE ON THE PROPFRTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLGTED THE SIGNS MUST BG REMOVED.
APPLICANT PERMIT FEE SCHEDULE 206.50
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 5.12
5145 INDUSTRIAL ST
SUITE 103 MISC FEE 0.00
MAPLE PLAIN, MN 55359 TOTAL 211.62
(763)479-8700
Minnesota State License#: BC663668
OWNER
JR, ROBERT POWELL
2916 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issucd shall be performed according to
the approved plans and specifications,applicablc City approvals,and the
State I3uilding Code. This permit is for only the work described and does
no[grant permission for additional or related work which requires separate
permits. AII provisions of laws and ordinances governing this type of work
shall be compied with whe[her 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 at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
request d�n co ma e wit the State Building Code.This permit may be
revoke any m f ue se.
l.) l 1i l 'r3 ��/ �dj �
Appli ant erm�tee Si �u Date ssue y �gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE.
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• 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:p�0 — �v �
PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address: Received by:
y � 2750 Kelley Parkway Plan review fee:
`� L Orono, MN 55356
`�'�ESH��� Total Fee: p�/�•�Q �-�
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: `� /' �ts C.{j �
Job Site Address: �����
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes
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
requrred unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be alfowed.
CONTRACTOR/APPLICANT INFORM,A,TI-O�:
Name: �CL�I-5��1('` l�`-'
State License# , 63 6�, Expiration Date:
_ Lead Certification Number. � ��� `� — � Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (office) ��3-�(-75 - � J��=
Mailing Address: S�y� �n�;�.���� '`r . City:�ry���,—��rJ ZIP: �S S J�
Contact Person: �c��'� Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: ���
PROPERTY OWNER INFOR A ION:
Name: (�c�J�� ts-} �uu..
Phone (day): �.�Z 3 �'y — Si S�'
Address: 2��� �5�� � (� City: ('�,��..� ZIP: S �jJ
Email and/or Fax:
PROJECT INFORMATION: Overall project description: - �%`'!'L'� �L �=c��
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�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.orq
Estimated Construction Valuation of Project(excluding land) $�T�-f C.�i- `
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 infor at' n is to a nuall update our records and records of other governmental agencies required by law. If
ou refuse to su I the i ati ,t a �cation ma not be issued.
Applicant's Signature: Date: 1� " 1 / " �
Owner's Signature: Date:
Last Updated: 03/06/2013
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CITY OF ORONO CALLED IN �> >
INSPECTION OTICE SCHEDULED / — '� ��m. �
PERMIT NO.�L D/D/n7 COMPLETED
ADDRESS �-
OWNER TELEPHONE NO r�7����
CONTRACTOR
� DESCRIPTION ���
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� ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS
� ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERlCONTFiACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W��J6fORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46�0
OwnerfContractor on site:
Inspector. � ;'�`��_
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN /���
INSPECTION NOTI7CE / /—�] SCHEDULED /Dv?o?/-3 _���
PERMIT NO.(YI��J ��l�S� ! COMPLETED
ADDRESS ����0 �� /`
OWNER TELEPHONE NO. Z
CONTRACTOR 1d�L'.d`'"C �� _ ���
>`; DESCRIPTION ����K--"`
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ 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 ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
Owner►Contractor on sit
Inspector. �
White Copyllnspector's Fiie Canary Copy/Site Notice