HomeMy WebLinkAbout2014-00633 - roofing CITY OF ORONO * 2 0 1 4 - 0 0 6 3 3 *
2750 KELLEY PARKWAY DATE ISSUED: 06/20/2014
, � ' ' ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2941 CASCO POINT RD
PIN : 20-117-23-31-0047
LEGAL DESC : SPRING PARK
: LO"I' 092 E3LOCK 000
PERMIT TYPE : M]NOR AL'I'ERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHAL'1'
ACTIVITY : O/S BUILD[NG - UNDEFINED
VALUATION : $ 20,000.00
NOTG: VALUATION OF YERMI"1,:$20,000
ROOF[NG PERMITS ISSUED WITHOUT ENOUGFI NO"I'ICE I'OR TGnR OFP INSPEC'IIONS. (WP,REQU[RE 24-48 NO"CICF., PRIOR"I'O
WORK E3EING S"fARTEU) MUST PROVIDG COMPLI�;TE SET OF PICTURES OR A FINAL INSPECTION MAY NO"T BE ISSUf?D.
SIGNS-ADVER'I�ISING SIGNS M�1Y ONLY I3E ON"1'1IE PROPE;RTY DURING THE TIME THE ROOF IS E3EING DONI;.
ONCE W(�RK IS COMYLI;�I�F.D THI;SIGNS MUST[3I�? REMOVI=.D.
APPLICANT PERMIT FEE SCHEDULE 339.25
STATE SURCHARGE(VALUATION) 10.00
MINNETONKA CONSTRUCTINO LLC TOTAL 349.25
2609 CHERRYWOOD ROAD
HOPKINS, MN 55343- Payment(s)
Minnesota State License#; BUIL-BC633000 CHECK 4319 349.25
OWNER
MIDTHUN, CURTIS& KATHLEEN
2941 CASCO POINT RD
WAYZATA, MN 55391-
AGREEMF.NT AND SWORN STATEMENT
I�he N�ork for which this pennit is issued shall be perfonned according to
thc approved plans and specifications,applicable City approvals,and the
State Buildin�Code. 'l�his 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 of work
shall be compied with whether 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
suspcnded for a period of 180 days at any time after work h�� •emmenced.
The applicant is responsible for assuring all req�iired i ections are
requcsted in con� mance with t , .[a[e Buildin ode.This permit may be
revoked at-any time du� §e. �,i�
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App� ermitee Signature Date Issu d y Signaturc Date
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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: �� —� �
PO Box 66
Crystal Bay, MN 55323-0066 Date received: �D
Street Address: Received by: �
�F ` 2750 Kelley Parkway Plan review fee:
�' Orono, MN 55356
`qKBSH��� � • ��
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:
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Job Site Address: :%`"��/ ' �, ��,,�� � Gv.4 -Z'��h' �?y ��' �' /
Will this be a Parade of Homes, Remodelers Showcase Home or other Disp y Home? ❑ Yes o
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 INFO MATJON:
Name: ,2��6r/r� ti� ��s`�i�� .��
State License# ��� �3�,�,C, Expiration Date: � '3/ l,s'-
Lead Certification Number: Expiration Date: l
(for work on homes that were constructed prior to 1978
Phone: (cell) ��� (office)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: �- .c � � ��g � ��•
Phone (day): • � �-- Z 3
Address: � / q,T-�� pr� '� City:/�`�/.� ' � ZIP: S- = /
Email and/or Fax: _ � � � �� �,� ;;,_ C„ ��
PROJECT INFORMATION: Overall project description:
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
�e-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) $ �€� C
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 fi�not be given to either the public or the subject of the data. Our purpose and
intended use of this information i o annual update our records and records of other governmental agencies required by law. If
ou refuse to su I the i or ion,the lication ma not be issued.
ApplicanYs Signat�e: �� ��'� � Date: �� �''
/:
�
Owner's Signature: �- Date:
Last Updated: 03/06/2013
���� TE TIME "
CITY OF ORONO CALLED IN -�
INSPECTIOy.�IOT E SCHEDULED '��
PERMIT N��v � CO LETED
ADDRESS ���� �,����,/� �,j�
OWNER T ON O �� '7 ��
CONTRACTOR '
� DESCRIPTION
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� ❑ FOOTING MBING FINAL ❑ EXCAV/GFADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
��INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q�O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOp TO MEET YOU:_YES_NO
c�n COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED p PROJECT COMPIEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
� BEFORE CWERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advance. 2) 249-46��
OwnerlContractor on site:
Inspector.
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