HomeMy WebLinkAbout2013-00832 - roofing � � CITY OF ORONO * 2 0 1 3 — 0 0 8 3 2 *
2750 KELLEY PARKWAY DATE ISSUED: 08/2U2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 104 CHEVY CHASE DR
PIN : 36-118-23-41-0032
LEGAL DESC : HILL O'WAY MANOR
: LOT 027 BLOCK 001
PERM[T TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 9,000.00
NO"I'E: VALUA'I'ION OF PERMIT: $9000.00 -REROOF TEAR OFF
ROOFING PERMITS ISSUED W]THOUT ENOUGH NOTICE FOR 1�EAR 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 PROPERTY DUR]NG"I'HE TIME THE ROOP IS BEING DONE.
ONCE WORK IS COMPLETED"I'HE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 177.00
TONY SCHREMPP CONSTRUCTION LLC STATE SURCHARGE(VALUATION) 4.50
1450 81ST STREET
VICTORIA, MN 55386- TOTAL 181.50
(952)443-2529
Minnesota State License#: 4357
OWNER
MINNICK, MR. & MRS.
104 CHEVY CHASE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work Yor which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State E3uilding 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 of work
shall be compied with whether or not specified 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 alI required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
G-.�J'�� °e�n< <l /`a /�) �� Q-!� �/Z� / �
Applicant Permitee Signa Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
: f ,
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: �6! 3 —L7� �'3
PO Box 66
Crystal Bay, MN 55323-0066 Date received: �' Z� —��
Street Address: Received by:
y ` 2750 Kelley Parkway Plan review fee:
FlqkFSH���,C' Orono, MN 55356 /�j S�
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:
Job Site Address:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
/f yes, a special event permit is required with Po/ice Department and City Council approval 60 days prior to the event. Shutt/e bus service wil/be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR I APPLICANT INFORMATION:
Name: J'��.rT � o n,t�,, �, S�;.7�.�c � ��J
State License# _ s- Expiration Date: �-l'1 ;, � �;) ��
Lead Certification Number: Expiration Date: �—
(for work on homes that w re constructed prior to 1978
Phone: (cell) �l �- j *�'7 —� S' i'� (office) �' S =�-� 4 y 3� "�� aS
Mailing Address: jt � � City: V,�,�-��y,;� ZIP:
Contact Person: �p y.,� Applicant is: Contracto / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: ��c �1M � �Nn., , c t<
Phone (day): G �a_ � >o _ s� ��
Address: � G y Ct���.y � }p,�.Q �p �� ,�� City: U ��b„c ZI P:
Email and/or Fax:
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage
MCWD review&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) $ ` � ���> U,
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: � ,j ��,(r�n Date: ��' ��l �-1 3
Owner's Signature: Date:
� Last Updated: 03/06/2013
�� CITY OF ORONO CALLED IN —'T�3 T�v
INSPECTIO OTICE SCHEDULED —' IU_'CX�
PERMIT NO. Z0�3'CO832� COMPLETED
ADDRESS l�`� �--'t�-��-I C� ,
OWNE�dh� �1� h�J GS TELEPHONE NO. �D12- ��7—�Cl�-
CONTRACTOR C�
� DESCRIPTION � S� � �
�
� ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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
Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
a�
W
a
�
J
O ,+ �� � �
o r�!'
�
W
�
Q
�
2
W
�
W
�
j
d
� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COYERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREOUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �
PERMIT NO. ao�3 ' � `d�3a— COMPLETED E`s'o��" �f
ADDRESS /OS� C�i�vy C'�i�.s� �O�•
OWNER TELEPHONE NO.
CONTRACTOR � �'�t%e.KDe �n�Z,
>: DESCRIPTION ��—�QO�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �FFNAL ❑ SEWER HOOK-UP ❑ COMPLAINT
r ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAR�COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
c�., COMMENTS:
� • n
a b�� e�!'�►2.� " ✓�� ��ll/ �/?51�eGZ�ia.t f�9Pl1�C�dl
�
J
O . _
� � fca� �o��' t�t5./��L�e�, reca��Q�
', o
W n ' -
, � I7��G V'd��lEL�1cN �1/'ovt�l�
I � T
2
� bcJo r 6C aaD�r`5 CZ-�w�--/�l�e
� , �
_ nerw��t ��.�1��
�
GW ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
' O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
I Inspector. �
'I White Copyllnspector's Flle Canary CopylSite Notice