HomeMy WebLinkAbout2015-00491 - roofing ' '� CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: 04/28/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 115 CHEVY CHASE DR
PIN : 36-118-23-41-0013
LEGAL DESC : HILL O'WAY MANOR
: LOT 008 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTNITY : O/S BUILDING-UNDEFINED
VALUATION : $ 12,000.00
NOTE: VALUATION OF PERMIT: $12000.00
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 PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 23234
STATE SURCHARGE(VALUATION) 6.00
ALL SONS EXTERIORS INC TOTAL 238.34
P O BOX 146
LAKEVILLE,MN 56150- Payment(s)
Minnesota State License#: BUIL-BC639318 CHECK 238.34
OWNER
SCHiJETT,AMY
115 CHEVY CHASE DR
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for onty the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming[his 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
suspended for a period of 180 days at any time after work has commenced.
The applicant is res nsible for,�ssuring alI required inspections aze
requested in conf t Building Code. his perrnit may be
revoked at e for a se.
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AppLi t Peym' gna re D e Iss d By Signature D te
' � � City of Orono
Building Permit Application for Maintenance / Replacement / Remodel
(i.e. windows, doors, siding, re-roof, etc. — NO STt�l1CTURAL EXPANSION)
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� Mailing Address: Permit number:
��-���`�� PO Box 66
r'' i
Crystal Bay, MN 55323-0066 Date received:
� � Received by:
Street Address:
1 2 `;�1 2750 Kelley Parkway Plan reviewfee:
`� ` ' Orono, MN 55356
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kt s H c?��� �
�..______ - 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: � /� � e�
JobSiteAddress: � � �).�V' � l_-�1CcSE '_>3-I V� � �� �Z_ -�� ��V j��� �
Will this be a Parade of Homes, Remodelers Sh wcase Home or other Display Hom ? ❑ 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 service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APP ICAN INFORM TI N:
Name: � ( : �S� X. -'ftC��`� I ��•
State License# �(', 3C' " Expiration Date: 3 � �� �
Lead Certification Number: Expiration Date:
(for work on homes that were construcfed rio to 1978
Phone: (cell) �C� (` :� �j ,��'-- Z_�j (office) ��� . . �,; C' - �Z,� I
Mailing Address: ' ; ��_ � �{ Cit : Q��� �� ZIP: ,� ��i
Contact Person: - �.� S Applicant is: Contractor�;/ Homeowner (Circle One)
Email and/or Fax: � � �j- � �� p ,L .
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PROPERTY OWNER IN ORMATIO�da
Name: l,� �.��L(��
Phone(day): (a - (J a � ��
Address: �U � ' �C��� �;-� City:�,�C� � ZIP: �jCj�j�'
Email and/or Fax: �U , � � � �
PROJECT INFORMATION: Overall pro�ect 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) $ � � —'
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 nf mation which gen cannot be given to either the public or the subject of the data. Our purpose and
intended use of this inf rmatio is t a u update our records and records of other governmental agencies required by law. If
ou refuse to s t i f r tio , lication ma not be issued.
Applicant's Signature: Date: � � - � / J
Owner's Signature: Date:
Last Updated:January 2015
�3 � DATE TIME \�
CITY OF ORONO C���� CALLED IN
INSPECTION Ng TIC ,� r'a 3CHEDULED �
PERMIT NO. ' `� `ICOMPLETED
ADDRESS �� � f D
OWNER TELEPHON t D��S4�'� ,�
CONTRACTOR `� � � �(�(�� �.�(�
� DESCRIPTION !�C7��r � � �� J
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q�FJNAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC I TALL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTRACTOR TO MEEf YOU:_YES�NO
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W ❑WORK SATISFACTORY:PROCEED �T COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PH070 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952) 249-46�0
OwnerfContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice