HomeMy WebLinkAbout2010-00303 - roofing t �
CITY OF ORONO PERMIT NO.: 2010-00303
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE �SSUED: OS/04/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : Li5 CHEVY CHASE DR
PIN : 36-118-23-41-0023
LEGAL DESC : HILL O'WAY MANOR
: LOT 018 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 9,324.00
NOTE: TEAR OFF/REROOF
APPLICANT PERMIT FEE SCHEDULE 191.75
COTY CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 4.66
5716 GLEN AVE
MINNETONKA, MN 55345 TOTAL 196.41
(612)933-3536 PAID WITH CC# 9122
Minnesota State License#: 20431519
OWNER
ETAL, ROBERT HOWE
135 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 specitications,applicable City approvals,and the
State Building 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 goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction au[horized 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 responsxble for assuring all required inspections are
requested in conformanee 'th the State Building Code.This permit may be
revoked at any ti�� cause.
.! , � J /C� �%G�' / /
�'�pplicant Perm� e Signature Date s d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
May 04 i0 02:53p C�ty Cons�rudion (952}934-0099 p2
C�ty of Orono
Bu�lding Permit App�ication for Internal Work
(windows, doors, siding, re�roof, etc,}
j��:-��' - - Muiling Address' � Permit numbcr; �ld—
4.��� Po Ciox 86
,�Q � � Crystal[3ay, MN 55323-OOGf Dalc rpceived: � `
(� ��i�, �A� a� Strcc!Add�ess� Received by: • _
`��, "'�'� ��� 2750 Kelley Parkway Plan review fee;
,.,:r���otti`�% Orono, MN 55358 �
Total Fee� � �� , �j
__ Main: �J52-249-4600 Fax: 952-2d9�616 vwvw.ci,orono.mn.us
7his application�form must be completed in full and alI required informa3ion must be subrrtitted_ '�
Incompl�te applications will bo returned. (Plcase prinlJ
GENERAL INFORMA710N:
Job Site Addre55: 135 Chevy Chase Drive
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes x No
If yos,a special avonl pormir is requr'red with Poli�Dopan.ment a�+d Gry Council�ppro��i e0 deys p�ior�a the even:. SII utile bus SOiv;CEi wil!be
reQuiretl un�ess applicont demonst�ates sullicient on•sit�paiw'rig;e AvaifaDla lupn-permitfed evenfs wi71��ot be a�lov�ed.
CON7}2ACTOR I APPLICANT INFORMA710N:
Name; Caty Construction and Remadeling
State License# BC•20431519 Expiration Oate: 0313112Q�,2
Phone: f952) 934_7�00 office} (612) 599,6387 Cell
Mailing Address' 5716 Glen Ave City: Minn@tonka ZIP: �D34�
Contact Person; Pat Coty Applicant is;QContraclor ! Womeowne� �c�rcb o�o��
Email 3nd/or Fax: pat(a�cotyconstruction.com__�952 834-0099
PROPER7Y OWNER INFORMA710N:
Name: Robort and Sondra
Phone (day); (952 473�323 � �� '�-' -
AddresS; 135 ChevV Chase Drive City: Orono ZIP; 55391
Email and/or Fax howex0, O1(u�umn.edu ���� � � `
PROJECT lNFORAlIA7101�;
I Typo of Project: "" ' --�
Any carth movement rnay rQquire
❑ Door(s) (�Remodel hQCwD revlew 8 permltx
❑Water Damage
Minnehaha Creek Watorshed Districl(MCIrVD)
❑WindoW;s) � Repair ❑Storm Damage 19202 Minnctonka Blvd
Dcephaven, M�! 5G391
0 Siding � Restoration �Other: s ecif
f P Y� Phone; 952-47'-0590
_� Re-roof � Fax� 952-471-0662
❑Fire Damage www.minn�hahacreP"K.ora
Overall PraJect Descriptian: Tear-off!Reroof � '� �
_Estimated Construction Valuation of Project(ex�luding land) S 9324,00
APPucqNT acKNaw�Eo�EMENT:
- Agrees to provide all informalion required or requesteci by the Building Department; �
► CeRifies that Ihe in(orma6an supplicd is ttue and corr�ecl 10 the best of his/her know.edge_ The applicant recognizes that they
are salely responsible for submilting a complote appJicatipn being aware that upan failure to d0 so, the slaff has na 3lternative
b�t to rejoct it until IS is complete;
• Some or all of the information thal you are asked t❑ provide on Ihis appliC3lion is classified by Stale law as eithor private or
confidenlial. private dat� is iniormation which eenPrally cannot bo given to �he pub�i� but can kae given lo Ihp sub�ect of the
I data. Confidential data is intormation which generally canc�px�be g�ven to ei�her the publie cr the subjec; of the data. 0���
purpose and intentled use of Ihis informali y is an � �/update our rar.ords and records of athcr govemmenta! �yenaes
re ua ired,b law. If you refuse to Su�iply the i o ' n a lication may not bo is5ued.
, � -� y
Applicant's Signature: _/� Date; 0 510 4/2 0 1 0
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Last Updaled� 05-Od-200J
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��Ccrsc: �cl�nlifc3tion �•l�mr,�r 20431519 Quar,fying Parsan; �A'F:ICr. �= C.;OTY
LirE�ns���x�ir�,���n Dat��: 03f311�012
CG�ni��;uing l=�Jiir,�iior�: 1: hours puF� b�+C3::3���0;?
� � ATE � TIME V
CITY OF ORONO CALLED IN � /
INSPECTION NOTICF ^C�Q�,sCHEDULED ��
PERMIT NO.o� � '-�COMPLETED
ADDRESS � '�-�
OWNER TEL P ONE NO �'�`�-��3-�'�-�
CONTRACTOR C ax
>: DESCRIPTION �� �-� � ���
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
� ❑ 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/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Catl for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor n site-
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
�4� �� �l.. r� DATE TIME ✓
CITY OF ORONO CALLED iN ��( I 3 I� L"
INSPECTION N�O1TICE� �scHEou�E� -C � � U �
PERMIT NO. .�C�'�l% C'���.�COMPLETED
ADDRESS � ;� � C, l�-� v'� I �. ���� S� ��� .
OWNER TELEPHONE NO. C�l (�la S9�-�3$�
CONTRACTOR �,;`�" L( C��/'�S t' � °� 6�
>; DESCRIPTION ����� � ��F
�
� ❑ 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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES�NO
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� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP OFDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
Owner/Contractor o site:
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Inspector_ i —� �� S
White Copyllnspector's File Canary Copy/Site Notice