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Home My WebLink About2015-01505 - roofing f ' CITY OF ORONO * 2 0 1 5 - 0 1 5 0 5 * 2750 KELLEY PARKWAY DATE ISSUED: 1 U24/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 137 CHEVY CHASE DR PIN : 36-118-23-41-0024 LEGAL DESC : HILL O'WAY MANOR : LOT 019 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUAT[ON : $ 5,500.00 NOTE: VALUATION OF PERMIT: $5500.00 ROOFING PERMITS ISSUED W[THOUT 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[NSPECTION 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 139.36 STATE SURCHARGE(VALUATION) 2.75 TRINITY EXTERIORS, INC. 4204 PARK GLEN RD TOTAL 142.11 ST LOUIS PARK, MN 55416- Payment(s) (612)888-9497 CREDIT CARD 4454 142.1 1 Minnesota State License#: BUIL-BC629997 OW1vER SATTERVALL,MR.& MRS. 137 CHEVY CHASE DR WAYZATA,MN 55391 AGREEMENT AND SWORIv 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 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 au[horized is not commenced wi[hin 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 requested in conformance with[he State Building Code.This permit may be revoked at any time for due cause. � l / Y" N� Applic ermitee Signatur Date Issue y Signature Date From:Traci LeFfier Far,:f952)920-9520 To: Fax: +1 (952j 249-4616 Page 2 of 4 1112d/2015 2:51 PM c � City af 0►rono E3uilding Per�mit Application for Maint�nanc� / Replacement / b�:ernod�l (i.e. windows, doors, siding, re-roof, etc, -� NO ;�T'RUCTURAL EXP�►IVu�IONj ..__.__. W..�._�., '�` ��y�.,r Mailing Address �/�J�.'� � � �� d V \ PO Box 66 Permit�umber: Q� r`�� %/ � � Crystal Bay, MN 55323-Oa66 Date receiued ��__� �� ; � � Received b �, ,� Stree.t�4ddress: Y� _ _ _ _� �� ,;^% 275Q Kelley Parkway Plan rewew fee. 1�� `<,�� L�G% Orono. MN 55356 %_— e__._W ,� F�t�� j �,//'� ---- --- -- — ----------- ---- _ _7otal Fee. �`---- --- Main: 952-249-4600 Fax. 952-249-4616 www ei.arono.mn_as This application form must be completed in ful�and all required information mus e submitte��. Incomplete applicatinns will be retumed. (Please print) GEMERAL INFQRMATION: l /� �. ; Job Site Address: ��i��+�� '�C.��,, �l�. Will this be a Parade of Momes, Remodelers Showcase Hom�c,r other[)isplay Horrte? ❑ Yes ^�� o !f yes,a special event permit is required with Pc;iC�°Department and Ciky Gouncil approval 60 days prior to the event. Shuttle bus seivi�ce witl be required un/ess applicant demonstrates suffident on-site parkrng.,is available. ,Non-permiYfed events wi11 not be allo,ved. COtdTF2ACTOR!APPLICANT fNFORMATION: Name: �t�� ..�`'�.�,v��"'.� -�r'1.�:_ State l.icense# � �l�;��.�(ft�—� �� Expiration Date: =?, ��, � rt.. +�} �.� .� , � Ex iratiun Date� '�^-!�� .�_ eacl ertification Number �_ �T- p �� .�,, ---- ---- ____ p --�/�a��-,C�_._ _��s �. (for work an homes that were canstructed rior fo 1978 , Phone (cell) �.�.`-� � �f� ��i �.'� (affice) �v�<� �`��'�' `o��f j j MailingAddress: �:�-�:s��i'4�,��1 � -- _.,_ Cify� �°�...��.�'ra (��5.� ��, t� �-----�a �. Contact Person: �'(�j��(�,,�� ,,�, AppJicant is: Contractor / Homeowner �c�«ieo�e� Emaii and/or Fax � � �� - �l"t �i�- �,a'`ds�'��' � �. '�.��'_rrft r.:°r�t� i�-, .__,...�._,g',� ��.___ ------- ' PROPERTY OWNER 1 FORMATIQ.(V: q Name: ��£��j�-��'�1/t°2.1 t __..._.— _-- -- -------._— ___._ __�__..___..... Phor�e(day): —��--��- Address: ��' � �' �l`�-�t'��"'� _ _,_ City.��' ; ZIP '�'�y �' CJ'_L�.L:___ ��.,��f-- Email andlor Fax: PR�,lECT INFORMATiON: Overall pro�=ct description: Type of Project� J �� T-- Any earth movemen4 may also�require �� ❑D�or(s} ❑ Rerr�odel ❑ Fire Damage MCWD review&permits: ! , �e-roof,as halt � Minnehaha Creek Water;hed Di>trict{MCWD) p ❑ Rep�ir ❑Storm pamage- 18202 Minnetonka I31vd ❑Re-roof,cedar ❑ Restoratipn ❑Water Damage l�eephaven,MN 5�391 I ❑Re-roof, ather(specify) ❑5iding ❑C>ther. (specify)" �'hone: 952-471-O:i90 Fax: 952-471-06t32 �I ^ ❑Winciow(s) www.rninnehahacreek_o� ' I�.—�____._.__- - � ��w� --- ------------- -----__-----.. Estimated Construction Valuation of Project{exc(uding land}� $��"},�"=a��°} __� �� APP�ICANT ACKNOWLEDGEMENT: ` • Agrees to provide a!I information required or requested by the Building Departn�ent; � � � �v� • CertiPies that the infarmation supplied is true and correct to the beat�f hisfher knowlEdge. The app(icant recognize��tnat they are solely responsible for submitting a cornplel�e application being awdre that upon failure to do sq the staH has ro alternative but to reject it untif it is complete; � • Some or all of the information that you are asked to provide on this applic�ation is class�fied by State law ;�� e+iher private or confidential. Private data is information which generally cannot b�given to the public but can be given to the subject of the data Confidential data is infarma;ion wF�ich gene�ally cannot be given to eitner the public or the subject of the data. Our purpose and intended use of this information is to anr�uaHy update our records and records of other governmental agencies requ red by Izw. If _ yau refuse to su I �"e'infor �rtion,the � Ii^ation maLnot be is�ued. A�plicant's Signature: �� '' ^�-�.. i�� Date:� ��O J __�_ �— - Owner's Signature: __��___ ____ Date __ ��_T Las1 Updafed:January 2015 _ ` DAT TIME CITY OF ORONO CALLED IN INSPECTION NOTI CHEDULED � - PERMIT NO. �a�� OMPLETED -`�� ADDRESS 3 / OWNER � T EPHONE NO. �'^ 8� CONTRACTOR � � � DESCRIPTION ly ❑ FOOTING ❑ D MO- AL ❑ 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 ❑ RATED WALLS � ❑ ULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: o� W a � J O � � O � W � Q � 2 W � W � j d W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ 1 SUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 24 46�� OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice