HomeMy WebLinkAbout2014-01065 - roof . 1 CITY OF ORONO * 2 0 1 4 - 0 1 B 6 5 *
2750 KELLEY PARKWAY DATE ISSUED: 09/19/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 165 BEDERWOOD DR
PIN : OS-117-23-12-0011
LEGAL DESC : AUDITOR'S SUBD.NO. 203
: LOT 037 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTiVITY : O/S BUILDING- UNDEFINED
VALUATION : $ 7,200.00
NOTE: VALUA"fION OF PERMI'1':$7200.00
\
ROOFING PF.KMI"I�S ISSUF.D WI1�t IOUT ENOUGH NOTICE FOR TF.,AR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE, PRIOR TO
WORK BEING S"1'ARTL:D) MUST PROV[DE COMPLETE SE"1'OF PICTURES OR A FINAL INSPF,CTION MAY NOT BE ISSUED.
SIGNS-ADVF,RTIS[NG SIGNS MAY ONLY BE ON THE PROPERTY DURING`I'HE T[ME THF.ROOF IS BEING DONE.
ONCI�WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 162.25
STATE SURCHARGE(VALUATION) 3.60
AZAD, AL TOTAL 165.85
165 BEDERWOOD DR Payment(s)
LONG LAKE, MN 55356- CREDIT CARD 7690 165.85
OWNER
AZAD, AL
165 BEDERWOOD DR
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and spccifications,applicable City approvals,and [he
State Building Code. This permit is for only the work described and does
not grant pennission for addi[ional or related work which requires separate
permits. All provisions oY laws and ordinances governing this type of work
shall be compied with whether or not specitied herein.This permit will
expire and bccome null and void if construction authorized is not
commenced within 180 days ot�[he date of issuance,or if construction is
suspended for a period of 180 days ny time afrer work has commenced.
The applicant is responsible for� ing all required inspections are
requested in conf ce wit State Building Code.This permit may be
revoked at an tbr due se.
�� �—/�-�o%l � `' �
, pli t Permitee Signature Date Issue y Signature Date
. i
C�tyv �f Orono
Building Permit Application for fi�aintenance / R��lacerment / Renovatian
(No structural expansion. Only windows, doors, sidir�g, re-roof, e .)
O Mailing Address: Permit number.�Q� � `
� ��'�-_, PO Box 66
,
Crystal Bay. MN 55323-0066 � Date received:
� ; � , �� Street Address i �eceived by:
t �:' 2750 Kelley Parkway Plan review fee:
`.��.i�+'�\,�`,� Orono, MN 55356 —
� si��� , )
_ � Total Fee: /��.
Main 952-249-4600 Fax 952-249-4616 4 ,.^. ti u , �s �
_ ____ --- -_ -------__ __ _-- - ---- - - --- —
1-his application form must b�.� cc;rnpleted in full and all required information mus; be submitted.
Incomplete appfications wiEf be reiurned. (Please print)
GCNERAIINFORMATION: , ' �� �
Jci� �ite Acfdress� <'��D�-� _���E'.Y_�.100 �_ ►'�.,_. �YUVl� s� S�
V�iil tnis be a Parade of Homes, Remodelers Showca�� Honie c�cther Gisalay Hom?� [� Yes �No
If yes, a spucial event permit is required with Police Department and City Council approval EO days p�ior to tne ✓cr,! ;hi�tlle bus .c�vic�will ti��
reryuired unless applir,ant demonstrates sufficient on-site parking is available I�bn��permitted events will not be allowed.
CONTRACTOR/APPLICANT 1NFORMATION:
Name
State License# Expiration Date:
--__ --- -____ . _ _ - -- -_--- ----___ -- __ __ __ ___ __ --- - - ___
Lead Certificatior� Number Er,piration Cate
__ - -- - _ _ _ _- ---- - _ _
(for work on homcs that were constructed prior to f97d
Phone (cell) (office)
----- --------- --- --------------- ---._ --- -- -- ---------- ---
Mailing Address: City: ZIP
__---- ---- ------ --- ___ _---------- _ ____ __ __ _ - -
Contact Person: Appiicant is: Contractor / Hom�o��;ner �Cirde One�
Email and/or Fax:
------- ----- ---�---- -----
PrZOPERTY OW1�6�R INFORMATION:
i�lame __� �___�75.�� _
- -- _ ___ . -- ---
Phone (day) S�-3��- ��7/9
�- �- -
Ad�ress: �� _ _c, err.�r�c� ►�, Ci�y (�ro,1c� _ ZIP S�?S-6
_
__ � — -.� � - - - -- - -_ _ _. __
Email and/or Fax:
_c�,�_z-c�_��__v_r-,�-h_,�_I�__c o�-Y+----_
PRO.IECT INFORMA?'ION: Overall �roject descrirtion:____
_ _ _ - -
-__ _ � __- . _--�-- --- --_ _ ___---- --- ---
Type of Project: Ai�y earth movement may also rec�uire i
MCWD review&permits: �
❑ Door(s) ❑ Remodel ❑ Fire Damage i
� Minnchah�� Creek Watershed District MCWD �
� ��e-roof, asphaft i j i?�;�Ui: ❑ Storm Damage iii702 Minneton!<a Bivd ( )
� f-I Re-roof cedar [� Resioration [] Water Damage Uc�ephaven, MN 55391
❑ Re-roof other(specifyj ❑ 5iding ❑ Other (spc:cif;�) Piione 95?-4�i1-Q590 i
Fax 952-471-06u2
_ Window(s) ---- �-��; � t�_,� ,�,; ��,
�-- _ __ _- -------------------- --------------- -- -- --- ----,
Estimateci Construction Valuation of Project�exclud��ig la�id) $._�� D L � ��"v
kPP�ICI�.P�l7 f�C��(NOV4if�.�DGEl1fEt�T:
- - -- ___. __ _ _ _ __ _ ------ - - -_ ___ _- - _ _ . __ _ _ _--
• Agrcas to proviCe all inforrnatior requued r reyuested by the 6uild!n� f���artrnent,
• Cei!iiies that thc; informatien s,applied �s tr�:e and co�rr�ct tu the best of I��siher knowledge. The applicGnt recognizes that they are
solely responsible ier submitting a conip!ete application being aware that upon faiiure to do so, the staff has no altemative 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 privaie or
confidential Private data is information which yenerally cannot be yiven to the public but can be given to the; subject of the data.
Confidential data is information wnich nera�ly cannut be yiven to e;th�;r tlie public or the subject ot the data Our purpose and
intended use of this informatien is nnually up �, o��r records and records oi other governmental agencies required by law If
� you refuse to suppl�the inforr � e a,oplic on m�av nct be issued
_ _ __ __ __ _
--- -- -
ApplicanYs Signature: ____.___ _ C%ate �'�I�.�L��_
Owner's Signature: _ __ ________ . Date: _____
Last Updated:03/06/2013
✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.ZGG/�/'d/6G� COMPLETED /�7"j'y
ADDRESS �� ��rwoc�l Q i'-'.
OWNER �� ��� TELEPHONE NO.
CONTRACTOR ncv�clG✓
� DESCRIPTION �.e- ✓�'F
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL O MECHANICAL RI ❑ IAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL p 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS
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� ❑WORKSATISFACTORY:PROCEED / � CT COMPLEfE
W ❑CORRECT WORK&PROCEED �/❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (952� 249-4600
OwnerlContractor on sit�
Inspector. i� -
White Copyilnspector's File Canary CopylSite Notice