HomeMy WebLinkAbout2014-01202 - roofing CITY OF ORONO * z 0 1 4 - 0 1 2 0 2 *
2750 KELLEY PARKWAY DATE ISSUED: 10/15/2014
ORONO, MN 55356-
` (952) 249-4600 FAX: (952) 249-4616
,.4DDRESS : 3335 CRYSTAL BAY RD
PIN : 17-117-23-41-0034
LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B
: LOT 007 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT v�S �`�Q • L�L�y1..�� �
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VALUATION : $ 10,000.00 O
NOTE: VALUATION OF PERMIT:$ 10000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDG COMPLETE SET OF PICTURES OR A FINAL[NSPECT[ON 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 191.75
STATE SURCHARGE(VALUATION) 5.00
LINDUS CONSTRUCTION INC
879 HWY 63 TOTAL 196.75
BALDWIN, WI 54002- Payment(s)
(715)684-4647 CHECK 67550 196.75
Minnesota State License#: BUIL-BC007644
OWNER
RAHMAN,PAUL
3335 CRYSTAL BAY RD
WAYZATA, MN 55391-
AGREEMENT AIYD SWORN STATEMENT
The work for which this permit is issued shall be perfomied 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 pennission 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 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 worh has commenced.
The applicant is responsible for assuring all required inspections are
requested in conforn�ance with the State Building Code.This permit may be
revoked at any time for due cause.
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A�fi"�F ermitee ignature Date Issued y Signature Date
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City of Orono �� �, � �
Suilding Permit Application for Maint�nance / Replacement / Renova#ion
� (No structural expansion. Only windows, doors, siding, re-roof, etc.)
/�'O� Mailing Address: Permit number:
� �I� � PO Box 66
Crystal Bay, MN 55323-0066 Date received:
�
Street Address: Received by:
� \ ` 2750 Kelley Parkway Plan review fee:
� �� Orono, MN 55356
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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: 3335 Crystal Bay Rd, Orono, MN 55391
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No
If yes,a special event permit is required with Police Department and City C:ouncil approval 60 days prior to the event. Shuttle bus service will be
ranuirP.ci un��ss aon�icant demanstrates sufficient on-si!e narking is availab/e. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: Lindus Construction, Inc.
State License# BC007644 Expiration Date: 3/31/16
Lead Certification Number. NA'I'-58924-1 Expiration Date: 6/10/15
(for work on homes that were constructed prior to 1978
Phone: (cell) (office) 651-967-0379
Mailing Address: g79 Hw 63 City: B win,WI Z�P� 54002
Contact Person: Amy Jilk Applicant is:;-�ontractor Homeowner (Circle One)
Email and/or Fax: amyC�lindusco com C �—
PROPERTY OWNER INFORMATION:
Name: Paul Rehman
Phone (day): 612.801.9057
Address: 3335 Crystal I�ay Rd City: Orono, MN ZIP: 55391
Email and/or Fax:
PROJECT INFORMATION: Overall ro�ect descri tion: Reroofin - tear off existin and replace with new
Type of Project: Any earth movement may also require
❑ Door(s) MCWD review&permits:
❑ Remodel ❑ Fire Damage
�Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
18202 Minnetonka Blvd
❑ Re-roof, cedar LJ Restoration ❑ VVater Damage ueephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) 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 information whicl� erally cannot be given to either the public or the subject of the data. Our purpose and
intended use of this information is tA'ann Ily update our recer�a�d records of other governmental agencies required by law. If
ou refuse to su I the informatio�,the lication a ot-be;'i s d.
ApplicanYs Signature: Amy Jilk _ � Date: 10/9/14
Owner's Signature: �° Date:
Last Updated:03/06/2013 V/ � �5
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�I��A�E 3� T�
CITY OF ORONO CALLED IN
INSPECTION T C O� Z�L SCHEDULED L l /`c
PERMIT NO. COMPLETED
ADDRESS 3335 ��`"� �3°'► I�
OWNER TELEPHONE NO.��� ���� ��7
CONTRACTOR �--���S ��
� —E,c ��ror�— �r
�; DESCRIPTION -
� `�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRA ING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ IN LATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� � MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑�RK SATISFACTORY:PROCEED PROJECT COMPIETE
� ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in a . 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSfte Notice