HomeMy WebLinkAbout2013-00330 - roofing � � CITY OF ORONO * 2 0 1 3 — PJ PJ 3 3 B *
2750 KELLEY PARKWAY paTE [SSUEn: OS/OS/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3493 CRYSTAL PL
PIN : 17-117-23-43-0012
LEGAL DESC : NAVARRE HEIGHTS
: LOT 000 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : � 3,600.00
N01'E: VALUATION OF PERMIT: $3600.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NO7'ICE i'OR TEAR OFF INSPECTIONS. (WE RF,QUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SE"r OF PICTURES OR A FINAL INSPECTION MAY N07'BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON"I'EfE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK[S COMPLETED THF,SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 103.25
ASPHOLM, RYAN STATE SURCHARGE(VALUATION) 1.80
3493 CRYSTAL PL
WAYZATA, MN 55391- TOTAL 105.05
PAID WITH CC# 5449
OWNER
ASPHOLM, RYAN
3493 CRYSTAL PL
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
[he 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 authorized is no[
commenced within 180 days oY the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applican[is responsible for assuring all required inspections are
requested� or t ta uilding Code.This permit may be
rev d [any e for due c� e'
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A plic t Permit Signature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
ar �uilding Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
O Mailing Address: Permit number: -���� --� �C 3//
� �O PO Box 66
Crystal Bay, MN 55323-0066 Date received: �—���—�
Street Address: Received by:
y � 2750 Kelley Parkway Plan review fee:
�`�'�ESH�4�G Orono, MN 55356 �
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: .-- � % -
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Job Site Address: �/ � -� �- � J' ��� � �l J �
Will this be a Parade of Homes, Remodelers $howcase Home or other Display Home? ❑ Yes No
If yes,a special event permit is required with Pofice Department and City Council approval 60 days prior to the event. Shuttle bus service wrll be
required unless applicant demonstrates sufficient on-site parkrng is available. Non-permitted events will not be allowed.
CONTRACTOR/APP6�CANT,)II�FORMATI N:
Name: ���r., �-f�(��. . , �j��� .;�i,�_-�-
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) %5�� �`�G �(�/� (office)
Mailing Address: �� 1 � �� , �'/ City: ��, �t ZIP: ��"� �
Contact Person: ,-� � ,��< 2— Applicant is: Contra tor / Homeowner (Circle One)
Email and/or Fax: '
PROPERTY OWNEF�-1N�ORMAT N:
Name: ��<�-, r- ���i'-%� L_.'
Phone (day): � Z-�jG� �
Address: �I �'i � City:L,/� z���� ZIP: ����� /
Email and/or Fax: �% � : .<,->;;�1����=� C �-/✓�e�^.��,<
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) $ C
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 which generally cannot be given to either the public or the subject of the data. Our purpose and
intended use of this information is to annually update our records and records of other governmental agencies required by law. If
ou refuse to su I the inforrr�ation,the a li �tion ma not be issued.
ApplicanYs Signature: z - � --- '��__ �- Date: �`/ � �
Owner's Signature: � �_" ��J l, C-- Date: �J�G,G'� � ��
—�'`7'
Last Updated: 03/06/2013
TE TIME V
CITY OF ORONO CA�LED IN ��'�3
INSPECTION NOTICE J� /'� SCHEDULED C�=L'��
PERMIT NO. "w `� COMPLETED
ADDRESS %
OWNER ELEPHONE NO.
CONTRACTOR
>; DESCRIPTION
�
W ❑ FOOTINQ ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ �AKESHORE/WETLANDS
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❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ 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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GW •-�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑COflRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on sit�:
1 "
Inspector. ` "
White Copyllnspector's File Canary CopylSite Notice
DATE ,TI �
CITY OF ORONO CALLED IN ��I- I 3 �' ��
INSPECTIOI�-�Q�CE_���l SCHEDULED 5'ZZ—�� 7� � 2�
PERMIT N0.rL v COMPLETED
ADDRESS ��3 ���
OWNER � .-S EL PH NO. � �� `�"��
CONTRACTOR ���n I�,�. ��
>; DESCRIPTION 4��`
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� ❑ FOOTING ❑ PLUMBIN FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB O 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 ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATlSFACTORY:PROCEED �LY-PROJECT COMPLEfE
� �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑C�RRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice