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HomeMy WebLinkAbout2014-01012 - roofing � . � CITY OF ORONO * z 0 1 4 - 0 1 0 1 z * 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2014 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 : $ 4,806.37 NO"I'E: VAI,UA"I�ION OF PERMIT: $4806.37 ROOFING PERMITS ISSUED WI"THOL'T ENOUGI3 NO"T10E FOR TEAR OPF INSPECI'IONS. (WF,REQUIRE 24-48 NO"I�ICF_, PRIOR TO WORK BEINCi STAR"�ED) MUS"1'PROVIDE COMPLETF.S};I'OF PIC"I�URES OR A FINAL INSPF.CT[ON MAY NOT BE ISSUED. S1GNS-nDVER"I'IS[NG SIGNS MnY ONLY BL ON'1'HL-;PROPEK"1'Y DURING THE TIME'I�HE ROOF IS E3EING DONE. ONCE WOI2K IS COMPLETGD THE SIGNS MUST BE RF,MOVED. APPLICANT PERMIT FEE SCHEDULE 118.00 STATE SURCHARGE(VALUATION) 2.40 LEGACY RESTORATION LLC MISC FEE 0.00 14000 25TH AVE N#1 10 PLYMOUTH, MN 55447- TOTAL 120.40 Minnesota State License#: Bi1[L-BC647213 Payment(s) CHECK 1867 120.40 OWNER ASPHOLM, RYAN 3493 CRYSTAL YL WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMF.NT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and [he State Building Code. This permit is for only the work described and does not grant permission for addi[ional or rela[ed 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."Chis permit will expire and become null and void if construction authorized is not commenced�+�ithin 180 days of the dare of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. "t'he applicant is responsible for assuring all required inspections are requested in conformance with the State E3uilding Code.This permit may be revoked at any time for due cause. / � ,,'� , � �" ; ���.�t-� i � l� A ica Pe ee Si ' at . Date ' � R� , �� � ,_'_; [ssue By Signature Date . � City of Orono ��.� i ��7 Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O�O Mailing Address: Permit number: p7D��` ��v� PO Box 66 Crystal Bay, MN 55323-0066 Date received: —'�f —" Street Address: Received by: y � 2750 Kelley Parkway Plan review fee� `�t L Orono, MN 55356 �KFSf��Q�� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �"2��� This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: ��} �_ Ci�yS-� }�l�;L Will this be a Parade of Homes, Remodelers Sho ase Home or other Display Home? ❑ Yes �'No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: ,�.� 1�itic5-�i��-�,�� L.C_ , State License# � �a ( 3 Expiration Date: 313 � ,2�j �, Lead Certification Number. -� j O�', -�bS�- I Expiration Date: �'G� �D .�D 1� (for work on homes that were constructed prior to 1978 Phone: (cell) (af o� �c..-{D� 1(�p( (office) �(-�3 3Sy -���.C� MailingAddress: (-�� Srt� City:pj y,-�pL, ZIP: SC..�L4 Contact Person: ��,���''�C.`�y�j �� Applicant is: Contracto / Homeowner �c��oieo�e� Email and/or Fax: � 1��(Ly�l�c����,�� �P•�1�v�-.S_�t )`�-CS�C`c,��'o�-� LLL. : <.�1�--, PROPERTY OWNER INFORMATION: Name: ��A��►'1 7�'`�.-�U� V�'� Phone (day): �)cJ�a – c� c��Cj� .�1�� Address: �� �1 � �f�S�� ����C_-�_ City: ��c,�Z�;�� ZIP: .S�3�� Email and/or Fax: ;2 h c�� c��,►-� � 1 r,-� �> �r S 1,�,c , C�,� . � 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) $ � R O(� : 3-�� 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 i formation,the a licatio m� not be issued. ApplicanYs Signature: � /� �i�����/ ��� � �� Date: 1 � �y Owner's Signature: Date: Last Updated:03/06/2013 �-� � _ TE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED — ' �� PERMIT NO.a�� ' 0�1��'� COMPLETED ADDRESS -3 ST�.C.- OWNER EPHONE N . "/ ���� CONTRACTO e�� �; DESCRIPTION �`-'��� tu ❑ FOOTtNG ❑ PLUMBING AL ❑ GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS h Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ PLUM8ING RI ❑ SEPT�C FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O — �. � O � W � Q � 2 W � W � j W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O' ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATIO SSUED ❑STOP ORDER POSTED.CALL INSPECTOR � ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h rs in a 52) 249-46�0 OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice �� � � DATE TIME �/ CITY OF ORONOv CALLED IN INSPECTION N I �� �q/�r•7sCHEDULEO I� �1- PERMIT NO. LCOMPLETED ADDRESS �'t����T�(�C � J��- OWNER TELEPHONE NO. �� � CONTRACTOR � ���������� � �; DESCRIPTION � lu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FINAL 12dd T ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FIN L 0 FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: /��t�e dK�T ��e���'��I/t� c�ax� � - new �4. c���•�� l�s�,K� �a o ' c���G vc.c�����rc.� �o�o v�p c,�J � GJa�� C�,�c����� - 0 � W � Q � 2 W � W � j d W ❑WORK SATISFACTORY:PROCEED ,�pBDJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (J52� 249-4600 OwnedContractor on site: Inspector. �L� '�� White Copyllnspector's File Cenary CopylSite Notice DATE TIME Y CITY OF ORONO CA�LED IN _� INSPECTION NOTICE SCHEDULED / PERMIT NO. �o Eo ADDRESS � � � � `�' OWNER TELEPHONE NO. CONTRACTOR •� � /� � DESCRIPTION � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ IN LATION ❑ WOOD BURNEfl/FIREPLACE O SITE INSPECTION Q ❑ ADON 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 ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 4. � � O �. � O � W � Q � 2 W � W � j W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ I E CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING 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 24 hours in advance. 9-46�� OwnerfContractor on site: inspector. � ' White Copyllnspector's Ffle �f Canary CopylSite Notice