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
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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�,�
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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
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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
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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
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� � DATE TIME
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INSPECTION N I �� �q/�r•7sCHEDULEO I� �1-
PERMIT NO. LCOMPLETED
ADDRESS �'t����T�(�C � J��-
OWNER TELEPHONE NO. �� �
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�; DESCRIPTION
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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
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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
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� DESCRIPTION
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l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
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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
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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