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HomeMy WebLinkAbout2014-00637 - roofing , ' CITY OF ORONO * 2 0 1 4 — 0 0 6 3 7 * 2750 KELLEY PARKWAY nATE �ssuE�: 06/23/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 745 D[CKEY LAKE DR PIN : 34-118-23-22-0008 LEGAL DESC : RINGERSWOOD : LOT 004 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 10,000.00 NOTE: VnLUA'1'ION OI�' PI?RM[T: $10,000.00 ROOFING PGRMITS ISSUED WITFIOUT�NOUGI I NO"I�ICE[�OR"I'LAR OFI�' INSPEC�1'IONS. (WE RI:QUIRF.24-48 NOTICE. PRIOR TO W(>RK BI?ING S"1'AK"I�F,D) MUST PROVIDE COMNI.I',TE SE�I�01=P[CTURI:S OR A FINAL INSPF.C�I�ION MAY NO"I'[3E ISSUI?D. SIG?VS-ADVI�:RI�ISING SIGNS MAY ONLY I3E ON "I'I IE PROPI�;R�I�Y DURING�l'HE 1�IML;"I'FIE RO01� IS [3EING DON1:. <>'�'('t; WORK IS COMPI,I?'ll?U"Il[l�: SIGNS VIUS"I�f31: REMOVI�:D. APPLICANT PERMTT FEE SCHEDULE 191.75 STATE SURCHARGE(VALUATION) 5.00 D B RASKOB CONSTRUCTION LLC TOTAL 196.75 2864 ARDMORE AVE Payment(s) MAPLE PLAIN, MN 55359- (763)479-1393 CFiF:CK 16528 196.75 Minnesota State License#: BUIL-3481 OWNER HANTEN, ROBERT& LISA 745 DICKEY LAKE DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The���ork for which this permit is issued shall bc performed according to the approved plans and sp�cifications,applicable City upprovals,and the State Eiuilding Code. 'This permit is for only the���ork described and does not grant permission for additional or related���ork which requires scparatc permits. All provisions of laws and ordinances governing this type ot�work shall be compied���ith���hether or not specitied hcrein."fhis permit will expire and become null and void if construction authori�ed is not commcnccd within I 80 days of the date of issuance,or if construction is suspended Ibr a period of� I 80 days at any time afrer work has commenced. I'he applican '� sponsiblc 1br assuring all required inspections are requeste �n confo ance wid�the State f�uilding Code.'I�his permit may bc revo� d at any tin�for duc cause. / ' �l C:�/G ` �/G ���� � / / �lpplicant Yermitee Signaturc � atc / [ssuc 3 � i nature � Date > - � City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O�O Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: yF G` 2750 Kelley Parkway Plan review fee: Orono, MN 55356 `qkESH��� 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 INFORMATIO : / Job Site Address: �j ��C �('-� �/�P� /1� Will this be a Parade of Homes, Remodelers Show se Home or other Display Home? ❑ Yes � No If yes, a special event permit is required with Police Departme t and City Council approval 60 days prior to the event. Shuttle bus se ice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. C:ONTRACTOR/APPLICANT INFORMATION: � � �� ���ame: �(}' ���/�d f� " �'�''�-S - State License# 2 r��/' Expiration Date: L�—• /�- Lead Certification Nu e N� 93900- � Expiration Date: (for work on homes that were constructed prior to 1978 F�hone: (cell) �, �, �6 (office) � �,� y, �� hlailing Address: ` City: �,,��,p ZIP: ,� C:ontact Person: � �/ /�� Applicant is: Contractor Homeowner (Circle One) E:mail and/or Fax: � � b � C 6m F'ROPERTY OWNER INFORM TI� � Name: ��) �9�io f'' �� Phone (day): � �S— S"� /-- �j E-/�� Address: j�/�,� � , /.lit. , City:(j,�, �}�.,�� ZIP:� ,S��,�� Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�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) $ / O, d o 0 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 info ion 's to annually update our re ords and records of other governmental agencies required by law. If ou refuse to su I e informa on,the a � ation n e i su d. Applicant's Signature: t � -� -- Date: �� Owner's Signature: Date: Last Updated: 03/06/2013 DAT TIME � CITY OF ORONO CALLE�� INSPECTION NOTI E SCHEDULED _��'� PERMIT NO.����DD637 COMPLET D ADDRESS 7�5 '�! G��-l�-�. �L OWNER TEL' EPHONE NO�6�Z �6S g(oQ�] CONTRACTOR D� K�S!�-��/ � DESCRIPTION ��'r �� � � � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ 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 v ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEi YOU:_YES_NO v�i COMMENTS: � J/1�`��KS Q"l �GL' S►aQ-G — �iC a � " O� •o�S 1�� -4 tJ�,�`c i �rovib�� � >. � ° �ti� �'e� - Pro�:ae ,,vt�fo��s aF W � �GSt a� IGC ti 4�e��„ `t— r� Lert ,�r�44..��� Q � �j �.�tc — z W � w 2 j d W ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � �69RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY w 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL REfURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cai ext inspection 24 hours in advance. (952) 249-4600 Owner ontractor on site: G�e— Inspector. ^�' White Copyllnspector's File Canary CopylSite Notice ( DATE TIME ✓ \�CITY OF ORONO CALLED IN I INSPECTION N TIC SCHEDULED l � � PERMIT NO. b �b4 6'3.7 COMPLETED ADDRESS � �� «n ►� OWNER ���� t�C�nS�h TELEPHONE NO��2���`1'���I CONTRACTOR �� �S kC1U � � DESCRIPTION � � ❑ FOOTING ❑ PL ING FINAL ' ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �INAL O SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ° COMMENTS: �� - a�� - �'��f—l�f � W a � �LGfitr�S �/'bvl�J�� �sr l�� �'��l-`�P 0 � �vro�c��an -,F-✓oa� G.r�Zcar`r4.r�a�'_ 0 � � f�i�i.G (Je�1%'��L�ta ti Oraliifl�eO — Q � 2 � l✓dil� Q/B�t�S�'a�,�1,�7�� . j4�r..�•� ��e�� a W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISS CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on site: Inspector. !f"" ite Copyllnspector's File Canary CopylSite Notiee