HomeMy WebLinkAbout2013-00792 - reroof due to storm damage ,
� ` CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 3 - 0 0 7 9 2 *
DATE ISSUED: 08/13/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS ; 3800 DICKSON EXTENSION
PIN : 17-117-23-31-0020
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 001 BLOCK O10
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING -LINDEFINED
VALUATION : $ 8,318.00
NOTE: VALUA"I'ION OF PERMIT: $8318.00-PARTIAL RER001=DU�"CO STORM DAMAGE.
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECT[ONS. (WE REQUIRE 24-48 NOTICG,PRIOR TO
WORK BEING STARTF.D) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPF,CTION MAY NOT BE ISSUED.
SIUNS-ADVER7�ISING SIGNS MAY ONLY E3E ON THE PROPERTY DURING TI IE TIME THE ROOF IS BGING DONE.
ONCE WORK IS COMPLE"CF;D THE SIGNS MUS"I'BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 177.00
MAVERICK CONSTRUCTION STATE SURCHARGE(VALUATION) 4.16
1 1227 RNER ROAD NE
HANOVER, MN 55341 TOTAL 181.16
(763)498-7401 PAID WITH CC# 1762
Minnesota State License#: BC 005572
OWNER
TURNER, PETER&TRACY
3800 DICKSON EXTENSION
SPRING PARK, MN 55384-
AGREEMENT AND SWORN STATEMF,NT
The�sork ibr which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State L3uilding 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 speciYied herein.This permit will
expire and become mdl and void if construction authorized is no[
commcnced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. �
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Applicant Pe itee Signature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
• • City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
O Mailing Address: Permit number: J �j"� 7 �—
PO Box 66
� � Crystal Bay, MN 55323-0066 �ate received: Q<3—/3
Sfreet Address: Received by:
y � 2750 Kelley Parkway Plan review fee:
F �' Oron.o, MN 55356
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Total Fee: l g� . ��j
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: ~; ��7n (�/ C, yc..�� �(J -{� (��' � �
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 Council approval 60 days prior to the event. Shuttle bus se-rvice will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATI N:
Name: �,, p N� �ti >
State License# (3 �J n� �- Expiration Date: 3 ' 3 � - ) �
� ����-
Lead Certification Number: NRT -3 l q Q -1 � Expiration Date: - �j � , l`�
(for work on homes fhat were constructed prior fo 1978
Phone: (cell) � � 2, � � (office) � G 3 �Q g 7 �{0 �
Mailing Address: City. nti'� ZIP:
Contact Person: �� ��1 � 2�,� Applicant is: ontrac o / Homeowner (Circle One)
Email and/or Fax: � ��2�) � Y�A lJE1(�, 1 C�,�� �n�c.�� � , JQ�J b N �..��E. C.byl�,
PROPERTY OWNER INFORMATION: ,/�
Name: �(�1��.,y `�' (1�.�1�j�IL
Phone (day): (�
Address: 3g a o D!G�. O � U'� ��' City:SP�j'►1J(, �� ZIP: �� � g�
Email and/or Fax:
PROJECT INFORMATION: Overall pro�ect 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) $
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 information,the a lication ma not be issued.
Applicant's Signature: Date: Q -- �3 ' � �
Owner's Signature: Date:
Last Updated:03/06/2013
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�� � DATE TIME �
CITY OF ORONO CALLED IN " I '/
INSPECTION OTICE SCHEDULED — l —
PERMIT NO. ' �7 � COMPLEFED
ADDRESS �g�O
OWNER TELEP E N0.7�3��'7 �
CONTRACTOR �
� DESCRIPTICIN �--�"�
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
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 COVEFi REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTAACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �
❑ PHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. ��
White Copyllnspector's Ffle Canary CopylSite Notice
DATE TIME �
CITY OF ORONO CALLED IN �
INSPECTION N TICE SCHEDULED ���+`f_ -
PERMIT NO. � - � C MPLETED
ADDRESS � '
OWNER TELEP ON NO.
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CONTRACTOR �
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a DESCRIPTION
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL 0 MECHANICALRI ❑ LAKESHORENVEfLANDS
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ I ULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTHACTOR TO MEET YOU:_YES_NO
� COMMENTS;
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 h urs in advan 52) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopyiSite Notice