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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. � � '�-.�.--� �� � 3 � �3 vl � ,� �- ,/3 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 l9xfSH�4� 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 � �� � 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 �--�"� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 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: � W a � � O �. � O � W � Q � 2 W � W � � J d W C�ObRKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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. . - CONTRACTOR � i a DESCRIPTION � - � ❑ 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; a � �r.►ti� — rIo ��li/ �ns.r>ec.L`.o� r�s�td��� � - J O _ � O ' � • W - � Q � W � � �u - � J _ O W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ IS E CERTIFICATE OF OCCUPANCti 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