HomeMy WebLinkAbout2016-00618 - roofing CITY OF ORONO * Z 0 1 6 - PJ 0 6 1 8 *
, ' 2750 KELLEY PARKWAY DATE ISSUED: 06/OU2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 145 CYGNET PL
PIIY : 04-117-23-22-0012
LEGAL DESC : SWAN LAKE ADDN
: LOT 006 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-iJNDEFINED
VALUATION : $ 14,000.00
NOTE: VALUATION OF PERMIT:$14,000.00
ROOFING PERM[TS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF[NSPECT[ONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL[NSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 26328
STATE SURCHARGE(VALUATION) 7.00
SPOTLESS& SEAMLESS EXTERIORS TOTAL 270.28
17137 76TH PLACE N Payment(s)
MAPLE GROVE, MN 55311 CHECK 13798 27028
(612)237-5209
Minnesota State License#: BU[L-20629907
OWNER
BADER, LOUIS&NYLA
145 CYGNET PL
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building 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 specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 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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ppp� ' ------Date Iss�Cie By Signature Date
May. 31.2016 05:04 PM 7633156777 7634281111 PAGE. 2/ 2 ,
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C�ty o# 4rono
euilding Permit Appiicatian for Maintenance 1 Replacement/ Remodel � R�sidential ONLY
(i.e. windows, doors, sidinq, re-roof, etc, — NO STRUCTURAL EXPANSION)
MaHing Address: � �-; / `��
���0 PO Box 66 Permit number: / � l
Crystal Bay, MN 55323-00�6 Date recefved� _� � -
Street Address: ReCelved by�
S ;� 2750 Kelley Parkway ' Plan revlew fee: � � �
`�� w� Orono,MN 55356
'KFs ii oa
; 7otal Fee, `:��L•', (� �
Main� 952-249�B00 Fax 952-249�4616 www.ci.orono.mn,.�.�
This application form must be completed in full and af! required information must be submitted.
fncomplete applications will be returned. (Please print) . .
GEN�RAL 1NFORMATION; ��/ �
Job Slte Address: ��[� �y,�r� rlace �rd��p /�/V ,�,53.�
WiEI this be a Parade of Homes, Remdt(elers 5howcase Home or other Display Hame? Yes No
!f yes,a specia!event permlt is n9qulivd w/th Polroe D6paltRtent&nd City Council approval 60 days prlor to the eve»t. ShuHle bus servi will be
n9qulrelf un(Css applfC9nf demonshatos sutTicient on,site paiiring is avallable. Non-permitted evenfs wrff nof be allowed.
CONTRACTOR/APPLIGANT INFQRMA714N:
Name: 59 seo.,rn P�65 �ic~�r�arS
State�.icense# (3�,�2 G�qQ�. Expir�tfon Date: y p
Lead Certification Number: Expiration Date:
(for work on homes thai wera canstructed prlor t�1978 � '�
Phone; (cell) �3 �$� 2,��(� (office)
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MailingAddreSs: ��-Ir.�-' 1C�r'�r`�'�r?__ . ��av � Cify: QSS�O ZIP: 5�'36�
Contact Person: ��x Applicant is: Contractor / Homeowner (Circl�one)
Em�il and/or Fax: ��,3 ��,�W � ���.�... ^
PR�PERTY OWNER tNFORMATION:
Name: �, .�r
Phone{day): /�..�9�3"�'O/ �
Address: /c�s f�ne� v/eac� CitY� (7rar-�o ZIP' SS.�.�S�'
Email and/pr Fax: „f�
PROJECT INFORMATf�N: Overall ro"eet descri tion:
"Typg of Project: Any earth mdvemant may also requlre
❑ Door(s) � Remodel ❑ Flre Damag� MCWD revlew&permlts:
�Re-roof,asphalt ❑ Repair ❑Storm Damage Minneh2ha Creek Watershed Dlstr�c#(MCWq)
15320 Mfnnetonka�Ivd
� Re-rooF,cedar ❑ Restoration ❑Water Damage . Minnetonka, MN 55345
❑ Re-roof,oth�r(spaclry) Q Siding ❑ Other: (speclfy} Phone: 952-471-0590
Fax: 952-471-0682
____ _. _... . ❑Window(s) www.minnehaha ce�9
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Estimated Construction Valuation of ProJect(excluding land) � /�!�j(j�
APPLICAN7'ACKNOWL�l7GEMENT:
• Agrees to provide all Informatlon required or requested by the Building Depa�ment;
• Certifies that the information supplied is true and correct to the best of h«lher knowledge. The applicant reCOgnizas that th�y are
solely responsible Por submitting a complete applicatkon being aware that upon failure to do so, the staff has no altemstive but to
reject it until it is complete;
• Some or all of the information lhat you 2re asked to provide on this epplication Is classified by State law as either prlvate or
confidential, Private data is informetian which general�y C�nnot be given to th� public but can be given to thB subject of the data.
Confidential data ls Informatipn which generally cannot be given to either the public or the subject of the data. Our purpps�and
intended use of this information is to annually update pur records and records o#other governmental agencf�s r�quired by iaw. If
ou refuse to su i thp information' the a licatian ma not be issued.
_._.._... _._.....
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Applicant's Signature� DatE: 5�.����6�
Owner's Signature: �-- �ate� -��3��"��
Last Updated:Januery 2016
_ _.
May. 31.2016 05:04 PM 7633156777 7634281111 PAGE. 1/ 2
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FAX Cr�ver Sh�e�
8rT5 Jefl�rson Nwy
SPOTLFSS&SEAMLESS osseo,MN 55369
������� Fax:763.3i5.6777'
��S Office� 763.428.1777
61C#BC61990'7 NnMOl�S�ci/ri5.L'UITi
Date; �3�—/� Time;
To� Fax� �/f� ,��/��— ����
Company: ,�p o�/:S� �d�rr1�CSS ���rlvrS'
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Important Notice:�'his IriPormation Cnntains COnfid�ntial Meterial!
All infornt�tlor�conteined in it�ie�nd G�II udr�os of this fa�simile are intend9d fnr thN uso of tha individual�r enElly to which it was intendod to b2
delivere�i.If Contains pnvileged,Confic�entic�l,wroprlet2ry infprmatian and is exerr��t hofn disclpsurp undvr applicable I�w.It tl��rgader or recipi6nt of
this comniunic�ti�n is npt tho{ntend�d recipient,you are P��reby nutifled th�t sny disctosure,cWpyinc�or cilstribution of this Comi'11ur�i,r,c�tiUr,is 9trlct{y
pr�hfqited.If y�u have reo9'Ned tP�ls transmission in orror,plo75e noliiy uti Imm�diately At 763,428,1111 destrUy aill copios and roturn tho otlt�ine�l Ip tha
abov�ac�ciress.Tliank you�nd have a c,yreat day!
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOME SCHEDULED
PERMIT NO. a0/ -404/ Y COMPLETED a• Sa vc,(
ADDRESS /95 C y, rla A/.
OWNER TELEPHONE NO.
CONTRACTOR 2C /esr Seder*,ZeSS £xie r,o•s
E DESCRIPTION Re- r oo
lir ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
• ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI 0 SITE INSPECTION
IC 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
0 FINAL ❑WATER HOOK-UP FOLLOW-UP
141 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: Pe( art kVA fay,/ 7 t ea If 4,'
0W. Al aL /45,
j Permit has expired per MN Building Code Sec. 1300.120 subp. 11
I-• Expiration, no record of a Final inspection.
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W ❑WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
Ct
0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
C0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 tours in advance. (952) 249-4600
on site:
Inspector. t
Whits Copy/Inspector%Flip Canary CopyISIts Notice