HomeMy WebLinkAbout2013-00410 - roofing c , CITY OF ORONO �
2750 KELLEY PARKWAY * 2 0 1 3 - PJ 0 4 1 0 *
DATE ISSUED: OS/28/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2560 DUNWOODY AVE
PIN : 20-117-23-21-0023
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 004 BLOCK 007
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCT[ON TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING -LJNDEFINED
VALUATION : $ 8,600.00
NOTE: VALUATION OF PERMII':$8600.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICF;FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE, PRIOR'['O
WORK BE[NG STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSLJED.
SIGNS-ADVERT[SING SIGNS MAY ONLY I3E ON THE PROPERTY DURING THE TIME THE ROOP IS BEING DONF,.
ONCE WORK IS COMPLI�:I�FD THE SIGNS MUST BG REMOVED.
APPLICANT pERMIT FEE SCHEDULE 177.00
SUNRISE EXTERIORS STATE SURCHARGE(VALUATION) 4.30
4737 COIJNTY ROAD 101
SUITE#110 MAIL-IN FEE 2.00
MINNETONKA, MN 55345- TOTAL 183.30
(612)388-1865 PAID WITH CC# 5119
Minnesota State License#: BC638252
OWNER
ESTOCLET,JILL
2560 DUNWOODY AVE
WAYZATA, MN 55391
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. "i his permit is for only the work described and does
not gran[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 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any[ime 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 a[any time for due � use.
`%�u;�.�� 5�a 8�13 .� ��2� , L3
Appl�icant Permitee Signature Date Issued y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
+ ��������� �����y ��a�e ��
Gity of Qrono
Buitding Permit Application for lViaintenance / Replacement / Renovatian
{No structural expansion. {Jnly windaws, doors, siding, re-roof, etc.)
_—
` ��`- MailnTg Address: Permit number: �3 -Qd �
� � ' V�� PO Box 66 —
`�s C stal Bay, MN 55323-0066 Date received: 5-� ���
� J `' � !` Street Address: Received by: __________
l. � � �/ 2750 Kelley Parkway Pian review fee:
`' � Orono, MN 55356 1,
,\ !^ih E�,��/
- Total Fee:iv�� 8 3, �
�.._� .
Main: 952-249-4600 Fax 952-249-46�6 y�,�ry�;_=,;,i_Cron��rnn��s /
This application for must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: �Q�Q �t(`(� �/ �(!� � Qrbii/Q
Will this be a Parade of Homes, Remodelsrs howcase Home or other Display Home? ❑Yes No
If yes.a special event permii is required with Police Department and City Counci!approva!60 days prior to the event. Shutlle bus service wrtl be
required unless applicant demonstrates sufircient o»-sife parking is available. Non-pen»rtted events wiH not be alJowed.
CONTRACTOR 1 APPLICAN7 INFQRMATIt�N:
Name: �'SE �" pr�j
State License# � Expiration Date: ,� (
Lead Certification Number: � ._ Expiration Date: � j�- Q
(foi work on homes thaf were constructed prior to 1978
Phone: (cell) ( 3$g' $�;"" (office) / `3s'�'-= �
Maiiing Address: L( �l���` j� City: ZIP: f�
Contact Person: �'( ��� Applicant is: Contract / Homeowner �ci«�eo�e>
Email andlor Fax: �1�.�r ��jts" ��j��p
PROPERTY(3WNER I RWIATION: 6���' '��t+� ��/�`'�� d�..�
Name: e7C �� � c/ �T "� Q�.
Phone(day): - s' .-
Address: City� ZIP:
Email and/or Fax:
PROJECT INFORMATION: Ouerall ro�ect description:
i Type of Project: Any earth movement may also require
( ❑Door(s} ❑Remodel ❑ Fire Damage MCWD review&permits:
l�Re-roof,asphalt ❑Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
18202.Minnetonka Blvd�
� ❑Re-roof,cedar ❑ Restaration ❑Water Damage Deephaven, MN 55391
❑ Re-roof,other(specify) ❑Siding ❑Other: (specify) ,.-- Phone: 952-471-0590
Fax: 952-471-0682
❑Window(S) y�nvtiv_rni_}r�ehahacreek.o_q
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 supplietl is true and correct to the best of hislher knowledge. The applicant recognizes that they are
solefy responsible for submitting a complete application being aware that upon failure to do so, the staff tras 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
confidentiaf. 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 gener I!y nnot be given to either the public or the subject of the data. Qur purpose and
intended use of this inf mation i to a a�l date aur rF:cords and records of other governmental agencies required by law. If
ou refuse to su f t inf m n i fon may not be issued.
Applicant's Signature: Date: ��I���
Owner's Signature: Date:
Last Update.d:03ld6l2013
_ . _ _
DATE TIME ( /
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED
PERMIT NO. �°�3 ' � �y�0 COMPLEfED �.�,� _
ADDRESS •�SG� '�4�u/odcQt� Av� _
OWNER TELEPHONE NO. _.
CONTRACTOR s�*tir'so �x���o•.S
� DESCRIPTION �C - ru0� ,
� —
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLqNDS
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: _
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W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANGY
� ❑CORRECT WORK,CALL FOR REtNSPECTtON TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDEN POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2�hours in advance. (g52) 249-46oQ
OwnedContractor on site:
Inspector. Q �►�-�+ ��
White Copyllnspector's File Canary CopylSite Notice I
��� DATE TIME �
CITY OF ORO O CALLED IN .�O-�-/-3
INSPECTION N�O/�TICE D��Q SCHEDULED h-!/-/3
PERMIT NO.�(,(.�,/� ' O MPLETED
ADDRESS �s � �C��1rLl't- DO
OWNER T€LE NE NO. � �����
CONTRACTOR
�: DESCRIPTION L�� 0
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
Inspector. �„� r
White Copy/lnspector's File Canary Copy/Site Notice