HomeMy WebLinkAbout2012-00839 - roofing � • _ CITYOFORONO * zPJ 12 - 00839 *
2750 KELLEY PAItKWAY DATE ISSUED: 08/27/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3075 FARVIEW LA
PIN : 04-117-23-33-0006
LEGAL DESC : FARVIEW
: LOT 004 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 14,980.00
NOTF,: VALUA"fION OF PERMI'1':$14,980.00
ROOFING PERMITS ISSUED W[THOUT GNOUGH NOTICG I'OIZ�EAR OFF INSPt;CT[ONS. (WF,REQUIRE 24-48 NOTICE, PRIOR TO
WORK BGING STARTGD) MUST PROVIDE COMPLETE SET OF YICTURES OR A FINAL INSPECT[ON MAY NOT BE ISSUED.
SIGNS-ADVEKT[SING SIGNS MAY ONLY BE ON THG PROPF,RTY DURING"1'FIE TIMG THE ROOF IS BEING DONE.
ONCE WORK lS COMPLGTGD TIIE SIGNS MUS�'BE REMOVED.
APPLICAI�IT PERMIT FEE SCHEDULE 265.50
LAKEWOODS REMODELING INC. STATE SURCHARGE(VALUATION) 7.49
9001 E. BLOOMINGTON FREEWAY ST TOTAL 272.99
BLOOMINGTON, MN 55420-
(952)888-5550 PAID W[TH CC# 4253
Minnesota State License#:20443066
OWNER
STOFFERAHN,GABRIEL&GRETCHEN
3075 FARVIEW LA
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
Thc work for which this permit is issucd shall be performed according to
the approved plans and specifications,applicable City approvals,and thc
State Building Code. "I'his perniit is for only the work described and does
not grant pennission 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 specitied 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 time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance w' i the State Building Code.This permit may be
re at an time f ��� use.
�� � / ���
�;a.7,� a---
App�cant Permitec Signature Date Issu d y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. , ,
City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
� Mailing Address: Permit number: 2Q/2�
�,�,�. PO Box 66
� �\ O Crystal Bay, MN 55323-0066 Date received: ��Z. 7 /
�''�-�'" Received by:
,a �, Street Address:
�,
�'�c,L'� '�' £'�� �y 2750 Kelley Parkway Plan review fee:
9kESI3�4'� Orono, MN 55356
_= Total Fee: � � �d, 9 9
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: 3b 7� �,,,-�,F� (���
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 service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: 1.-�1C��r���.� k��eir��r-�<<r����_
State License# �L i.:4� ��,�� Expiration Date: 3 — 3 r — 1�
Lead Certification Number: N�R�T— S�S'�S'�� —I Expiration Date: �-a 5_ ��
(for work on homes that were constructed prior to 1978
Phone: 9�Sa �S�S g -S S5� (office) (c,f a 3„�FS —S�' (cell)
Mailing Address: �c�s1 c� ��� e� - z,. c� City:'�[�,,,,,�� .��„� ZIP: S S��
Contact Person: �c.� Applicant is: ontrac o �/ Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: � �a�-d—�r�fr_�e►-i 5�����(�r� l�►,
Phone (day): � j a � -�'jb-3 i�f�
Address: S��,n�__ City: ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits:
,r Minnehaha Creek Watershed District(MCWD)
(� Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
P hone: 952-471-0590
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description: �T�o �F''����-+= 1�c�.�S��+-- 6,42��;,�
Estimated Construction Valuation of Project(excluding land) $ �y 1 g
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
re uired b law. If ou refuse to su I the information, the a lication ma not be issued.
ApplicanYs Signature: ��r �'��, �� /�/"/�-__,_�� Date: g'"�� - �a
� �
Last Updated: 08-09-2011
�Y DATE � / TIME v
CITY OF ORONO C LLED IN 11 ���''
INSPECTION TIC SCHEDULED 2
PERMIT NO.���-aa�3 �C PLETED
ADDRESS �O�� v��L-��-���
OWNER ELEP NE NO.
CONTRACTO � --s
�: DESCRIPTION ��Z-
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
j
d
W� RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED r7 ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
Owner/Contractor on site:
Inspector. . f
White Copyllnspector's File Canary CopylSite Notice
DAT TIME �
�`��� �
CITY OF ORONO CALLED IN
INSPECTION N �CE r DD S��CHEDULED �(��//�
PERMIT NO. co PLETED
ADDRESS ��7� \�� Ul '�
OWNER TE PHONE NO.�� � � —� �
CONTRACTOR �
� DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FI L ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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-FINA� ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
�
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
� ❑WORK SATISFACTORY:PROCEED j�PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED C7 ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAII INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALITOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �QSZ� Z49-46��
OwnerlContractor on sjte: �
Inspector. � ��"I ��6.
White Copyllnspector's File Canary CopylSite Notice