HomeMy WebLinkAbout2016-01223 - roofing � CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: 09/29/2016
` ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2918 CASCO POINT RD
PIN : 20-117-23-31-0073
LEGAL DESC : REG. LAND SURVEY NO. 0461
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIV[TY : O/S BUILDING-UNDEFINED
VALUATION : $ 4,800.00
NOTE: VALUAT[ON OF PERMIT:$4800.00
ROOFING PERMITS[SSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTGD) MUST PROVIDE COMPLETE SET OF PICTURES OR A F[NAL INSPECTION 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 123.87
STATE SURCHARGE(VALUATION) 2.40
INCLINE EXTERIORS INC TOTAL 126.27
26175 BIRCH BLUFF RD
SHOREWOOD,MN 55331 Payment(s)
CHECK 11066 12627
(612)471-9065
Minnesota State License#: BUIL-20168831
OWIYER
SCHULTE, STEVEN& KIREN
2918 CASCO POINT RD
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. This permi[is for only the work described and does
not grant pennission for additional or related work which requires separate
pemiits. 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
conunenced within I80 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 con ormance with the State Building Code.This permit may be
revoked at any h e for due cause.
r
9' �o2�I�/ C�
Applic ermite ' n ure Date Issued B ignature Date
City of Orono
Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY
• (i.e. windows, dioors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
�O . ` Mailing Address: Permit number: �� �p — b Z Z`
1��0 PO Box 66
Crystal Bay, MN 55323-0066 Date received: �— � —�
� a
Street Address: Received by:
ti�, G� 2750 Kelley Parkway Plan review fee:
t �, Orono, MN 55356
�kFSH�� /(J�...�/ i �V
Total Fee:
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: o�� � C e�-5�'G �� �,�
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. Shutt/e 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: .�,n.�li �+Z. ��'�Q,����5
State License# C J�&�,�3� Expiration Date: � 7
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) �',Sa- �� ..�573 (office) ��,�— �-��%� G'�(�S�
MailingAddress: ,��;)�j ��`fCj� U � Cit � �' v� ZIP: ,�"
Contact Person: �. y Applicant is: ontractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: �i ��V� �C � �
Phone(day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345
� Re-roof,other s eci Phone: 952-471-0590
` Fax: 952-471-0682
( p fy) ❑ Siding ❑ Other: (specify)
`' • f�� ❑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 generall ,cannot be given to the public but can be given to the subject of the data.
Confidential data is information which generally c ot be given to either the public or the subject of the data. Our purpose and
intended use of this information is to annuall date our records and records of other governmental agencies required by law. If
ou refuse to su I the information,th lication ma not be issued.
ApplicanYs Signature: Date: / �� / ��U
Owner's Signature: Date:
Last Updated:January 2016
•
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO..2016 •d1aa3 COMPLETED 3- 6 -/Y
ADDRESS oZ ?' Ca Sc o PL• 2d1.
OWNER TELEPHONE NO.
CONTRACTOR . .Ac%,r e X E+c_r ea ff
E DESCRIPTION �G- ,' o •C
W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
• ❑ POURED WALL ❑ PLUMBING RI 0 EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL 0 TREE REMOVAL
0 RADON SLAB ❑ MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT
• 0 FINAL ❑ WATER HOOK-UP FOLLOW-UP
❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
0 DEMO-SITE 0 SEPTIC INSTALL
' OWNENCONTRACTOR TO MEET YOU:_YES_NO
COMMENTS P .er i Z-�`�io/S'e" .�,�0 cue 1fcc
q 1l4 4.G /is�cela rl
j Permit has expired per MN Building Code Sec. 1300.120 subp. 11
o Expiration, no record of a Final inspection.
ac
0
cc
a
Wa 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 0 ORATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal for the next Inspection 24 hours in advance. (952) 249-4600
OwnerlContra on site:
Inspector:
Whits c opy Inapsctor s FIM Canary Copy/Spa Nodes