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HomeMy WebLinkAbout2016-01295 - roofing CITY OF ORONO * Z 0 1 6 - 0 1 2 9 5 * 2750 KELLEY PARKWAY DATE ISSUED: 10/12/2016 � ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2683 CASCO POINT RD PIN : 20-117-23-23-0001 LEGAL DESC : AUDITOR'S SUBD.NO. 265 : LOT 001 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 20,200.00 NOTE: VALUATION OF PERMIT:$20,200.00 ROOFING PERMITS ISSUGD WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECT[ONS. (WE REQUIRE 24-48 NOTICE,PR[OR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BGING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOV�D. APPLICANT PERMIT FEE SCHEDULE 371.71 STATE SURCHARGE(VALUATION) 10.10 ALL STAR CONSTRUCTION TOTAL 381.81 5145 INDUSTRIAL ST Payment(s) #103 CREDIT CARD 8119 381.81 MAPLE PLAIN, MN 55359- (952)913-2196 Minnesota State License#: BUIL-BC690352 OWIYER ERICKSON,GERALD& SANDRA 2683 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfornied according to the approved plans and specifications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and docs not grant permission for additional or rclated�tiork which requires separate permits. All provisions of laws and ordinances goveming 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 time after 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�ee�,cause. � / �.i.-�— % '` r �-'='"�._- - "��- %o//z/�� �,�.0 , j � Z�f Applic nt Permitee �gnature Date ' Issued By Signatur Date City of Orono Buildin� Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O�O Mailing Address: Permit number: ) � — '� ��� PO Box 66 Crystal Bay, MN 55323-0066 Date received: � � Street Address: Received by: ti�, � 2750 Kelley Parkway Plan review fee: ��""� t � Orono, MN 55356 �kESHv� Total Fee: � Q C>/ Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us c> �� This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: JobSiteAddress: Z(!�� �GtSLp �"'�• �OGt� ��✓�2�fyi � N 553q ( 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 su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: f}(11'tar �on�+rv�t;� �;�/�nfi�l L�C State License# (�� (��d 3 5 2 Expiration Date: 3-3 � - ze i� Lead Certification Number: ;�yfi7-_ � �r� � 4�� _� Expiration Date: y-3 _ZoZ� (for woik on homes fhat were constructed prior to 1 78 Phone: (cell) 5�)�j (�_a I�� (office) �� �� Mailing Address: 514�j u +�n'al S+ ID City: /t �19i� ZIP: SS S Contact Person: G,,� Applicant is: Contracto / Homeowner (Circle One) Email and/or Fax: �c,1c.�� y!/,f.t���-�q�, .�oM PROPERTY OWNER INFORMATION: Name: � �G�S Phone (day): _3 Address: _ Z t��3 � Cq S�o �oi�t �c� City: Mlc�La}�G� ZIP: 55 3 q � Email and/or Fax: PROJECT INFORMATION: Overall project description: �� � ��G�' Type of Project: Any earth move nt may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8 permits: Minnehaha Creek Watershed District(MCWD) Re-roof,asphalt ❑ Repair ❑ Storm Damage 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ 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) $ Zo, 20� 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. ��� '�'' /0 -i 2^l ApplicanYs Signature: � Date: � Owner's Signature: Date: Last Updated:January 2016 ��� � � � DATE TIME CITY OF ORONO CALLED IN _���7�10 i7"�"""— INSPECTION NOTICE SCHEDULED F_ PERMR NO.�1_��f�! l� COMPLETED ADDRESS c� 0 /� � � C�-� �► (�; OWNER TELEPHO E NO. C�� , ��-�q� CONTRACTOR � ��('c Q�2 5 '- DESCRIPTION � � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: /I1��7��- �4"�(. >-P �-t�i�'1 � ���i��`� T �� �, � � ��� � � 0 � �� r v�ti-�-er' -e � �.�, ,� l� �.�. ° � ' 3 �- -�- s��-f-z���, ����-�. Z ^v���-��� -E W f � Q f� 2 ��.�L..a.� D �—�-- V � W � � , � ,�'GMORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT NfORK 8 PROCEED O ISSUE CERTIFICATE OF OCG'UPANCY 0 ❑CORRECT WORK���FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-48�� OwnerlContractor on site: Inspector: (��� � ' White CopyAnspector's FII� C�nary CopylSit�Notke � �. � � DATE TIME� �� CITY OF ORONO cnLLED IN INSPECTION N TI ��l-y�,j SCHEDULED �' '� _-`� PERMIT NO. � �`�� COMPLETED ADDRESS �1� t� � C OV� C(J � OWNER TELEPHONE NO. �G�`�' � � 3 �"�� CONTRACTOR � I S-} Q� h T � � DESCRIPTION �"� ��� I ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI Rb EXCAV/GRADING/FILLIN(3 Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BUHNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ S PTIC INSTALL 2 OMINEiilCO�fTMCTOR TO MEET YOU: YES_NO y COMM � ( ��� ,� ��./.� _.�,� ��'� �-� i� � ` ' � ' .:� ���. ��r .�- �- /� o L I ` � � . !/�G 'T S � Jn � /� � C G / ,1C. �.G� o L/, s��. �; � � ��`' �� � �,n..j i,�,�,.��/'���:.�i / �J, � ,..L I�-J J /C j -J�y "( c F� W � � �- F ,��. ��a W � j ����' � ❑WORK SATISFACTORY:PROCEED ! �W ECT COMPLETE W ❑OORRECT W'ORK d PROCEED O ISSUE CERTIFICATE OF OCCUPYINCY � ❑COHRECT WORK,CALL FOR REINSPECTION TEAAPORARY V BEFORECONERINO PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CsN for the next inspection 24 hours in advanoe. (952) 249-480� Owr�Contra�on�sf e: Inspector: �, ' � YVhits Copyllnspector's FIN C�nary CopyfSfN NoUe�