HomeMy WebLinkAbout2016-01214 - roofing CITY OF ORONO * 2 PJ 1 6 - 0 1 2 1 4 *
2750 KELLEY PARKWAY DATE ISSUED: 09/30/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 75 FERNDALE GREEN
PIN : 36-118-23-44-0025
LEGAL DESC : FAIRWAY H[LLS ADDN
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCT[ON TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 59,606.00
NOTE: VALUATION OF PERMIT:$59,606.00
ROOFING PERMITS ISSUED W[THOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PR[OR TO
WORK E3EING STARTED) MUST PROVIDE COMPLETE SGT OF PICTURES OR A FINAL INSPECT[ON MAY NOT BE ISSUED.
SIGNS-ADVERTIS[NG SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUS'I'BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 794.72
STATE SURCHARGE(VALUATION) 29.80
ADVANTAGE CONSTRUCTION INC
18563 VERMILLION STREET MAIL-IN FEE 2.00
EAST BETHEL,MN 55092- TOTAL 826.52
(763)413-7245 Payment(s)
Minnesota State License#: BUIL-BC660998 CREDIT CARD 8954 826.52
OWNER
BRINKMAN, RORY&CINDY
75 FERNDALE GREEN
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[3uilding Code. This pennit is for only the work described and does
not grant pennission for additional or related Hork�vhich 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 time after work has commenced.
The applicant is responsible for assuring aIl 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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,�D, `
Applicant ermitee Signature Date ssued By S' ature Date
Sep 27 16,04:25p Advantage Construction 7634137245 p.1
Clt�/ Of �1'OI'�O
Building Perrnit Application for Mair�tenance/Replacemenf/Remodel — Residen#ial ONLY
Mailing Address: � ` ����
���� PO Box 66 j.. �M-�I,„ Permit number.
i
( Grystal Bay, MN 55323-00�� � Date received: �� -�(p�
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Street Address: Received by:
��y�, � 2750 Kelley Parkway Plan reviewfee:
l�Kk511���� Orono, MN 55356 ^ �� ��
Total Fee: � �� ,
Main: 952-249-460� Fax: 952-249-4616 ww,v.ci orono.mn.us ��
This application form must be completed in fuli and afi required inforrnation rnust be submitted.
Incom�lete appfications will be returned. (Please priRf)
GENERAL If�FORMATION!• ,�.���
Job SiteAddress: � ,� Q�../� � Q_�._��
Wil!this be a Parade of Homes, Remodele�s Showcase Home or ather Display Home?��Yes 'No
!t yes,a special evenl permit is requirad with Police Department and City Courcil app�oval Ep days prror to the event. Shutue bus seN�ae wilf be
requrred unless ap�licartt d2monsfrates su�cienf on-site parking fs availai�le. IV�n-permrtted evenfs wd!nof be allowed.
CONTRACTOR/ PPLiCANTINFORMATION: .
Name: �j� ,�tS`�'a � V f4-�'t'-U� s a C_.._
State License# L Expiration Date: 3 -,3 _� a/
Lead Certification lVumber: �/q� ., �C�f o�D- ,+ Expiration Date:`j L�� ,� �-/-�
�,_F��5r
{tor work on honres that were consiructed prior to T97B
Phone: (celi) Z-(„��(3 - � (Q ) (oflFice) '"'?(43 -� � � _7 1�f'�`
Mailing Address: .�a'(Q"� Qa.�,,.,'.��;a� S�- � city: -�—'�-�, z��:�c� �
Contack Person: ���.,7 Applicant is: ontractor 1 H�meowner (CircloOne)
Email and/or Fax_ s�.�y , q..�vQ Nrt-a����-,YR„�� � C�o ly1 � ��� �/�f �„ZS��
. _
PROPERTY OWNER INFORMATION: ,r
Name: �..,�u �o�:N 1L vv� A N
Phone {day}:
Address: '"1S 1'��-tJ c�a.,g �_ ��h'�fea iZti-�1�,� ZIP: j�3� �
Email andlor Fax:
PRO,�ECT INFOAMATEON: Overal( ro�ect description����-' Q'l��<.� �-�- ��r
Type oi Pro�ect: A�y earth movement may a�so req�ire
❑ Ccor;s) ❑ Rerrtodel ❑Fire Damage MCWD review&permits:
e-roof,asphalt ❑ Re,�air (]Storrn Damage Minnehaha Creek Watershed Distnct(MCWD)
❑ Re-roof,cedar 15320 Minnetflnka Blvd
❑ Restoration ❑Water Damage I Minnetonka, MN 55345
( P fY1 C g ❑ Other. (specify) Phone: 952-471-0590
❑ Re-roof,other s eci � Sidin
Fax 952-471-0682
❑Window(s) _ rwow.minrtehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ r
APPLtCANT ACKNOWLEDGEMENT: CJ� ��
• Agrees to provide all information required ar requested by the Building Department;
• Certifies that the informaUon sup��ied is true and correct to the best of nisfier knowledge. The applicant recognizes that they are
solely responsible far submitting a complefe application being aware that upon faiture to do so,the staff has no alternative but to
reject if until it is complete;
, • Some or all of the iniormation ihat you are asked to provide on this application is classified by State law as either pnvate or ;
confidential. Private data is information v�h�ich generafly cannoi be given to ihe public but can be given 10 the subject�f the data. �
Confidenlial data is inlorrr�ati�n wiiich generally cannot be given to eitherthe public or the subject of the data. Our purpose and
intended use of this iniormaiian is to annually update our records and records of other govemmental agencies required�r law, If
ou refuse to su I the inf ation the a lication ma noi be issued.
ApplicanYs Signaiure����r�6ss� Date: � - � � ���'/s�
f
Owrers Signa:ure: Date:
Last Updated:January 2016
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DATE TIME
CtTY OF ORONO CALLED IN /�
INSPECTION N �'i �L�SCHEDULED l/'1 dh ��o
PERMIT NO. �������� L COMPLETED ������
ADDRESS �5 ����'� �v►�e�
OWNER TELE E NO. S ��� ���'
CONTRACT�R " 2 ' ' �/���'(/`LS
� DESCRIPTION �
ty ❑ FOOTINCa ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OWNERICOI�ITRACTOR TO MEET YWJ:_YES_NO
� COMMENTS:
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W ❑ K SATISFACTORY`.PHOCEED O PFiW ECT COMPLETE
� CORRE RK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
W .
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERINO PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Ca8 for the next inspection 24 hours in advanoe (952) 249-4600 ,
OwnedContractor on site:
Inspector. �� ���i�
YYhite CoPYAnspector's File C�rury Coprl8lt�Notics