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HomeMy WebLinkAbout2016-01370 - roofing , , CITY OF ORONO * 2 0 1 6 — fd 1 3 7 0 * 2750 KELLEY PARKWAY DATE ISSUED: 10/27/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1291 BRIAR ST PIN : 10-117-23-31-0043 LEGAL DESC : CRYSTAL BAY MINNETONKA : LOT 000 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-iJNDEFINED VALUATION : $ 9,850.00 NOTE: VALUATION OF PERMIT:$9850.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK E3EING 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 BEING DONE. ONCE WORK IS COMPLETGD TFIE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 201.32 STATE SURCHARGE(VALUATION) 4.93 THAT ONE CONSTRUCTION COMPANY TOTAL 206.25 18701 93RD STREET SE BECKER,MN 55309- Payment(s) CREDIT CARD 5042 206.25 OWNER ALLONBY, PAUL 1291 BRIAR STREET ORONO,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which Ihis permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related�ork which requires separate permits. AII 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 arter work has commenced. The applicant is responsible for assuring all required inspections are requested in conf ance with the State Building Code.This permit may be revoked at any e for due cau . �-- �- Z.7 /tS � � /� �7 i/-b Applicant Permitee ignature Date Issued By, ig ature Date City of Orono E3uildi�g Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) ��A, Mailing Address: �!� _Ol z� f VO PO Box 66 Permit number: J Crystal Bay, MN 55323-0066 Date received: /d� 7-/ � � Street Address: Received by: y�. G� 2750 Kelley Parkway Plan review fee: lqkfSHO�� Orono, MN 55356 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. (P/ease print) GENERAL INFORMATION: Job Site Address: �ZC'1 l �l v�" 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 app�oval 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�c.-�r �� �o�� c-vC�"IC�� -,,.,� c..� . State License # � �� 3 Expiration Date: a �� 'Zcg� � Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 197 Phone: (cell) � �Z— ?j� � - 7 7S� (office) Mailing Address: �7 p � r;�- � Z City: e_G e,� ZIP: � p Contact Person: p � �1-j �� Applicant is: o / Homeowner (Circle One) Email and/or Fax: j �� t r- ��,�}t a,��S i{-�Y - o,,,,� PROPERTY OWNER INFOI�MATION: Name: Pa-v � (�� � (� ►1�y Phone (day): � l"�-- � �5 I - �55 Od Address: � �� � ��, �� c� City: ��a�� o ZIP:�j �'j ��'� 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) ❑ Re-roof,cedar 15320 Minnetonka Blvd ❑ 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.ora Estimated Construction Valuation of Project (excluding land) $ ���;C� �' 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 i ormation,th lic tion ma not be issued. ApplicanYs Signature: ' %l���`�- ��!'i�-- Date: ��' � 7 ��� Owner's Signature: Date: Last Updated:January 2016 � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED '� � �� � �'� PERMIT NO. � � � �G _ _ coMP�ereo ADDRESS � a� � \ r- `��_ S�'r" �— e–��b���fELEPHONE NO. ��� • ���'��� CONTRACTOR �h�� �� Co�� �, . �–d � DESCRIPTION l~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ 51TE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICOI�ITRACTOR TO MEET YOU:_YES_NO � COMMENTS: W �`'��`~ ��11 � �--' o /' �� ��e 6s�1 � �' 1�G� /G IGG L.J ✓ � , ° �/b� e�� � ��t s .�e � W . . � .�-�L�•c, vc•�f�', j ��.-. d/'� v ��c�cP Q � 2 � 1.�Jc�,�� 4D�o�.�'�s CcL�+�/� _ � � �c�rrn•C �r n-�E�e� J � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE W ❑CORRECT WORK�PROCEED 0��� ISSf}E CERTIFlCATE OF OCCUPANCY 0 ❑OORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN H��• ❑ pHpTO TAKEN INSPECTOR Wlll RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTIONREWIRED.CALLTOARRANGEACCESS. Ca8 for the next inspection 24 hours in advance. (952) 249-4g�� OwnerlContractor on site: Inspector: � �"'' White CopyAnapector'a Flle C�nary CopylSfte Notfea