HomeMy WebLinkAbout2016-01406 - roofing CITY OF ORONO �0 1 6 - 0 1 4 0 6 �
2750 KELLEY PARKWAY DATE ISSUED: 1U07/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 11 IS BROWN RD S
P[N : 10-117-23-24-0005
LEGAL DESC : UNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEF[NED
VALUAT[ON : $ 5,400.00
NOTE: VALUATION OF PERMIT:$5400.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR 7'O
WORK BEING STARTED) MUST PROVIDE COMPL�TE SET OF PICTURES OR A F[NAL INSPECTION MAY NOT BE ISSUED.
S[GNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THL ROOF IS BEING DONE.
ONCE WORK IS COMPLGTED THE SIGNS MUST B�REMOVED.
APPLICANT PERMIT FEE SCHEDULE 13936
STATE SURCHARGE(VALUATION) 2.70
NMC EXTERIORS TOTAL 142.06
14276 23RD AVE N Payment(s)
PLYMOUTH, MN 55447- CREDIT CARD 1835 142.06
(612)490-4846
Minnesota State License#: BUIL-BC639088
OWNER
COOLEY,T[M
1115 BROWN RD S
WAYZATA,MN 55391-
AGRF.EMENT AND SWORN STATEMENT
The work for which this pemiit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and Ihe
State E3uilding Code. This permit is for only the work described and does
not grant pennission for additional or rclated work�vhich 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 eonstruction authorized is not
conunenced wit 180 days of the date of issuance,or if construction is
suspended for a pen d of 180 days time after work has commenced.
The applicant is res onsible Cor uring II required inspections are
requ ted in confor ance wit he State uilding Code.This permit may be
rev ked at any ti e for d u .
, �'� � .�^�-J I 7 / L��i � � r , 7 , �,�
Applicant Permitee Signature ate Issued[3 ignature Date
City of Orono
Building 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:
tiF � 2750 Kelley Parkway Plan review fee:
t � Orono, MN 55356
qKESH��� 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: � � �rj ���Gr,r� �� �,
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus s ice will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR I APPLICANT INFORMATION:
Name: NM �= �-�, !-G/'�r�- S
State License# �Z,�y y,� � ;��; Expiration Date: � �j�
Lead Certification Number: �f���j- �y� 7 y '�.� Z Expiration Date: �� Z�
(for work on homes that were constructed prior to 1978
Phone: (cell) �':� Z S�, - I � �;�- (office) �� ��`��-U7Z
Mailing Address: 'c./.�7�,, �2�; ,/�„� �/ City: "��/ �,-,L,,,, ZIP: S 5 �- �
Contact Person: � �"�S G�,,��� Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: LL[i✓�I �Lf" � .�,yx. � �t�C:��- s � ��r�
PROPERTY OWNER INFORMATION:
Name: � 1-�,�,`s /1-f�� l<�r�u
Phone (day): � ��Z ��(i � -S����
Address: �� � c� ����� � �, City: ZIP:
Email and/or Fax: /1��-
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�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(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ S��,� `�
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.
Applicant's Signature: �--�'�i,l Date: �!��--�' /`J �J- -� ���v
Owner's Signature: Date:
Last Updated:January 2016
✓
��I� D TE TIME
CITY OF ORONO CALLED IN I/- ��-6
INSPECTION N TICE SCHEDULED �/ - � -��
PERMIT NO.� —�� COMPLETED
ADDRESS � �-5 �
OWNER L HONE NO. � 3 �Z -� Z
CONTRACTOR �
� DESCRIPTION G � �
4~j ❑ 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 ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
J AL ❑ WATER HOOK-UP ❑ FOLLOW-UP
4Q1 AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 O'WNENCOUITMCTOR TO MEET Y�OU:_YES_NO
� COMMENTS:
�
� Srla� o� ✓'oo�
0
0
� 1'��i,e���� -�'� ^�G �,�J�f e .1 �'o�-�
� /� C/��t,i
Q ,
�
W
�
W
o�
�
4�j ❑WORK SATISFACTORY.PROCEED ❑ PRW ECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OC(.'UPANCY
� ❑CORRECT VMORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE Cd1/ERIN(i PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�NSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Catl for the next inspection 24 hours in advanoe. (952) 249-4600
OwnerlContractor on site:
Inspector_� � �''''�
White CopyAnspacM�'s Fils C�nary CopylSfb Hotles
C-�� ��- '
DATE TIME '
CITY OF ORONO cnLLED IN �
INSPECTION NOTICE SCHEDULED .��_7`�`.� .� . �°�'�
PERMIT NO. �1;I c, - 0 r yo�c �oM�e�
ADDRESS � � 1 c-� �-� �'-' �-�-�I�' '� S
OWNER TELEPHONE NO. ��'3 � �y� �C%��
CONTRACTOR °��1(�Yl C-- ��f�tie .
� DESCRIPTION � � �� ! � � �
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE FiEMOVAL
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
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMINEWCOI�fiMCi�R TO MEET�YES_NO
y COMMENTS:
� -' ��- , -�-, - � ��- ��-.� d-- �;�-�% --c
�
o � r.`� �. -� � � ,..
�.
� �
° ' �; � � ^�-�.,�. �.,-��, , ��✓,. � �
W L
� j �� i— "'.c .Y;t r ' i. �: , J,i
Q
2 � 1 � C�'r� r
� � �� v �
W
�
�
J '
W ❑WORK SATiSFACTORY:PROCEED RW ECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑I E CERTIFlCATE OF OCCUPANCY
W
0 ❑CORRECT VYORK,CALL FOF REINSPECTION TEMPORARY
V BEFORECOA/ERIN(3 PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHpTOTAKEN
INSPECTOR WFLL RETURN
OP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
� �:,�%_���� ,:,�-l�,�s .
Cafl for the next inspectfon 24 hours in advanoe. (952) 249-4600
OwnedContractor on site:
�nspect«: 13 �=� L-
WINb CcPYMsp�etor's Fil� C�nary CopylSib NWic�
GATE TIME
CITY OF ORONO CALLED IN
SCHEDIKED
INSPECT:4r=0/906 c 3•ai
ADDRESS I//5- &a&•t I Q s.
OWNER TELEPHONE NO.
CONTRACTOR A( M C Eac 6a.rrc•inc
DESCRIPTION Re-/'°c' 42
; 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
• 0 POURED WALL 0 PLUMBING RI 0 EXCAV
{ 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
0 RADON sue 0 MECHANICAL RI 0 SITE INSPECTION
FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
0 INSULATION 0 WOOD E 0 COMPLAINT
0 FINAL 0 WATER HOOK-UP BCFQLLQW.UP
0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOINNDATIOWREMOVAL
0 DEMO-SITE 0 SEPTIC INSTALL
011emovcoltrmaroutTOTTEETYCNk_YIP__NO
I COMMENT& /"t/,v..,t `/d(Je •%:.S)
•
4,fe G ,tee- /01.5 c 6/Gr►
•
Permit has expired per MN Building Code Sec. 1300.120 subp. 11
• Expiration, no record of a Final inspection.
l
i
i O WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
0 CORRECT WOMC&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COMING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTOTAKBN
INSPECTOR WILL RETURN
ISSUED
O STOP ORDER POSTED.CAINSPECTOR 0 CITATIONLL
O
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CM forth.next Inspection 24 nous In advance. (952)249-4600
^on ate:
I w..+. .
WMM Capyllnapaalsta Fla Canary Camille Nabi