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HomeMy WebLinkAbout2016-01173 - roofing • CITY OF ORONO � 1 6 - 0 1 1 7 3 * 2750 KELLEY PARKWAY DATE ISSUED: 09/22/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2195 FRENCH LAKE RD PIIV : 10-117-23-21-0006 LEGAL DESC : JOHNSTONS FRENCH LAKE 2ND ADDN : LOT 001 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 38,000.00 NOTE: VALUATION OF PERMIT:$38000.00 ROOFING PERMITS[SSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPEC7�IONS. (WE REQU[RE 24-48 NOTICE,PRIOR TO WORK BE[NG STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL[NSPECT[ON MAY NOT BE ISSUED. SIGNS-ADVERT[SING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF[S BEING DONE. ONCE WORK IS COMPLETED 1'HE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 580.44 STATE SURCHARGE(VALUATION) 19.00 MIDWEST EXTERIORS PLUS TOTAL 599.44 6451 SYCAMORE CT.N. Payment(s) MAPLE GROVE,MN 55369- CHECK 26816 599.44 Minnesota State License#: BUIL-BC010277 OWNER DALTON, MICHAEL&JENNIFER 2195 FRENCH LAKE 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 permit is for only the work described and does not grant pennission for additional or related work which 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 l80 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 for due cause. � �- Z 2-/� �`C-G � �a i�J� Applicant P mitee ature Date Issued B 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 G Orono, MN 55356 �k�s H��� 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: f Job Site Address: �\�s KnG� l.�(� � 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 sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �,.c�„��- E`�,.� f'�„`.5 State License# (� (,O I O 2�� Expiration Date: -3_3�_� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell)(P�L�nZ -c.����( (office) 7(o3"�EZ7-9�5Co Mailing Address: � S �w,,, �,4. ,,tJ City: (,� �o„� Z�P� SS3(o `! Contact Person: �-�(— Applicant is: ontra tor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: ( N a m e: �— Y✓l.,c�n,da-� p�..(�t-.�n Phone (day): � �Z_-Z k 1 - �-{p5l Address: ��c_ City: Q��,� ZIP: �$�g/ 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(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $_ _ 3 , �D(7 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. ApplicanYs Signature. Date: 9� �Z` l[� Owner's Signature: Date: Last Updated:January 2016 �1 rS �rG�i��C. .��e �.� �� r,� , , �� "�'�Y���� "� . �� ��'�� � � ,' `y� ���x ��'� : `�, .. � . � '+°� t��� ��`Ms'��,�.i .� ���,I'�-�`i� �3���'�` i� �. } � q-.� �Y � .��., ..� �yS•�.t�' '�a£d'� ��K..-�'fy�'�c• �..L S�,�y.. � � �r�, � �^ 'ra • n,� w�' . f4 M � � ..�,�y, , ' : ��� � RECEIVED .�'� 'ft-"� S as. P �z e�' ' ��'r_'', '� ��:�����s r y� �, � ��t V?'.. p�, , s �s& � i,t`�, a'�,.�- "��%,�> �:�.« ��� t�,�( �-:- �- �;� �,�'�` ...�,r � OCT 0 5 2016 l. _. . .�yE\ ��E' . 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F t�.. . � � t .� t�z l T,r 5w� #.;F+ f� � :`J S�. :'�+�r��'�. - ���, �.� �'�`'.�r..� _��. �i. „ �� � '� _ .,d , , v D DATE TIME CITY OF ORONO CALLED IN 7-��-/� INSPECTION yQT��E D��7 SCHEDULED ,� -3 !�O PERMIT NO.oCl7 _� COMPLEfED ADDRESS �� '� � OWNER TE PH NE NO.���� 7D� 7�Y CONTRACTOR ' � DESCRIPTION �7v�'�-� ly ❑ 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 �� �' INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP = U AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: a� W a O �(�f//!/J 6 ,�rG��B �—/ !G� C� �✓ � Q/'D�ec��.., � - ��rc. vGl2�•�rc fi/o.iC /�/d d�b¢iy Q �' k�0�K Gt�j�L''e''S Go,�+,�f/�L e—�k-- ��c � W n � � � 1"C/v►+�L �i�l�� et�te� �J�C 2-`u��r U� W � - - � fGC �t 0.�atQ✓ Q���c�ro... ��lG t/�� � J d 1 W ❑WORKSATISFACTORY:PROCEED l�PROJECT COMPLEfE � T WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN O CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. ca��ror the next inspect�on 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. White yllnspector'a Ffle Canary CopyfSite Notke