HomeMy WebLinkAbout2013-00982 - roofing ` - ` CITYOFORONO * z013 - PJ0982 *
2750 KELLEY PARKWAY DATE ISSUED: 09/23/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS ; 2250 FRENCH CREEK CIR
PIN : 10-117-23-32-0003
LEGAL DF,SC : FRENCH CREEK
: LOT 004 BLOCK 001
PERMIT TYPE ; MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -CEDAR
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 29,200.00
NOTE: VALUATION OF VERMIT: $29,200.00 CEDAR ROOf'
ROOFING PERMITS ISSUED WITHOUT ENOUGtI NOTICE FOR T�AR OFF INSPECTIONS. (WG REQUIRG 24-48 NOTICE, PRIOR TO
WORK E3F,ING S"CARTED) MUST PROVIDE COMPLE"I'E SET OF PICTURES OR A FINAI,INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING TE IE TIMG THE ROOP IS BEfNG DONI:.
ONCE WORK IS COMPLt?"l�ED THG SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 466.75
KUHL'S CONTRACTING STATE SURCHARGE(VALUATION) 14.60
1515 S STH STREET
HOPKINS, MN 55343- MAIL-IN FEE 2.00
(952)935-9469 TOTAL 483.35
Minnesota State License#: BC195769 PAID WITH CC# 7335
OWNER
AASHEIM &ALMA FERNANDEZ VERDLIZCO, TOR
2250 FRENCH CREEK CIR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall bc 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 work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied wi[h tihe[her 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 afier work has commenced.
The applicant is responsible fbr assuring all required inspections are
reques[ed in conformance with the State[3uilding Code.This permit may be
revoked any time for due cause.
� �oZ.��� �'�02.�.� /3
Applicant Permite Date Issue i ature Date
SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE.
09-21 -13:03:02AM;From:kuhl To 9522494616 9522588300 # 2/ 2
� ` '' ���City of Orono
Building Permit Applica#ion far Main�enance/ Replacement/ Renorration
(No structura[ expansion, anly windows, doors, sid�ngy re-roof, etc.)
Mailing A�dress: PermR numher. � -�7 Cf�
�d�� �� PO BOx 66
Crystal Bay,MN 55323-0066 Date received: �'
Streef Adldress: Received by:
� '' 2750�IKelley ParkW�y Plan review fee:
`��,� , ��� �I Oron�o, MN 55356
4rs�.�o� Total Fee: (g'3 ���
Main: 952I249-4fi00 Fax: 952'r249-4616 www.ci.orono.mn.ias
This application form must be completed in full and all requfred information muSt be submftted.
Incomplate a�pplfcatfons wlll be retur�ed. (Please print)
GENERAL INFORMATION:
Jab Slte Address: � G �
Wlq thls be a Parade of Womes, Remodeler,s Showcase Home or other Dlsplay Home? Yes No
!f yas,a spec�a/avanr p'ermlt is requi�ed with Pollce Dep�nment and City Councri�pprova!5a deys prior to the event. Shunle bus service will be
requlred un'less appllcant demonstrates sufllclant on-site parking!s avallable. Non-permined events will not be allo�ved.
CONTRACTOF�/APP�LICANT INFORMA71aN:
Name� � l�
State License# p{����-��d�=( I _ Expiration Date, 3/3� /t�
Lead Certiflcatipn Nurnber: I Expiration Date:
(for►nrork on homes that were consfructed prlor rp 1978
Phone: (cell) (office) � � • �
Mailing Address: i. ' —' ` !; Ci4y: ZIP:
Contact Person: '� ppliCant iS; ontractor Homeowner (C�rcle One)
Email and/or Fax: � '' �
PROPERTY OWNER'IINFQRMATION:
Name: -t'p�? � �r��-�2�C;�� Aas�-t��,I�
Phone(day): I
Address: ' City: ZIP:
�mai!and/or Fax:
PROJECT INFORMATION: Ovecall ro'ect descri tion:
Type of Projett. ' Any earth movement may also requlce
❑ Door(s) ❑Remodel ❑Fire Damage MCWD revlew&permlts:
' - : Minnehaha Creek Watershed District(MCWD)
❑Re-roof,asphalt I ❑Repa�r ❑Storm Damage �g202 Minnetonka Blvd
�.Re-roof,ceda� I �Restoration , ❑Wat6r O�m�ge Deephaven,MN 55391
❑Re-ropf,other(apeciry) ❑Siding ' ❑OtheC:(Specify) Phone: 952-471-0590
Fax: 952-471-OBB2
❑Window(s) ;niww_minnehahacreP.k.nrq
Estimated Construc#oon Valuation of Project(excluding land) $ � �
APPLICAwT ACKNIOWLEDGEM�NT: ;
• Agrees to provide al1 information required o i'requested by the Building Department;
• Certifies that the I�iormation supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are
solely responsibf for submitting d Comptete application being aware that upon failurA to d0 50, ihe staff has no altarnativg but to
rejeCt R until it is aomplete;
• Some or s;ll of thle information that you are asked to provide on thls application is classified by State 1aw as either private or
confidentidL Pr � ta is info�rnatlon which generally cannot be given to the publiC but Can bg given to the subjeCt Of th0 datd.
Confidenti ata!is infor tion whiCh g0neraAy cannot given to either the public or the 5ubjeCt of the data. �ur purpose and
intended se of this iniormat n to nnually pda e records and records ot other governmental agencies required by law. If
ou retu e to su I the infor io i ti n be issued,
Applicant's Si nature: �'� f� Date: `�'ZG• /3
i
i
����� DDATE. TIME ��/
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE SCHEDULED /b-� �
PERMIT NO.q�� "� DD9�Z-�OMPLEfED�,
ADDRESS��✓�� L� « ��
OWNER TELEPHONE NO.�O�Z Z�� Z���L
CONTRACTOR
� DESCRIPTION [�C�aiC d��2Q� 9 � �� ���
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP � PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
� ��cf� �'[�c/S
�
0
�
W
�
Q
�
2
W
�
W
�
J
W �SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours�rradvance. (952) 249-46��
OwnerlConVactor on site:
Inspector.
White Copyllnspector's Ffle Canary CopylSfte Notiee
��� � �
DP�T T
CITY OF ORONO CALLED IN l0�� ---`i�
INSPECTION NOTICE SCHEDULED ���-��
PERMIT NO.��l3-oD 9��'" COMPLETED /
ADDRESS aa5� �i'�C-�G� ���� Gt �
OWNER TELEPHONE NO.���- Z�� Z�3�
CONTRACTOR �
�: DESCRIPTION � `1 ��'``'�-
�
� ❑ FOOTING ❑ PLUMBI FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
O � � �
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W� ❑WORKSAT{SFACTORY:PROCEED �ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-4600
Owner/Contractor on site:
Inspector. � . �S
White Copylinspector's File Canary Copy/Site Notice