HomeMy WebLinkAbout2013-01090 - roofing * � CITY OF ORONO * z 0 1 3 - ID��
2750 KELLEY PARKWAY DATE ISSUED: 10/17/2013
r ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1290 FRENCH CREEK DR
PIN : ]0-117-23-32-0011
LEGAL DESC : FRENCH CREEK
: LOT 003 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 60,000.00
NOTE: VALUATION OF PERMIT: $60,000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (V1'E REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPEKTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 756.75
MIDWEST EXTERIORS PLUS STATE SURCHARGE(VALUATION) 30.00
6451 SYCAMORE CT.N. TOTAL 786.75
MAPLE GROVE, MN 55369-
Minnesota State License#: BCO10277
OWNER
JOHNSON, MR. & MRS.
1290 FRENCH CREEK DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
Che 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 permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whe[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 180 days at any time after work has commenced.
"�he applicant is responsible for assuring all required inspections are
requested in conformance �th the State Building Code.This permit may be
revok at ti e for u cau .
19��I �/-3 � �
tt.ppli an Pe itee Signature Date Issued By Si ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO
� �
City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
'��� Mailing Address: Permit number:
i' ��� �'� PO Box 66
� � ` Crystal Bay, MN 55323-0066 Date received:
1
! , ` � Street Address: Received by:
� `� 2750 Kelle Parkwa
' ' . Y Y Plan review fee:
�\`�� �' � Orono, MN 55356
`�k�5 t{���t� Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 �n^✓��� ci orono rnn_tas
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be retumed. (Please print)
GENERAL INFORMATION: �- , �.(�� �3G� I
Job Site Address: �2�C ���"1 �^� D►'�� �` ��0� �-"�-` " `
Will this be a Parade of Homes, Remodelers Showcase Home or other Display ome? Yes No
!f yes, a special event permit is required wifh Police Department and City Council approval 60 days prior fo the event. Shuttle bus servic will be
required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted everrts will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �JQS � -��p r5 �� l�S
State License# �L y Expiration Date: 3 - 3� - �
Lead Certification Number: ,4-T_ 3 0 3�l S— � Expiration Date: �'- S'- � S'
(for work on homes that were constructed prior to 9978
Phone: (cell) �� -Z _�1_�-(7�g (office) 7(�3 -- �-{-��- Cj (P
MailingAddress: S CGt�ry,p�',Q C C�tY� � ��P� 5S 3 (�
Contact Person: �,1� .�- /�V�,�,( Applicant is: ntrac or / Homeowner (CircleOne)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: �� v►��./ �U�'1�'lSa�
Phone (day}: crc� �. � � _. o��-�
Address: �2�p '�'y�� �p���Y- Ciiy:�,V�,-{� ZIP: -�j S 3� '
Email and/or Fax: '
PROJECT INFORMATION: Overall ro�ect descri tion: �� � �" V(G- ��' �
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)
18202 Minnetonka Blvd
Re-roof, cedar ❑Restoration ❑Water Damage Deephaven, MN 55391
❑ Re-roof, other(specify) ❑Siding ❑Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) f✓ww minnenahacreek ora
Estimated Constnaction Valuation of Project(excluding land) $
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 infor tion is to ann ly update our records and records of other governmental agencies required by law. If
ou refuse to su I he i f rmati ,th I� a n not be issued.
Applicant's Signatur . Date: �(� � �� "' �_�
Owner's Signature: Date:
DATE TIME �
CITY OF ORONO CALLE� �D_ �
INSPECTION NOTICE �], SCHEDULED �r�-I�3 _���
PERMITNO.�OJ�O��—/� COMPLETED
ADDRESS � 2%O �r��� ���- �
OWNER TELEPHONE NO. 7 �J Zzc� l��
CONTRACTOR �IC 1_-c'i�/P� �T �G�-C�
� DESCRIPTION �-D�
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OFDER POSTED.CALL INSPECTOR '�� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 2Q9-46QQ
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� /DAT TIME "
CIN OF ORONO CAL ED IN � Z�
INSPECTION NOTICE SCHEDULED '� �
PERMIT NO.�6l'J^ D/D q b COMPLEfED
ADDRESS l ZQD �h-�C, L'G�- �L�
OWNER TELEPHON N0.71v-3 u� ��v�
CONTRACTOR /��a��G'�Y� �� �
� DESCRIPTION / ' ��'�
�
� ❑ FOOTING ❑ PIUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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. O FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W� �Mt9Rl4&AiISFACTORY:PROCEED �i�l'�JECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFEGONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAII INSPECTOR O CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerfContractor on site:
Inspector.
White Copylinspector's File Canary CopylSite Notice