HomeMy WebLinkAbout2016-01520 - cedar roofing - I'� CITY OF ORONO
2750 KELLEY PARKWAY * � 0 1 6 - PJ 1 S 2 0 *
DATE [SSUED: 12/06/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1685 FOX ST
PIN : 03-117-23-44-0004
LEGAL DESC : HANSER ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 51,017.00
NOTE: TGAR OFF AND REPLACE CGDAR ROOF
APPLICANT PERMIT FEE SCHEDULE 731.68
STATE SURCHARGE(VALUATION) 25.51
GARLOCK-FRENCH ROOFING CORP MAIL-IN FEE 2.00
2301 EAST 25TH STREET
MINNEAPOLIS, MN 55406- TOTAL 759.19
(612)276-9934 Payment(s)
Minnesota State License#: BUIL-BC001423 CREDIT CARD 5108 759.19
OWNER
MACMILLAN,NIVAN
1685 FOX ST
WAYZATA, MN 55391-
AGREEMEI�T 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 E3uilding 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 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 I80 days of the date of issuance,or if construction is
suspended for a period of I AO days at any time after�vork 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.
,
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Applicant Permitee Signature Date Issued By Si ature Date
��C;�u/`%O1�iTi�F 1�. 30 AM Garloc[c-French F".X ".�c, Ll? 7?2 9754 p, ��`'
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c�ty o� oro�0
Building Permit Applica�ion for Maintenance ! Replacement 1 Remodel — Residential ONI.Y
(i.e. windows, doors, sidi�ngy re�raof, etc. � NO 5TRUCTURAL EXPANSION)
� Mailing Address: Permit number: G'� G'l J
� �O PO Box 66
C ry s t a l B a y, NEN 55323-4066 Date reaeived: — �o ' �
Strget Address: Received by,
y �ti 2750 Kelley Parkway Plan review fee:
`�r ��' Orono, MN 55356
"�K�sx�� � !
Total Fee: �G��
Main: 952-249-4800 Fax: 952-249-4616 www.ci.orono.mn.us J
This applicatIon forrn must be compfeted in full and all required information must be submitted.
Incomplete appllcatlons will be returned. {Please print)
GENERAL,IN�C7RMATION:
Job Site Address: �sss FoX st�eet,Orono,MN
Will thls be a Parade of Homes, Remodelers Showcase Home or other Display Home? C]Yes ■ No
!f yes, a specia!event p9�mlt IS requir�d with Police DeparCment 8nd City Council approVe160 dsyS prlor to the event. Shuttle bUs sBNICe will 6e
Iequlrgd unless applrcanf demonSCrAtes SUffldent on-sife parKing ls ev&llable. Non-permitted events Wil!not be B11Pwed.
CONTRACTOR/APPLICANT INFORMATION:
Name: Garlock-French RooPng
State License# BC0014Z3 Expiration D2t�: 3/18/20
Lead Certification Number: r�ar-2ssss-z Expiration Date; ans�2o
(for work on homes that were constructed prior fa 1978
phone: (c�ll) (office)
Ma����g address: 2301 E. 25th St. city:Minneapolis z�P:
Contact Person: n�e9 rvatnan Appiicant is: Contractor / Homeowner �c��cie one�
EI1'1811 alld/OC FaX: mnaChan�garlock-french.com �
PROPERTY OWNER INFORMATION:
I�alTte: NIVI(V S MACMILLAN
Phone(day):
Addrass: 1685 Fox Street City:Orono zIP:
Email and/or F'ax:
PR�JECT INFORMATION: OVeI'all pf0�@Ct d25Cfiptiofl:Tearoff and replace cedar roof
Type of Project: Any earEh movement may also require
❑ Door{s) ❑ Remodel ❑ Fire Damage MCWD review&permlEs:
❑ Re-roof,asphalt [� Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka�Ivd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage MinnetonKa,MN 553A5
�■ Re-roof,other(spealty) ❑ Siding ❑ Other: (specify} Phone: 952T471-0590
Fax: 952-471-0682
Gedar ❑Window(s) www.minnehahacreek.orq
Estimated Constructlon Valuation of Project(excluding land) $5�,oi7
APPLICANT ACKNOWLEDGEMENT:
• Agrees to prQvide all information required or requested by the Building Departmant;
• Certifies that the information supplied is true and correct ta the best of his/her knowledge. The applicant recognizes that they are
soEely responsible for submitting a complete application being aware that upon failura to da so, the staff has no alternative but to
reject it until it is campiete;
• Some or all of the information that you are asked to provide on this application is cfassified by State law as either private or
confidential. Private data is information which generally cannot be given to the public but can be given ta 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 iaw. If
ou refuse to su I the inforrnation,the a lication ma not be issued,
Applicant's Signature: Date:
Owne�'5 SignatUre: Date: �y6/16
Last Updated�January 7016
� � ��
Y <--��' DATE TIME
CITY OF ORONO CALLED IN z- -��
INSPECTION N. � D�C��HEDULED � ��
PERMIT NO. •J COMP ED �
ADDRESS l �-� �� —
OWNER TELEPHO�IE NO� --3 � �
CONTRACTOR �� � v IGG
'' DESCRIPTION �� ���"`�
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PIUMBING 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
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONlREMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OMfNERlCOKTRACTOR TO MEET YiOU:_YES_NO
y COMMENTS:
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� ❑WORK SATiSFACTORY:PFtOCEED '��C�OJECT COMPIETE
W ❑CORRECT WORK a PROCEED O E CEfiTIFICATE OF OCCUPANCY
OD ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOMRY
V BEFORE CdVERINO PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Csll for the next inspection 24 houts in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: �'� �
WAlts CopYAnapsctor's Fils Canary CoprISM�Notice