HomeMy WebLinkAbout2014-00138 - roofing - cedar CITY OF ORONO * Z 0 1 4 - 0 0 1 3 8 *
2750 KELLEY PARKWAY DATE ISSUED: 02/18/2014
i ' ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1520 GREEN TREES RD
PIN : 11-117-23-23-0014
LEGAL DESC : GREEN TREES ON TANAGER LAKE
: LOT 004 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 48,000.00
NO"[�E: VAI,UATION OF VERMIT: $48,000.00
ROO['ING PERMITS ISSUED WITHOU']'ENOUGI-I NOTICE FOR TrAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICF„PRIOR TO
WORK BE[NG STARTED) MUST PROVIDE COMPLETE SET OF YIC'I'URES OR A FINAL INSPECTION MAY NOT BE[SSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON TIIE PROPERTY DURING THE TIME THE ROOF IS I3EING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICAI�IT PERMI"I' FEE SCHEDULE 660.25
STATE SURCHARGE(VALUATION) 24.00
INCLINE EXTERIORS INC TOTAL 684.25
26175 BIRCH BLUFF RD Payment(s)
SHOREWOOD, MN 55331 CHECK 9635 684.25
(612)471-9065
Minnesota State License#: BUIL-20168831
OWNER
RYERSE, D& M
1520 GREEN TREES 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 specitications,applicable City approvals,and the
State[3uilding Code. This permi[is for only the work described and does
not grant permission for additional or relatcd work which requires separate
permits. All provisions of laws and ordinances govcrning this type of worh
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 180 days at any time after work has commenced.
Thc applicant is responsible for assuring all required inspections are
requested in conformance with the State[3uilding Code.This permit may be
revoked at any time for due cause.
� � ��/�, ��- / /
A ica Permitee Signature Date Issued By i nature � �� �_Date
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City of Orono �� �� �
Building Permit Application for Maintenance / Replacement / Renovation
� (i�o structural expansion. Only windows, doors, siding, re-roof, etc.)
�O�O Mailing Address: Permit number:
PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address: Received by:
y� G` 2750 Kelley Parkway Plan review fee:
Orono, MN 55356
t�'�ESH��� 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. (Please print)
GENERAL INFORMATION:
Job Site Address: � �.L � �� � �� � ��,� ;jY�4
Will this be a Parade of Homes, Remodelers Showcase ome 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 se ice will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
_ _ �,
Name: ����� l;�i �I'�C� ��%�'�/��"� , � C, �
State License# � Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) � c., , + - � �= (office)
Mailing Address: , ,^,— ,�, P City: `��� � �;�;,,v^,,r ZIP: ��7=,:-,�i
Contact Person: ���,/i��� (,�,M ���,�1.�,�1 /�, Applicant is: ontracto / V Homeowner �c��cie o�e>
Email and/or Fax:
PROPERTY OWNER INFO MATION:
�
Name: ���j ' � 1'�ti�
Phone (day):
AddreSS: ��)�U ��f�,�v1 T���`7 � - ���(�lYl C Clty: ����j�/�u ZIP:
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 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) www.minnehahacreek.orq
Estimated Construction 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 information is to annually update our records and records of other governmental agencies required by law. If
ou refuse to su I 2 information,th ,a lication ma not be issued.
ApplicanYs Signature: / ��"�(�� _ (,���-� kti—�- Date: �^���/�
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Owner's Signature: Date:
Last Updated: 03/06/2013
" _� o"'—�� DAT TIME ✓
CITY OF ORONO CA�LED IN -� l
INSPECTION OTIC � SCHEDULED ?�P Y i�
PERMIT NO.���! COMPLETED
ADDRESS ��o�� ��e� � G�
OWNER TELEPHONE NO.��"58�����
CONTRACTOR -�.1�/1�,����
j DESCRIPTION ����c�C_ ".����
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRA ING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
O ❑ 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
r ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑ RRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 2) 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME �
CITY OF ORONO CALLED IN 3 —
INSPECTION NOTI SCHEDULED 3- -�
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�ERMIT N�. C�M� ETE�
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OWNER TELEPHONE NO.�/Z vS�� g�77
CONTRACTOR 6���`-'`�� /���/2S�i^
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� DESCRIPTION ,J� `�"'�.
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q � TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� 1'I�FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ��❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECTUNSAFECONDITI . ���.1�LS PJ't�✓' �S
INSPECTOR WlLL RETURN -r.�_ra�_
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ,
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. I er"'�`'� F� '���
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site: .�/d/`«
Inspector. �! r-- �r
White Copyllnspector's Ffle Canary CopylSfte Notice