HomeMy WebLinkAbout2015-01079 - roofing � . �
CITY OF ORONO * z 0 1 5 — m 1 0 7 � *
2750 KELLEY PARKWAY DATE [SSUED: 08/25/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1035 HERITAGE LA
PIN : 10-117-23-13-0009
LEGAL DESC : FOXH[LL
: LOT 003 BLOCK 002
PERM[T TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACT[V[TY : O/S BUILDING -UNDEFINED
VALUATION : $ 11,500.00
NOTE: VALUATION OF PERMIT: $l 1500.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECT[ONS. (WE REQUIRE 24-48 NOTICE, PR[OR TO
WORK BEING STARTED) MUST PROV[DE COMPLETE SET OF PICTURES OR A F[NAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 23234
STATE SURCHARGE(VALUAT[ON) 5.75
SHIMOTA PROJECT MANAGEMENT TOTAL 238.09
5727 FRONTENAC CIRCLE Payment(s)
LONSDALE, MN 55046- CHECK 11163 238.09
OWNER
FR[TZ,JEFF& ELLEN
1035 HERITAGE LA
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permi[is issued shall be performed according to
the approved plans and specifications,applicable Ciry approvals,and the
State Building Code. This permit is for only[he work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of Iaws and ordinances governing[his type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if cons[ruction authorized is no[
commenced within 180 days of[he date of issuance,or if construction is
suspended for a period of l80 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
reques[ed in conformance with the State Building Code.This permit may be
revo}�qd at any time foh,¢Ue,�ause. — j �
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Applicant ermitce Signature Dat [ssuec� Signature Date
'� � � City of Orono
Building Permit Application for Maintenance / Replacement / Remodel
(i.e. windaws, doors, siding, re-roaf, etc. - NO STRUCTURAL EXPANSiON)
O Mailing Address: Permit number: LS���L '' �
� �O PO Box 66
Crystal Bay, MN 55323-0066 Date received: oZ /
Street Address: Received by:
y G` 2750 Kelley Parkway Plan review fee:
`� Orono, MN 55356
t�kFSH��� 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: , p _t..
Job Site Address: 'ti,;3� ��^� ��y z ��v' `tiS ;.�y Zw`�-, M 'v
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes ❑ No
/f yes, a special event permit is required with Po/ice Department and City Counci/approva/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/APPL�CANT INFORMATION: .�^
Name: ���.r,o-�i� �r��ec 7 MG�n a�yCyv�C�,�,l
State License# ,��L � � 7 v�� Expiration Date: '3 - 3 / _ z�;�-7
Lead Certification Number. Nq�_ f�� �Z j - ( Expiration Date: ��_�� _ Z���
(for work on homes that were constructed prior to 1978
Phone: (cell) ���-3� ,- 3 Ly�) (office)
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Mailing Address: 7;�� F�,,,, te,,A� �`.��, City:,___� oti s a/� ZIP: 5 S U .
Contact Person: ���� ��y„l��,... Applicant is: ontracto�y / Homeowner �c���ie o�e�
Email and/or Fax: �y„�C'�J� '< � � a� ;, �, . c c, n� SU�� — ���y l � �
PROPERTY OWNER INFORMATION:
Name: �= � � F�; t Z
Phone (day): �
Address: ,+ v 3 j ]f�,�.T�v z �,�,t City: 1��7Z�,-�r,,, ZIP: 5� 3 y �
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) $ %I s7��. '—
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 t informatian,the a lication ma not be issued.
ApplicanYs Signature: C� J � 4 � Date: "� '� z� � � >
Owner's Signature: Date:
Last Updated:January 2015
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ATE �--- TIME
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE SCHEDULED 2
PERMIT NO.= =�=-�.S-C.!C 7 I COMPLEfED
ADDRESS /���� '���� � ./� �_._..
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OWNER FEt€PH� No. �s�3 8��3���
CONTRACTOR �/ �VJ G'f�-�� ��/�
� DESCRIPTION /' � a'"� �
ly ❑ FOOTING ❑ DE -FINAL ❑ S C 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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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GW �ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REOUIRED_CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector: ��
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� ��� OATE TIME �
C OF ORONO CALLED IN
INSPECTION OTI E -�i SCHEDULED �G' ___1����1
PERMfT NO. ' �'��' !`� COMPLEfED
ADDRESS �����'��� -�� L�-� < `�r'-��P�
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OWNER TELEPHONE NO. �S/'-����,
CONTRACTOR �������
� DESCRIPTION / l�c.� � �C,`'C1 F���sr
t�`i� ❑ 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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC IN ALL
2 OWNERlCONTRACTOR TO MEET YOU:_YES
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W ❑WORKSATISFACTORY:PROCEED �� �� d �+PqOJECT COMPLETE
W �ftRECT NfORK 8 PROCEED '� ,F���p� ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on site:
Inspector: �^^'
White CopyAnapector's File Gnary CopylSite Notiee