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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 � (� � �� � J �' � � L s I� � ' � ���S/ � 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) _ _ 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 f--�- � � � ATE �--- TIME CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED 2 PERMIT NO.= =�=-�.S-C.!C 7 I COMPLEfED ADDRESS /���� '���� � ./� �_._.. r 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 c�.� COMMENTS: o� a �Uu Se - tcw - d��f- OK 0 � �Vu S /f G -C �J C��.� f ru•��a ,��- d . � � �p/�� �l �� ✓4..f G � �OKfi/�o✓ � �/Uf/t�t � �O ,QtG'�K�Q� W � Q � 2 W �C W � j GW �ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 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: �� White Copyllnspector's File Canary CopylSite Notice / � i� ` � ��� OATE TIME � C OF ORONO CALLED IN INSPECTION OTI E -�i SCHEDULED �G' ___1����1 PERMfT NO. ' �'��' !`� COMPLEfED ADDRESS �����'��� -�� L�-� < `�r'-��P� _ � 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 y COMMENTS: L '' ' 1 � �%� � a .�,��-f- ���1 c�f��I�, � � 0 � _ . � D����.� a � ►c�-t ��t�� ,o�ctc�rd--�. -a- � l�i�d� V �Cr �.r,•. G.r.� 13�1 S�I U� � W . � Q " 4 t� •G //�•t t'�/E� ��-�- �rC✓���J - 2 �" l�e� ��y�•�i 3 tSr� /s!!S - C'll�llf�Ca�s � . � ' V �fi�%^ 5�i.w;��S GK �o�G`l �'GO� Cr��ttrc tt � i'✓1��is �jrY7L iJ6! �+ ���/ l47 T �.T.. � � [ 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