HomeMy WebLinkAbout2013-01119 - roofing CITY OF ORONO * 2 0 1 3 - 0 1 1 1 9 *
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� 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2013
. ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1905 HERITAGE DR
PIN : 10-117-23-13-0013
LEGAL DESC : FOXHILL
: LOT 003 BLOCK 003
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 10,000.00
NOTE: VALUATION OF PERMIT:$10,000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE 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 PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 191.75
SCOTT,DAVID STATE SURCHARGE(VALUATION) 5.00
1905 HERITAGE DR
WAYZATA,MN 55391- TOTAL 196.75
OWNER
SCOTT,DAVID
1905 HERITAGE DR
WAYZATA,MN 55391-
AGREEMENT 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 Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
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 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.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Buildi gloode.This permit may be
rev ked at time for due ause.
lUl l 20/ l l
pplicant Permitee Signature Date Issued By S' ture D te
SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED ABOV .
City of Orono
Ruilding Permit Appiication for Maintenance / Replacement / Renovation
• (No 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�'�ESHO4� 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: ' 'r:.?5` /�c'r,�t��r,/�i
Will this be a Parade of FFomes, Remodelers Showcase Home or other Display Home? ❑ Yes g No
/f yes, a special event permit is required with Po/ice Department and Ciry Council approval 60 days prior to the event. Shutt/e bus service wil/be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ��;�,�� Scri 7�
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior fo 1978
Phone: (cell) (office)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: �:c/ S� �c;
Phone (day): ��2 �j('�=�' G
Address: G� N.-:'t- ,,�r. City: i.,/y G� ZIP: 5.�j�J�
Email and/or Fax: Sc� • � - �fs�'. Ga`"'�
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)
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) $ /U����
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 th information, the a lication ma not be issued.
ApplicanYs Signature: C� Date: IU�z,� / Zc�� 3
Owner's Signature: ���(,�a—�� Date: ���Z 7�ZG��
Last Updated:03/06/2013
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. o�b/3-D/!e!� COMPLETED _� -0'7-/
ADDRESS /�lb� 1�Gf4se �'•
` OWNER C�iv� �S'ca7�� TELEPHONE NO.
CONTRACTOR
i DESCRIPTION �c- r6Q-�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q � RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
�/�INAL ❑ SEWER HOOK-UP � COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FpUNbATION/REMOVAL
2 ONlNER/CONTRACTOR TO MEET YOU:_YE3_NO
� COMMENTS:
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W� O WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
W O CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTIOIV TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP OFiDEfl POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-46��
OwneriContractor on site:
Inspector. ►-�
Whfte CopyAnspector's Ffle Canary CopyfSfte Notfce