HomeMy WebLinkAbout2017-00297 - roofing . � CITY OF ORONO * Z 0 1 7 - PJ 0 2 9 7 *
2750 KELLEY PARKWAY DATE ISSUED: 03/30/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2815 DEER RLTN TR
PIN : 04-117-23-24-0008
LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN
: LOT 001 BLOCK 004
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 21,000.00
NOTE: VALUATION OF PERMIT:$21000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PR[OR TO
Vl'ORK 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[S BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVF,D.
APPLICANT PERMIT FEE SCHEDULE 371.71
STATE SURCHARGE(VALUATION) 10.50
NORTHRUP ROOF[NG&REMODELING TOTAL 382.21
4400 NICOLLET AVE.
MINNEAPOLIS, MN 55419- Payment(s)
(612)825-3353 CREDIT CARD 4433 382.21
Minnesota State License#: BUIL-20338983
OWNER
WILLIAMS, ROSS&NATALIE
2815 DEER RUN TR
LONG LAKE, MN 55356-
AGREEMENT AND SWOR�1 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 separate
permits. All provisions of laws and ordinances governing this rype 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 l80 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 al required inspections are
requested in conformance with the Stat ilding Code.This permit may be
revo time for due cause. -
Y �
-e� � �/�
plicant P mitee Sign e Date [ssued By � ature Date
� , _ City of Orono �
Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY
(i.e. windows, doors, siding, re-roof, �:tc. — O STRUCTURAL EXPAf�SIC�N}
�O� Mailing Address: Permit number.��J7— �� Z-.Gf
� PO Box 66 k
Crystal Bay, MN 55323-0066 Date received: � � -
.� �
Street Address: Received by:
��, � 2750 Kelley Parkway Plan review fee:
l,�xE'5 H oj''ti
�' Orono, MN 55356 �
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 ` u N T 1��?i �
Will this be a Parade of Home�, Remodelers Showcase Home or other Display Home? ❑ Yes �,No
If yes, a specia/event permit is required with Police Department and City Council approva160 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/APPLICANT INFORMATION: /
Name: u r ! t'1 r�r vv �1 h ' �X Te+^t O✓'�
State License# C 3�j cj Expiration Date: `� —3 J —
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) !�- SS �� —.S �(� � (office) �l02'{��,5 ��J� S
Mailing Address OQ ;�d� �-f- �c �;� City: ZIP:,S S"4�`
Contact Person: S�GriG l t�� y Applicant is: ontract Homeowner (Circle One)
Email and/or Fax: C�-�,;,,� �Hnr'�"'h �^�+��ra_ o� . L�a►
PROPERTY OWNER INFORMATION:
Name: ��J�.s ,`r� ����d i�.i Lt,�a l�P r�a 3y► �"
Phone (day): �S� _ �— 11�..'��
Address: _� � �.S 1' ��r+ �«� Ttc,� � City:��ohU ZIP: S.S� .� �
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)
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) $ , �
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 the information,the a lication ma not be issued.
ApplicanYs Signature: Date: � � `� � ( �
Owner's Signature: Date:
Last Updated:January 2016
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CITY OF ORONO CALLED IN �,rj.
INSPECTION NOTICE scHEou�En _�d�'�/,��
PERMIT NO..�61�LZ�Q7� coM�ErED
ADDRESS � g/ � � C.t�'1 ,
01NNER TELEPHO�NO �!z•�SSBE g
CONTRACTOR � ,L1� -!``�� 6� .
� DESCRIPTION
1y ❑ FOOTING ❑ DEMO-FINAL ❑ PTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI 0 EXCAVKiRADINCi/FILLINQ
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� � FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPU►INT
� �"�INAL ❑WATER HOOK-UP ❑ FOLLOW-UP
= 0 AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
v ❑ DEMO-SITE ❑ SEPTIC 1 LL
� dIMM64CONTAACrOR TO MEEf YY�UU:_VES�NO .
� COMMENT� ` �
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� O YWHK SATISFACTORY:PROCEED �OJECf COMPLETE
W O OORRECT WOf�C a PROCEED O ISSUE CERTIFlC�ATE OF OCOUPMNCr
o ❑CORRECT WOf�C,G1LL FOR REINSPECTION TBiAPORARY
�j BEFORE COVEipN� PERMANENT
❑CQpqECT UNSAFE OOND1710N YYRHIN HOl1RS. ❑pHpTO TAKEN
INSPECIOR WILL RE�IJRN
❑8TOP ORDER P08TED.CALL INSPECTOR ❑qTATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRAN(iE ACCESS.
c.a ror u�e r,e�t r�ecao��no�s�,�. (952) 249-4600
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�nsPeator:
�p�Antp�Ctor's FlM Ca^�ry CoP�M No1io�