HomeMy WebLinkAbout2015-00932 - roofing �
� CITY OF ORONO * 2 0 1 5 - 0 0 9 3 2 *
� � 2750 KELLEY PARKWAY DATE ISSUED: 07/24/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3405 LIVINGSTON AVE
PIN : 17-117-23-43-0154
LEGAL DESC : NAVARRE HEIGHTS
: LOT 000 BLOCK 005
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-LTNDEFINED
VALUATION : $ 2,500.00
NOTE: VALUAT[ON OF PERMIT:$2,500.00
ROOFING PERMITS[SSUED 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 F[NAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERT[SING SIGNS MAY ONLY BE ON THE PROPERTY DUR[NG THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 92.93
STATE SURCHARGE(VALUATION) 1.25
INCLINE EXTERIORS INC TOTAL 94.18
26175 BIRCH BLUFF RD Payment(s)
SHOREWOOD,MN 55331 CHECK 10372 94.18
(612)471-9065
Minnesota State License#: BUIL-20168831
OWNER
WAROLIN,NICOLE&ERIC
3405 LIVINGSTON AVE
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 separate
permits. All provisions of laws and ordinances goveming 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 re onsible for assuring all required inspections are
requested in conf ance with the State Building Code.This permit may be
revoked at any ti e for due caus ��
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Ap t Pe igna ure te Issued By nature Date
City of Orono
' Building Permit Application for Maintenance / Replacement / Remodel
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
�T Mailing Address:
��1 VO PO Box 66 Permit number: ( "- ', "� 3 Z
Crystal Bay, MN 55323-0066 Date received: � Z
Street Address: Received by: .�
y�, Gfi 2750 Kelley Parkway Plan review fee:
1 Orono, MN 55356
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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 prinf)
GENERAL INFORMATION:
Job Site Address: � �d,j l.�V�r�g ST�I� /�.�l�
Will this be a Parade of Homes, Remodelers S owcase Home 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. Shutt/e 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: ���=2 i v�.sZ �yC'TQ.�` ��d✓`S
State License# � L ��c 8�}3� Expiration Date: j 7
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) /��,— ��j �--y y 7 7 (office) ��o� � � 7l— �'���
Mailing Address: �s �`Lc� f Cit : ZIP:
Contact Person: Applicant is: Contracto / Homeowner (Circle One)
Email and/or Fax: /�� ¢) , tv�C �,�1Q P��-4✓"U�,C�/•�•.,
PROPERTY OWNER INFORMATIO' �j: �
Name: �� W�`✓�1 �'1
Phone (day): ��3 � 9,�3 — ��
Address: City: ZIP:
Email and/or Fax:
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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)
❑ Re-roof,cedar 15320 Minnetonka Blvd
❑ 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 hich generally cannot be given to either the public or the subject of the data. Our purpose and
intended use of this inf rmatio is to annually update our records and records of other governmental agencies required by law. If
ou refuse to su I th info tion,the a lication ma not be i
ApplicanYs Signature: Date: 7�a�✓�
Owner's Signature: Date:
Last Updated:January 2015
DATE TIME
CITY OF ORONO cnLLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. ,�6/S-h0 yo� COMPLETED a�9!"�
ADDRESS 3�i'Q� 1 ivi�s�d n. /��c .
OWNER TELEPHONE NO.
CONTRACTOR �/�C��� �,�Y�-
� DESCRIPTION 1�� '�'ad �
4~j ❑ 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
v INAL ❑ WATER HOOK-UP FOLLOW-UP
W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
Z
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO �
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� ❑WORK SATiSFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTiFICATE OF OCCUPANCY
O ❑CORRECTNfORK�LL FOR REINSPECTION TEMPORARY
V BEFORE CONERIN(i pEqtitANENT
�CORRECT UNSAFE CONDITION WRHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Call for the next inspectfon 24 hours in advance. (952) 249-4600
OwnerfContractor on site:
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