HomeMy WebLinkAbout2015-01487 - roofing CITY OF ORONO * 2 0 1 5 - 0 1 4 8 7 *
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'' 2750 KELLEY PARKWAY DATE ISSUED: 1]/19/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3477 LIVINGSTON AVE
PIN : 17-117-23-43-0069
LEGAL DESC : NAVARRE HEIGHTS
: LOT O11 BLOCK 005
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 9,300.00
NOTE: VALUATION OF PERMIT:$9,300.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 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 201.32
STATE SURCHARGE(VALUATION) 4.65
INTELLIGENT DESIGN CORP
10550 CO RD 81 TOTAL 205.97
SUITE 210 Payment(s)
MAPLE GROVE, MN 55369- CREDIT CARD 6864 205.97
(763)315-0745
Minnesota State License#:BUIL-629147
OWNER
SCHULTE,MARK&CECILIA
3477 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 dces
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 responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be rn�„
revoked at any time due cause. > r ���J
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ppl ant Permitee Signa r a e Issued By Signature Date
City of Orono
f E�ilding Permit Application for Maintenance / Replacement / Remodel
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANStON)
�O� MailingAddiess: Permit number: (� ( � '� �°/
O PO Box 66 �
Crystal Bay, MN 55323-0066 Date received: — j —
,� Street Address: Received by: /2 �'�
y�, G� 2750 Kelley Parkway Plan review fee:
t Orono, MN 55356
1'�FSH04� , G
Total Fee: ,� �,j , � -�
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: ��-t`l � L� v�K� 5� y:� ✓�
Will this be a Parade of Homes, Remodelers Showcase 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. Shuttle bus service will be
required un/ess applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: (,��-Y 1�.�,�:.-.1-f � F Si��� ��:���'
State License# �3 c � z�; /y'7 Expiration Date: 3 -3 (- i �
Lead Certification Number: �,�„��.. � 5� �7 Z� - / Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) Zi�-+�z�- � �� 8` (office) 7(� 3 � /S--p 7 y 5'
Mailing Address: ��L--�p C� �d ( S�} � Z i , City: �,1 �,� ��`,� ZIP: S�;�3�„
Contact Person: ����,o � � �ks �,� Applicant is: Contractor / Homeowner (CircleOne)
Email and/or Fax: nni e.�zr 1 . ;(w ;d�r S�cinc tTr,Pb���.�,�c>,., �ov�l 'j!o 3- 3 �S _���
PROPERTY OWNER INEORMATI N:
Name: �'.� c , ��� � �µ ��
Phone (day): �l�Z- �l� ��7 SD �
Address: 3 �f�7 �-� ���� S ,,*n IA-v�-- City: �UZ�za.�a ZIP: S S 3 `i �
Email and/or Fax: —
PROJECT INFORMATION: Overall pro�ect description: ��---% ' t :� ✓�-.-'�. �C:�<s � �- q/-� �1 �`�:��`'.�+'zS �z
Type of Project: Any ea movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits:
e-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.orp
Estimated Construction Valuation of Project(excluding land) $ <3��
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Certifies that the information supplied is true and co�rect 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 i form tion,th lication ma not be issued.
ApplicanYs Signature:� C-' Date: l/-/9 - /S
Owner's Signature: Date:
Last Updated:January 2015 -
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CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED / — 0
PERMIT N d —� 1 co LEfED �
ADDRESS
OWNER T�LEP E NO. 8 �' ���1�
CONTRACTOR ��-
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� DESCRIPTION L
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ F NDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ ADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
r FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ S BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTAACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W ❑VI�RKSATISFACTORY:PROCEED PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑I E CERTIFICATE OF OCCUPANCY
W �
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT /
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR YVILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �9 9-46QQ
OwnerlContractor on site:
Inspector.
White CopyllnspectoPs File Cenary CopyfSit Notiee