HomeMy WebLinkAbout2014-00763 - roofing , r •
CITY OF ORONO * z 0 1 4 - 0 0 7 6�
2750 KELLEY PARKWAY nATE issuEn: 07/18/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3488 LIVINGSTON AVE
PIN : 17-117-23-43-0139
LEGAL DESC : NAVARRE HEIGHTS
: LOT 000 BI,OCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOF[NG -ASPHALT
ACTIVITY : O/S BUILDING-UNDEFWED
VALUATION : $ 12,391.92
NOTE: VALUATION OF PERMIT: $12,39L92
ROOFING PERMITS ISSUED W[THOUT ENOUGH NOTICE FOR'I'EAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BE1NG STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING S[GNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCF.WORK IS COMPI.,F,"I'ED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 236.00
STATE SURCHARGE(VALUATION) 620
LEGACY RESTORATION LLC TOTAL 242.20
14000 25TH AVE N #1 10 Payment(s)
PLYMOUTH, MN 55447- CHECK 1532 242.20
Minnesota State License#: BUIL-BC647213
OWNER
DOSHAN, DAN & CHERYL
3488 LNINGSTON AVE
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work tbr 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 la��s and ordinances governing this type of work
shall be compied with whether or not specified herein."I his permit will
expire and becomc null and void if construction authorized is not
commenced within I 80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenccd.
I�he applicant is responsible tbr assuring all required inspections are �
requcsted in conformance with the State Building Code.This permit may be
revoked at any time Ybr due cause.
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Applicant ermitee ' nature ' �Dat Issued By Si ture Date
_ .
. 1537�
City of Orono
Building Permit Application 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:
a ,�
Street Address.° Received by:
�.� � 2750 Kelley Parkway Plan review fee:
t � Orono, MN 55356
���5���� 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: �y g� �►�Jj}1 '�,�{[�� 7� �__
Will this be a Parade of Homes, Remodelers Showcas H�ome or other Display Home? ❑ Yes ❑ No
If yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus servic�will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: c,� c�s b���, i o
State License# Expiration Date: 3 � b (�
Lead Certification Number: -F' j�� '���... 1 Expiration Date: I O
(for work on homes that were constructed piior to 1978 / ,
Phone: (cell) ���—��a--)j�I (office) `�-�j-3"�Sy —��b��
Mailing Address: ' t� u_� c�,.�,� ` C, City: p( ,�,.���� ZIP: S C,�U
Contact Person: r�'^�� ����c.�p�.�,,;)l� Applicant is: Contractor / Homeowner (Circle One)
Emailand/orFax: �"1�c�r� ��lc�i�r��i I �.� ��E��-,c: I���.��,rbra ) �C... , C.fJL�---
PROPERTY OWNER INFORMATION:
Name: c,r-� �OS��SY1,
Phone (daY)� �I � �7�D �o`�� �-)�" W �-�'Z���
Address: 3�-1 Bv L% v�✓T� ��lJ�-� �-O� City: (��'�,y-�� ZIP: �3 j �
Email and/or Fax:
PROJECT INFORMATION: Overall pro�ect 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)
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) $
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 an ally update our records and records of other governmental agencies required by law. If
ou refuse to su pl the infor a' n,t a lication ma not be issued.
ApplicanYsSignature: , � �Date: �� �"
Owner's Signature: i � � Date:
Last Updated:03/06/2013
` � ��j��� ATE TIME �
C OF ORONO �.(�'� � CALLED IN /
INSPECTION NOTICE SCHEDULED � y �—
PERMIT NO. � COMPLETED �
ADDRESS � ��t��_� 1 � > � ll'l.�7�_77 ) ���2�'
OWNER TELEPHO E NO. ���a ����f�'J
CONTRACTOR ,P '✓L% �
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� DESCRIPTION � l -�1�-- "'f / /�14�i
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q O POURED WALL ❑ MECHANICAL RI O LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �.t�AL ❑ SEWER HOOK-UP ❑ COMPLAINT
J��� DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES NO �
c��, COMMENTS: � C.�� �
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W� ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WIIL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the ion 24 hours i advance. (g52) 249-46��
Owner ontrac n site• lG
Inspector_ � `'—' "�^
White Copyllnspector's File Canary CopylSite Notiee
�q �L� DATE TIME �
CITY OF ORONO �r CALLED IN
INSPECTION NOTICE . scHEou�Eo /
PERMIT NO.���.���'�OMPLEfED � �
� �
ADDRESS � ��� !��:�/�`�`�I e�-
OWNER TELEPHONE NO.��� �? �-��a
CONTRACTOR
� DESCRIPTION � �a � ����
�
ty ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS
�
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �FINAL�,Q—✓tx}� ❑ SEWER HOOK-UP ❑ COMPLAINT
J O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINA� ❑ FOUNbATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE
� �ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFII REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. r-'
White Copyllnspector's Ffle Canary CopylSite Notice