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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. ` ,/�/i` '_ 7 �' � l l 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% � ��-�� S � 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.�� � � W z a � J O _ � ^ Pr�I� n�ru c� �'a✓ �e �— ��tf'�/ ° S 5�i«L`� b� S�t�i��� r¢,pl4G�- Q ��►G v�t r���... ��oa�,cx� � � z � (,�af � Gbr�dle� W � � J d 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: � � a /�D ,�a,0�rklov' �C ojt 5it?' � � o � � � r- „�11/'D d�j � ,o��t�ies � � � ��.- ° r�,rn t e.��E�o:1. - o r ��c���- a f �.•-df� � ` ' — Q K EG'1��0�. � � �e5� o� 4�G� � Q�,G�eif �`as•ti4�o�e — W � 6� J � ❑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