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HomeMy WebLinkAbout2017-00507 (roof) CITY OF ORONO * z 0 1 7 - 0 0 5 0 7 * 2750 KELLEY PARKWAY DATE ISSUED: OS/15/2017 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3243 CASCO CIR PIN : 20-117-23-43-0010 LEGAL DESC : SPRING PARK : LOT O15 BLOCK 000 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 35,428.00 NOTE: VALUATION OF PERMIT:$35,428.00 (WORK FOR ROOF AND SIDING ON HOUSE&GARAGE) ROOF[NG PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BE[NG STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECT[ON MAY NOT BE tSSUED. S[GNS-ADVERTIS[NG SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME TF-IE ROOF IS BEING DONE. ONCE WORK[S COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 557.86 STATE SURCHARGE(VALUAT[ON) 17.71 MINNESOTA EXTERIORS INC. MAIL-IN FEE 2.00 8600 JEFFERSON HIGHWAY OSSEO,MN 55369 TOTAL 577.57 (763)391-5508 Payment(s) Minnesota State License#: BUIL-BC002877 CHECK 206777 577.57 OWNER MILEUSNK,GEORGE& MARILYN 21 l0 SUGARWOOD DR ORONO, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according ro the approved plans and specifications,applicable Ciry 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 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 all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �. �(�;� � �. �(` c �C_c ¢ !:�-� �� 1,__ � c� - � ( }_ . � ! �=.�- �_- � / `�/ l f � Applicant Permitee Signature Date Issued By Signature Date - City of Orono � Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O�O Mailing Address: Permit number: G�� 7 "D(,��i PO Box 66 � Crystal Bay, MN 55323-0066 Date received: ��1 S�/ � i StreefAddress: Received by: �� 5�, � 2750 Kelley Parkway Plan review fee: /"l t � Orono, MN 55356 �k£s���� _7� s� 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: l / Job Site Address: � � � "" O �7'L� ��G' zt�� 7 Will this be a Parade o omes, Remodelers Showcase Home o other Display Home. ❑ Yes ❑ No If yes,a special event permit is required with Police Department and City Coun il approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-srte parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: � Name: 1�1I11. �K' ���� �� L-YX..�_ , State License# � l Ex iration Date: � ,,������ 7� p� /t Lead Certification Number:,��T�c, ��_� Expiration Date: 5-.�U (for work on homes that were constructed prior to 1978 Phone: (cell) (office) �. � .1/��'�D� Mailing Address: ���np�, „���� %,��.� City�SS�� ZIP: ��,�� Contact Person: �1�,��� ��,,y-�E,�--� Applicant is: c__n rac o?�Homeowner �c���ie'Gne) Email and/or Fax: jL'G'2r'/So72� InrJ�v��c�*.� 7��• fz'S.�� c�'�.�0 PROPERTY OWNE INFORMATION: Name: }�c�-s`�;c� /»t �C u S� `�C Phone (day): Address: ��� L/� �Sf'� _ «�c; (C" City��1��� •�w f�z ZIP: S S.�'�� Email and/or Fax: PROJECT INFORMATION: Overall project descriptio � � (,,Ce �C`� �.��n c�,r )c'.�s� G �-�< ' Type of Project: Any earth ovement may also r re ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: �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) iding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orp 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 informatQn, the a lication ma not be issued. Applicant's Signatur . y-° . -r�./�7�I Date: S ���� �,� v/ Owner's Signature: Date: Last Updated:January 2016 J /l • � ���� pq�E„ ,� TIME CITY OF ORONO CALLED IN a�LY`/ INSPECTION OTICE SCHEDULED � PERMIT NO �� � OMPLETED ADDRESS �� � � OWNER ELEPMONE NO� — �� CONTRACTOR � S � � DESCRIPTION � q� • � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTI INAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v �FMFAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SUHVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL i O�IMN6YiCANTAACTOR TO MEET Y�OU:_YES_NO � COMMENT� �' � � � ✓ Od- ✓ /� �c S c 0 ��G�ioY'i/�C.� L.Grlc�, �' � jG� -t c.J�e.-Etv i0/ot- ,O/OG�o�O D ve✓ � � �n��rri /o�J S/op@ /�rr5 a�" rE�sOG Q � `l Ot�S� ' � ✓�� �lss�l�-+� a'l NxG3 • �-'`1i�lj,r� 2 " �/���Ds 1�i'Ovie3�..e U!�✓ �Cf ��L�++'�--F- � `�Q�C.JS � •f C� �j�G�lCr �CKG�/L�ao�tc � s�../��p- ��-b/K c�rno%L�r � r�-��,�.,, a �cg:��e W� ❑WORK SA ACTORY:PFiOCEED ECT COMPLETE W ❑OORRECT WORK�PROCEED ❑I E CERTIFICATE OF OCCURANCY 0 ❑OORRECT WOFiK CALL FOR REINSPECTION TEMPOFiARY V BEFORE CdVERINO PERIiAANENT ❑CORRECT UN3AFE CON01710N WITHIN FIOURS• ❑pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑pTATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. CaN tor the next inspection 241aurs in advance. (952) 249-4600 on site: ���«:n�� - WMt�CaVYAnspsct�s FiN Carury CopylBM�NWia