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HomeMy WebLinkAbout2012-00693 - chimney repair � ► CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 2 - PJ 0 6 9 3 * DATE ISSUED: 07/20/2012 ORONO,MN 55356- (952) 249-4600 FAX: 952)249-4616 ADDRESS : 1600 LONG LAKE BLVD PIN : 26-118-23-33-0032 LEGAL DESC : ALBEES LONG LAKE ADDN : LOT 001 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CHIMNEY-REPAIR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,490.00 . NOTE: CHIMNEY REPAIR APPLICANT pERMIT FEE SCHEDULE 177.00 JACK PIXLEY SWEEPS INC. STATE SURCHARGE(VALUATION) 4.25 4179 149TH AVE.NW TOTAL 181.25 ANDOVER,MN 55304 (763)422-0011 Minnesota State License#:20183369 OWNER CAJACOB,CAROL 1600 LONG LAKE BLVD LONG LAKE,MN 55356- AGREEMENT AND SWORI�i 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 governing this type of work shall be compied with whether or not speci£ed hereia 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 revok at any ti�he for due caus 7� a�� / � `�� O / App icant Permitee Signat Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. - • City of Orono Building Permi# Application for Ma�ntenance / Renovation windows, doors, siding, re-roof, etc. MalUng Address: permit number. —��9 O�,O.�O PO Box 68 Crystal Bay,MN 55323-ooss pate received; -o�f>/ � .. Streef Address: Reoeived by: � o$ 2750 Kelley Parlcway Plan review Eee: � Orono,MN 55356 T�al Fse: ,� O I. I� Main: 952-2d9�600 Pax: 952-249-d616 www.G.orono.mn.us This applica�on form must be completed in full and all required information must ba submitted. Incomplete applieations will be returned. (Please print) GENERAL INFORMATION: Job Site Address: '�t,J�. Will this be a Parade of Nomes, modelers Showcase Home er other Display Home? Yes No I►yes a speaal ev+enf permh is n�qulRed Polior Depa►tme�and Gity Councll app�oval 60 days pr9or to the event. Shutde bus sarvlce will be ieyulred unless appllcant onsMdtes sul�ident on-sita pa�irtng is evailable. Non pennieted evsnts wiill not be allow�d. CONTRACTOR I AP UCANT INF RMATION: Name: '�� � I5T ��c.6 (:.+�.� Co. State License# � �, Expiratlon Date: M�A�N 31 ,aDl3 Lead Certification Number � 7.� Expirstion Dete: � �.�30.�p� (for w�ork on homes at wer�can trucEed pria to 1978 Phone: �.a� � (office). ��Q$5� (cell) Mailing Address: � ��q�t� City: ZIP: SS Contact Person: $„e.. Applicant is: Con ractor / Homeowner (Grcb 0�) Email and/or Fax: '��,k , PROPERTY OWNE INFORMATI N: �K �� "-V� I S38S � 0�71 F1cP. (� � C�%7�I Name: Phone(day)� GJ .Epi.�._ Address: L, � -i�,�, Ciiy: (,�y,�, �� ZIP: `jsJ.S�o Email and/or Fax PROJECT INFORMATION: Type of Project: Any eaRh movement may require ❑Door(s) ❑Remo el ❑Fire�amage MG���eW�`��'�� ❑Re-roof,as hak Minnehaha Creek Watershed Dislrict(MCWD) p ❑Repai ❑Storm�amage 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Resto tion ❑Water Damage ��Phaven,MN 55391 - - - Phone: 852�71-0590 ❑ Re-roof,other(speciry) ❑Slding �Other:(speCity) Fax: 952-471-0682 ❑Wind s) �u,��,J�,q�� �•minnehahacxesk.ora Overall Project Descr�ption: a� � Estimated Construction Valuatio of Pro)ect(excluding land $ O' APPLICANT ACKNOWLED�3E ENT: • Agrees to provide all infortnatio required or requested by the Building Department; • Certifies that the information s pplied is true and correet to the best of his/her knowledge, The applicaM reoognizes th�t they are solely responsible for sub itting a complete application being aware thet upon failure to do so,the staif has no altemative but to reject it uMil it is complet ; • Some or all of the infortnation that you are asked to provide on this application is Gassified by State law as either pnYate or confidential. Private data ia i rmation which generally cannot be givsn to the pubilc but can be given to the subjed of the data. Confidentisl data is in rmation which generaly cannot be given to etthsr the public or the subject of the data. Our purpose and intended use of rmafion is to annualy update our records a�d records of other govemmental agencles re uired b law. If u refus ths ir�formabon,ths a lication ma not be issued. ApplicanYa Signature: .Z. Date: �,It,�l G�� ,��ol Last Updaled: OS-09-2011 Z,T:a6pd 9T9b6bzzS6��l Sd33MS J,3�XId �I�d!'�w��� SS�60 ZtiOZ-OZ-'lflt � � Specisic�t�ons a�od�stlmmte 'T7iie I�lame You Can Trust' J�p��y� . �� ' � �� "� £� 963-4 -Ob81 (� . • i .b„ �` < '� ;.-.-� :--� � ; ;: �.-�,� -- t� .�� ���- �� �Y � 1 Jack PWey Chimney-Sweeps and IViasonry 4179 - 149th Avsnue N.W. Andover, MAi 55304-31355 Tel: 1-763-422-Q4�1 Fax: 1-763•421-020B IMN Contractor License#a0183369 www.jackoixleYsweeps.com Carol Cajacob ]uly 16,2012 1600 Long Lake�lvd. (952)404-9659 T..ong Lake,MN 55356 (612)807-0703 'We 6ereby propose to iutoL�h materials and labar nax�ary to: Remove all tlue t1k liners aad relline chi�nney fo�fireplace using 10" stainless steel liner system (U.I.. listed with manufaceuer's lifetime limiced wananry); remave conerete wash and top 14 eourses of brick; re-brick 14 course of ehimeey brickwork(best manch),Pro'�'ide eoncre�be crown with overi�ang and drip ledge as outlined in ardcle "Tops eo Larr a Lrjetime"by Jack Pixley;install a st�inless steel rain cover/screen with life�time wananty. Ynclades: �Omund 8c roof protect3on �Scaffold selup&removal �--� �Roof scaffold setup&removal �''� � • � �Equipment sehtp j .. �Concr�ete wash,brick 8c tile breakout '�� l �Access into chimney �;:;•w. . � ,_ �: :, ` •:.� Carry debris to trailer .. �.;�;�..=f . ..•.; ✓Install stal�r�less steel liuner dt instllate - - . ✓Retile chimneY(�P) '�'��'� - �' ' � - - >• ✓eut�redo access to chimney _ �Re-brick top of chimney �Concreu crown at top "'� �/Install s.s.rain cover/screen �Equipment teer-d�wrn&removal �Cleanup • ��.andfill/Recycle,�avel,unload , � ` � �/Remova forms �-'-- �-�— �Building permit 8c lnspection TOTAL OF BID:S 8,490.00 pLEASE N07'E:]'f during breaknue,we frnd n code vfolarinn...we�esern the opdon to stop eire job;.thow owner and/or consult wfth the buildtng i�tspector.The extra repatrs necessary may r,csult in�tn added priee for the jo6. WE PROPOSE hereby to furnish material and labor-complete in acco�dance with above spec�ication, for the sum of: dolla�s($ ), rA��ro aE tww�as�oL�.ows: 25% at acceptaAce �nd remainder at m letion af,�ob ��m ts po�a�e�w be as�cdi�a�e wani m w oe�e�ee a..ee�d.�rt�e�a acmdlne ro AuOiodma �doisau0a�0.oerarMrdpa�r�s.An/tl�tia�adMalfonhomaDoreapeeifm�farunoNiiOsmeatmv� 55gnah�re Ee txeaiIDA my�n�aa0�4 end+�ill Oeapro an pOi MesBs orv an0 aoove Na ecWr�eot NI�unr�oora�n won saiva aoaaena or a�oamna aa mnna.arr�b m�,rtre,mnmea.�a od�tr�rr�nAram»,an xor�na Notr.This I may be w�r��r��a�moa�I�, �tlldrerm b�l us 1(not acoopted wilhin. 30 days. ACCEPTANCE OF PROI'OSAI. The abo've priees,specificationa and condtao,u are satisfactay and are haeby accepud.You are auchorized to do d�e w�ork as spxifitd.Payment will be made as outlined abbve. s�AO�+^s Unrt ojAcae�pmnce: Sigrrarons z�Z�ag pd 9T9b6bZZS6��l Sd33MS J,3�XId �I�tit�w��� SZ�60 ZTOZ-OZ-'lflt DATE TIME ` / CiTY OF ORONO CALLED IN �� INSPECTION�NOTICE SCHEDULED 7 l Z �Q ; QZ� PERMIT NO�'����-�O LG� COMPLETED ADDRESS OWNER T H NO. - ��'� a/ CONTRACTOR a DESCRIPTION , �-� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXC V/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J 0 � � 0 � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �'JiOJECT COMPLETE W ❑COflRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. (l 0 A-Z White Copyllnspector's File Canary CopylSfte Notice