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HomeMy WebLinkAbout2013-01032 - roofing -t. , CITY OF ORONO * 2 0 1 3 - 0 1 0 3 2 * 2750 KELLEY PARKWAY DATE ISSUED: 10/OU2013 ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 3324 NAVARRE LA PIN : 17-117-23-44-0060 LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 4,000.00 NOTE: VALUATION OF PERMIT:$4000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 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 103.25 JOHNSON,THOMAS STATE SURCHARGE(VALUATION) 2.00 3324 BOHNS POINT LA WAYZATA,MN 55391- MISC FEE 0.00 TOTAL 105.25 PAID WITH CC# 9566 OWNER JOHNSON,THOMAS 3324 BOHNS POINT LA 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 does not grant permission for additional or related work which requires sepazate 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 revoked at any time for due cause. �IZ i a-'�"`"� l l , l l Applicant Permitee Signature Date Issued By i ature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. � � ,� �,i � � ��: C�ty of Orono , ` ` Building Permit Application for Maintenance / Replacement / Renovation � j, (No structura l expansion. On ly win dows, doors, si ding, re-roo f, e tc.) �< " Mailing Address: �'"` ��N PO Box 66 Permit number: 070/,�— /D 3 Z' �':; � Crystal Bay, MN 55323-0066 Date received: !D -/ -/ �.� Street Address: Received by: ; uy �F � 2750 Kelley Parkway Plan review fee: � L Orono, MN 55356 ' ; `�kFSHo�� /D S Z S �� Total Fee: � Main: 952-249-4600 Fax: 9 5 2-2 4 9-4 61 6 www.ci.orono.mn.us ,,;; �y� This application form must be completed in full and all required information must be submitted. �° E��Y Incomplete applications will be returned. (Please print) GENERAL INFORMATION: 33 Z� NCc-UQJ�-�- l�� Job Site Address: 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 Ciry Council approval 60 days prior to the event. Shuttle bus service will be �'!� �,.,; required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. �� �:,, �; CONTRACTOR/APPLICANT INFORMATION: �" � Name: � �; State License# Expiration Date: i �,; �`a �� Lead Certification Number: Expiration Date: �, y (for work on homes that were constructed prior to 1978 �`' ��'� �� �;� Phone: (cell) (office) �; �,�' Mailing Address: City: ZIP: � Contact Person: Applicant is: Contractor / Homeowner (Circle One) .; �: �;: Email and/or Fax: ,,_' ��` �r' � PROPERTY OWNER INFORMATION: � �,:� Name: �C3Y`� � D{1iV�.0 OY\J Phone(day): �r 2 - � �D — D70 � �.; Address: 3�-Z({ ��(��Q �_ City: ZIP: �j�j 3� � ,:: Email and/or Fax: � �,,�: PROJECT INFORMATION: Overall pro�ect description: f � Type of Project: Any earth movement may also require r� �,' ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&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) $ aDD. DD r;; �� 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 taw as either private or RFti �y,; confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. ;4 �� Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and � E 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 information,the a lication ma not be issued. k'.�{ Applicant's Signature: ,�c i xs�`-8j2.P ,ro,�� Gv�P�c.� Date: �� -�'" l� fir ��` Owner's Signature: Date: �s: Last Updated:03/06/2013 DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�C3-O/o3 z COMPLEfED , - a3/�r ADDRESS 3 3�� JV�v.e�r� Lr�. � OWNER ��nrn n,s :�1�,�TELEPHONE NO. CONTRACTOR � DESCRIPTION ��- rao-� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � O POURED WALL ❑ MECHANICAL RI � LAKESHORFJWEfLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �`�'-EJNAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE O SEPTIC MAINT. �FOLLOW-UP = O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTiC FINAL ❑ FOUNbAl10N/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: W ' � !�� ,DG���+art '' ✓10 �KqL ��ZSBe��2te.c �e�_l��� , �O � � 110 �'�iCr- D�� �Q��to�1 Mco�d?¢t? o —� � W �/ /� �� � � 1`tU�sse '�' OeC��lG1i i� Q ��_�st � a W _ kJor<< .�,o��s �,yr�l�� j .�ar�L` �kt�.� d � ❑V1bRKSATISFACTOHY:PROCEED PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONOITION WRHIN HOURS. O PHOTOTAKEN INSPECTOR WFLL RETURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIFiED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector.�/.Y- White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�2��3� b�b3� coMP�ere� _�-%5 ADDRESS���� ���'rc L�, _ OWNER T�erv��� ��iL��-TELEPHONE NO. CONTRACTOR � DESCRIPTION �c-r6� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POUAED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FiNAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �INAL ❑ WATER HOOK-UP �OLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OINNERICONTRACTOR TO MEET Y�OU:_YES_NO y COMMENTS: � n � /'��w�.LF /�rdl�e✓ ;��s1�0 � Gf/� �o/ rr j � o i n i ��S��cG�co..� � � a� � �D b/l!X-�� O�- /`OD�' f�' 'f"�l� W � Q r/�G — � 2 W �Jv�K 4P.o�.��5 ��*�c-�J���G— � J � ❑WORK SATISFACTORV:PROCEED �PRp.EGCT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK���FOR REINSPECTION TEMPORARY V BEFORE CObERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p�pTO TAKEN INSPECTOR WILL RERIRN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REal11RED.CALL TO ARRANGE ACCESS. Cail for U�e next inspection 24 hours in advance. (952) 249-4600 or on site: Inspector: � � YVhite Copyllnapecto�'s File Canary CopylSite Notks