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Home My WebLink About2017-00820 - roofing � CITY OF ORONO * z 0 1 7 — 0 0 8 z ra * 2750 KELLEY PARKWAY DATE [SSUED: 07/17/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2636 LYDIARD AVE PI N : 21-117-23-22-0012 LEGAL DESC : VERN-MAR MANOR : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 10,000.00 NOTE: VAI.UATION OF PERMIT:$10,000.00 ROOF[NG 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 20132 STATE SURCHARGE(VALUATION) 5.00 TWIN CITIES CONTRACTING SERVICES TOTAL 206.32 140 WEST 98TH STREET#202 BLOOMINGTON, MN 55420- Payment(s) (952)405-6201 CREDIT CARD 9672 20632 Minnesota State License#: BUIL-BC655445 OWNER HADRAVA,JOSHUA&KELSIE 2636 LYDIARD AVE EXCELSIOR, MN 55331- 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 separate permits. All provisions of laws and ordinances governing 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 afrer work has commenced. The applic s responsible for assuring all required inspections are request in co ormance with the State Buildin Code.This permit may be revo d at any tim or due caus � _ ��—�� "� � / / A ' ant Per �e Signature Date Issued By gnature Date � � � City of Orono Building Permit Application for Maintenance / Replacement / Remodel - Residential ONLY °'��, �r��r��, ��r�� r�� r��r��t, et�g -- ��'�t��:T� �� 'J Mailing Address: Permit number: I 7�� '�� PO Box 66 _ � � C ry s t al B ay, MN 5 5 323-0066 Date received: —� ,� i ' j Received by: Street Address: �'�,S �� 2750 Kelley Parkway Plan review fee: �`�t " � Orono, MN 55356 �,��stt�� , 3 �, __ _ 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: ;�-�L'= �(��, �� %J�i�� 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 City 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: � U�t�; r� l'(,�` � (�(� :;,_�rl�� (��' _��l lt(;�<<�) State License# � �" ��S c;�y �` Expiration Date: ,�� / �,�c7/f Lead Certification Number: �L;��.r- - �j/ � ��- � Expiration Date: :�. _�'�7-,�c-�/,� (for work on homes thaf were constructed prior to 1978 � Phone: cell � �� ) �%"5z .�� -�;i�J1 (office 7 J �_ �- (� ""(,-,,��/ MailingAddress: /,c. � t,��r j`�'�,.i��Zl-f%r` <'1G,�- ` ��(` "r��►/��1�� ZIP: �5�� Contact Person: �j✓ �k;� �.r-��,371h r' Applican is: ContraGtet' / Homeowner �c��ie o�e► Email and/or Fax: f�,,;t,a,�r; �-.�: ��Sr,.�C.�y"y �,�r- PROPERTY OWNER INFORMATION: Name: . )C.J` ��1��a J'f/}�I'Zf�t�'�� Phone (day): ��Z� 71�� ., /�� ^ ��i/� ZIP: ,..��j� Address: ,�1 �� vl°�j ��„!�' City. '': � _ Email and/or Fax: � "` ut��C.� �r� PROJECT INFORMATION: Overall project description: �T�� f '�� '� Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: a e-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) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacrep"k"orq Estimated Construction Valuation of Project (excluding land) $ /C�; ��'� —� 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 iafann ion is to annuall u date our records and records of other governmental agencies required by law. If ou refuse to su th " formation, the a � ation ma not be issued. � _ �, -- ��3,��,.� ApplicanYs Signatu� Date: Owner's Sign . Date: Last Updated:January 2016 C��L� DATE TIME • CITY OF ORONO CALLED IN 1� � INSPECTION N 10E SCHEDULED PERMfT NO.' '� ��COMPLETfD '�� ADDRESS ��}� �/��'� �� OWNER T LEPHONE NO. �d-�S ��T� CONTRACTOR �� t � DESCRIPTION C/ �°� �� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL Z O'WNERICONTRACTOR TO MEET 1I�U:_YES_NO � COMMENTS: /Gc� .1-- �7��/ Drl�� 1.�•'L�Gv ��lc/!� ��l �¢� S��,G � , h Ua� � + 4L`�4� r�� ss.�ks e — o _ � � �G.y�ss GcD �row� �4L r4 � ° -oK ya c�an��Kuv � W � Q 2 p�/'a v«e 1��.tc.r�s �iowt — W � - � � �� K£ 1�.(.11.i , W � K SATISFACTORY:PROCEED ❑PROJECT COMPLETE � `��RRECT VMORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERiNO PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours�n advanoe. (g52) 249-4600 OwnerlContractor on site: Inspector: � White CopyAnspector's Flls Cm�ry CopylSib Hot�s �/�� V 1� DATE TIME CITY OF ORONO cnLLED IN �� IN8PECTION NO E &CHEDULED PERMR NO. n -�8'� coM erEo ADDRESS O'WNER P NE NO.�-S�-�SS�-Ol73- CONfRA�R �_ ��Z L2� � DESCRIPTION �� C��[�(.I' � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADIN(i/FILLIN(3 O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � � FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPUINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4Q1 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL i O�NBIlCOKTRAC'TiOR T�MEET lf W!:_YES_NO � COMMENT� _ � - �� e.w�l�ic� nrn.�� ' �w ..t /roo�ro4d d� �Nc3 • � �+�i �v�t�I,�.., � � Q �O � - - Q ��(�(/�!Q �i /�eG�G�ss � KG fr � (/-��G V O� � , ri � N�/��r/' � �"/N�c-G /f�s � a � � �{d,s6 v� �„Jb�� ,.s l•r� -t co.-s K d � G/w� -L ..Klalt� k f'i � °G S ��Lc+�� F, W O WORK SATISFACTORY:PROCE /o r /O PRW�T COMPLETE W�BibO�RRECT WORK a PROCEED�� t� �ISSUE CERTIFIC/1TE OF 0�1NC1/ O O OORRECT MIORK,GALL FOR F�INSPEC710N T�APORANY V BEFORE CdVERIN(i PERMANENT ❑ppqqECT UNSAFE COpIqT10N YVfTHIN HOURS. ❑pHpTO TAKEN INSPEG?OR WILL RETl1RN ❑STOP OHOER P08TED.CAI.I INSPECTOR ❑CITATION ISSUED O INSPECTION REOUIRED.CALL TO ARRAN(iE ACCESS. csN ror n�e next h�spection 2a nours�ad�►anoe. �952) 249-4600 on site: i��,«: G�,►:., �- WMb CoP1►Map�sEa'+FlM C�n�ry Cop�d811�NWIC�