HomeMy WebLinkAbout2017-00903 - roofing ' ' CITY OF ORONO * 2 0 1 7 — 0 0 9 fd 3 *
2750 KELLEY PARKWAY DATE ISSUED: 08/03/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2648 LYDIARD AVE
PIN : 21-117-23-23-0030
LEGAL DESC : VERN-MAR MANOR
: LOT 004 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTI01�1 TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-LTNDEFINED
VALUATION : $ 17,600.00
NOTE: VALUATION OF PERMIT:$17600.00
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 325.24
STATE SURCHARGE(VALUATION) 8.80
SCHMIDT ROOFING INC. TOTAL 334.04
3509 W HWY 13
BURNSVILLE,MN 55337- Payment(s)
CREDIT CARD 7489 334.04
(952)888-4889
Minnesota State License#:BUIL-BC177859
OWNER
STEINBACH,DARIK&TARA
2648 LYDIARD AVE
EXCELSIOR,MN 55331-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
Ihe 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 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.
(Iti�'�L L ������c �� � D � � � �. �
Applicant Permitee S,tgnature Date Issued i ature Date
08I03l2017 10:46 Schmidt Roofing �A� P.002l002
, .
C�t�l of Qrono
Bui[ding Permit Applicafion for Malrttenance/Replacernent/Remadel—Resldendal ONLY
(i.e.windows, doors, siding, re-roof, etc.—NO STRUGTURAL EXPAN310N),
�O� MailrPO Boz 66� Permit numbe� d�7 ""�
� Crystsl Bay,MN 55323-0088 Date received� "'�
Street Addn�.ss: Received by:
y� G` 27fi0 Kalley Parkway Plan�eview f�es:
�R SHo�� Orono, MN 55356
Tota1 Fee_
Maln: 952-249�600 Fax: 952-248�616 ' ron .mn_us � • �
This application form must be campleted in full and all requfred information must be submitted.
Incomplete applications wiil be returned. (Please print)
G�N�RAL(NFORMATION:
Job Sfte Address: 2648 Lydiard Avenue
Will this be a Parade of Homes,Remodelers Showcase Mome ar other Dlsplay Home? Yes No
H yes,a speciel event pemtft is rnqulred►�ith Po1ke Depanment and Clty Councll approv�!60 dsys prbr to ft►e event. SI►utde bua aervlcs w�l be
requned unless epplice�demo»sbete8 sulf�Clent on�9Re pRl'k!►tp 18 avallAbb. Norrpermltted everrts wdl not be sNowed.
C�PfT'RAC'I"OR!APPLICANT INFORAAATION: �
Name:
State License# BC1778r�g E�iration Date: 3/31/2019 �
Lead Certification Number. NAT 104279-2 Expiratfon Date: 7/20/2021
(fnr work on homes that were conatrucfed prlor to 1978
Phone: (ceA) (office) 952-$88-4889
Mailing Address: 3509 W Hwy�3,Bumsville MN 55337 �' . Z�P�
Contact Pe�son: sandra Fleide Applicant is: Contractor Homeowner �c��c�s o�.�
Email and/or Fax: sandra 6chmldtroofin .com
PROAERTY OWNER INFORMATION:
Name: Promfum Properly Group-Tara Steinbach
Phone(dey):
Address: 215 Walker Ave S Clty: Wayzata ZIP: 55391
Email and/Of FaX: Tara Steinbach�tara ste�nbach�yahoo.c�my
PROJECT IN�ORMA7EON: Overall ro'ect descri tlon:
rype uf ProJect: Any earth mavement may aleo requlre
❑Docr(s) ❑Remodel ❑Fire Damage ���Wew$parrnits:
�Re-roof,asphait ❑Repair �Storm Dama�6 �Innehaha�Cr�O Minn�et na sllvd�(����
❑Re-roof,cedar ❑Restoreti� ❑W�ter Damaga AAlnnetonke,MN 55345
❑Re-roof,other(spoclty) ❑Sfding ❑Other.(specity) Phone: 9621t71-0590
Fax: 852�71-0682
❑Window(s) www.minnehahacreek.oro
Esttmat�d Constructlon Va(uatlon of Praject(excluding land) $�7600
APpLICAhE'f ACKNOWLEDGEMENT:
. P�rees to provide all information required or requested by the Bullding Departmarrt; '
• Certiifies that the information aupplled Is true and correct to ths best of hisR�er knowtedge. '1'he applicant recognlzes that�ey are
sol9ly responslble fior submltting a complete applicadon being aware that upon failure to do so, the staff has no altemative but to
raject it until it is complete;
• Some or all of the iniormation that you are asked to provlde on thla �ppllcatlon Is classifled by StabB law sa either prlvata or
confldentl�l. Privete dete le Infonnation which genaralty cannot be given to the publk but c�n be glven to the subject of the data.
Conftdential data is infomta�on Which generally cannot be glven to elther the p�lic or the subject of the data. Our purpose�nd
ln�nded use of thls informatian is to annually update our records and reCofds Of other govemmentel agenaes roquirod by law. If
- ou rofuse to sa the infcrmation tfie a 1ic,�bon ma not be issued.
Applicant's Signature: c���Z��� Date: �3/20'I7
Owner's Slgnature: ����
Last Updated:January 2016