HomeMy WebLinkAbout2016-01421 - roofing , Y CITY OF ORONO * z 0 1 6 - PJ 1 4 2 1 *
2750 KELLEY PARKWAY DATE ISSUED: 1U09/2016
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3898 NORTH SHORE DR
PIN : 08-117-23-33-0048
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 000 BLOCK 007
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATI01�1 : $ 7,000.00
NOTE: VALUATION OF PERMIT:$7,000.00
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 FMAL 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 154.85
STORM GROUP ROOFING STATE SURCHARGE(VALUATION) 3.50
7308 ASPEN LANE N SUITE#118 TOTAL 158.35
BROOKLYN PARK,MN 55428- Payment(s)
(612)544-2449 CHECK 2989 158.35
Minnesota State License#:BUIL-BC667571
OWNER
GRANNING,ROGER
3898 NORTH SHORE DR
MOLJND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed acwrding 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 far additional or related work which requires separate
permits. All provisions of la�vs and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit wili
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. -
�l t75 �� // i �-1'i/�
pplicant P ature Date ssued Signature Date
City of Orono
I�uildrng Permit Application for Maintenance / Replacement / Remodel — Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
�O A TO Mailing Address: Permit number:
�V PO Box 66
Crystal Bay, MN 55323-0066 Date received:
� �
Sfreet Address: Received by:
ti�, G� 2750 Kelley Parkway Plan review fee:
Orono, MN 55356
`qkESHO��
Total Fee: � �'j
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: � $ �s� � � � �,� ��3 �j�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
lf yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e 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: S -�c� ,;.w �'�2-c o , �L�
State License # Expiration Date: � �� ��
Lead Certification Num er: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (; �'Z 2(,� (,� (office) � C 'Z �1 L9
Mailing Address: Q City: IP: 2�
Contact Person: Applican is: �act Homeowner (Circle Ooe)
Email and/or Fax: ` S o 1 � �
PROPERTY OWNER INFORMATION:
Name: e.�� • �
Phone(day): 2 2 O �
Address: ��� �►�r..}� s�n rllp City: � •?Ul r� ZIP: �� '�6�j
Email and/or Fax:
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
�Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
❑ Re-roof,cedar 15320 Minnetonka Blvd
❑ Restoration ❑Water Damage Minnetonka, MN 55345
❑ 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) $ - O��
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 information,the a lication ma not be issued.
��---_-_....__..
ApplicanYs Signatur� � _� Date: I I C� g I b
�—_
Owner's Signature: Date:
Last Updated:January 2016
•
DATE TIME
CITY OF ORONO CALM IN
SPECTION SCHEDULED
PPO
ERMIT NO.SIG •e315►a( COMPLETED 3• ea/•
ADORES 3 t 2' Al- Shoes 4r .
OWNER TELEPHONE NO.
CONTRACTOR 562r a,t 6eoete 4oars.aj
DESCRIPTION - 'Tia
1 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
0 POURED WALL 0 PLUMBING RI 0 EXCAVlORADINGIFU.uNG
0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
0 RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
0 FRAMING 0 MECHANICAL FWAL 0 RATED WALLS
• 0 INSULATION 0 WOOD E 0 COMPLAINT
0
FINAL 0 WATER HOOK-UP ela'Pd[WM6UP
0 AS BUILT-SURVEY 0 SEWER HOOKUP 0 FOUNDATIOWREMOVAL
0 DEMO-SITE 0 SEPTIC INSTALL
ONNIRICONTIVICTOR TDNUETWDIk_YS,_ND
COMMENTt girrrs• AwVe c ro. 4.7 c.v./1
' 961a.4 J S,Q�r bt
i Permit has expired per MN Build(ng Code Sec. 1300.120 subp. 11
• Expiration, no record of a Final inspection.
O WORK SATISFACTORt PROCEED 0 PROJECT COMPLETE
▪ D CT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
0 CORRECT MIK CALL FORRSISPECIION 0 TEMPORARY
BEFORE COVERING PERMANENT
D CORRECT UNSAFE CONDITION WITFIN HOURS. D PHOTOTAKEN
INSPECTOR VAU.RETURN
D STOP ORDER POSTCALL INSPECTOR dU1T10N ISSUED
POSTED.
O INSPECTION RECOUPED.CALL TO ARRANGE ACCESS.
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