HomeMy WebLinkAbout2017-01640 - roofing CITY OF ORONOI* 20
2 0 i j i i 4' L I*
2750 KELLEY PARKWAY DATE ISSUED: 12/18/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2805 CASCO POINT RD
PIN : 20-117-23-32-0015
LEGAL DESC : SPRING PARK
: LOT 125 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-OTHER
VALUATION : $ 2,618.00
NOTE: REROOF 60 MIL EPDM RUBBER MEMBRANE ON UPPER FLAT ROOF.
WILL USE NEW METAL FLASHING& 1/2"WOOD FIBER INSULATION BOARD
APPLICANT PERMIT FEE SCHEDULE 92.89
KAUFMAN ROOFING STATE SURCHARGE(VALUATION) 1.31
2521-24TH AVENUE SW TOTAL 94.20
MINNEAPOLIS,MN 55406-
Payment(s)
(612)722-0965 CREDIT CARD 9677 94.20
Minnesota State License#: BUIL-9324
OWNER
FROMMELT,ROGER
2805 CASCO PT RD
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 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.
6614U- 11. 1,9-i IT /17
Applicant Permitee Signature Date Iss ;1 By Signature Date
Dec. 18. 2017 9: 18AM No. 6240 P. 1
0F4,1
KAUFMAN
Th
1nce 19301
doimairC,
90oF�
2521 24th Ave.S.
Minneapolis,MN 55406FAX
phone:612-722-0965
fax: 612-722-1021
info@kaufman-roofing,com
www,kaufman-roofing,com
Date: P-1143/ 17
Company:
off' Orbvt
Attention: 11 .21,01-0
Fax#: CI 52—i f y 406
From: Kaufman Roofing
Phone:612-722-0965
Total pages including cover: ,.
Urgent Reply Asap Please Comment )(Please Review For Your Information
Comments:
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Dec. 18. 2017 9: 18AM No. 6240 P. 2
City of Orono
Building Permit Application for Maintenance/Replacement/Remodel—Residential ONLY
(i.e. windows, doors, siding, re-roof, etc.—NO STRUCTURAL EXPANSION)
� VO Mailing Address; Permit number: 471-0 7- 0 1(0q,0
PO Box 66
Crystal Bay,MN 55323-0066 Date received: I a.-1 3 I
Street Address: 7
Received by: 40't D- _
Set , 2750 Kelley Parkway Plan review fee:
��G Orono,MN 55356
A' 510
Total Fee: At9/-1, , -FO
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:
Jab Site Address: ( ,,�()5 (-./�g[', �0 _ . // ow.
Will this be a Parade of Homes, RemodelertShowcase Home or other i •lay Home? ❑Yes o
I1 yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus s ry will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed,
CONTRACTOR IAPPr ICA �T INFORM.0 10 e
Name: A .. :�,,V,�f. i IL ►i I'
State License# •tt ':11.11 Expiration Date: • ra
Lead Certification Number: Expiration Date:
(for work on homes that were constructs prior to 1978
Phone: (cell) -- _ —• ' , (office)
Mailing Address: A '.
. . Cit - g'IP:
Contact Person: 1�f,Lii , 4 1.e j, Applicant is: Contractor /�eowner (circle —
Email and/or Fax: ireelf , - m4/ift' . L'
PROPERTY OWNER FORMATIO :
Name: j ' ' ha A,
Phone(day): ' •!!— —
Address: $475 to t omv ZeidAr City: OrCAO ZIP: S.5,3 i I
Email and/or Fax:
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
ElDoor(s) IIIRemodel D Fire Damage MCWD review&permits:
❑Re-roof,asphalt ❑Repair LI Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑Re-roof,cedar ❑Restoration ❑Water Damage Minnetonka,MN 55345
XRe-roof,other(specify) ❑Siding CI Other:(specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ 'it/ Ll$.06
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 record and records of other governmental agencies required by law. If
you refuse to supply th- �.orm-lion,the application m- not•- issued.
Lai/ /I /Applicant's Signature � .. (Y . / Date:
Owner's Signature: / Date:
Last Updated:January 2016
/)2/1
DATE TIME I/
CITY OF ORONO CALLED IN
INSPECTION N TI E //�� SCHEDULED /W,r
PERTE (// COOPLETED I
ADDRESS a-,F05I
O5 e-40 d/n1
OWNER TEL/: O NO4/�- 7�,1-095
CONTRACTOR6 ` y3ia/ U/ _
i DESCRIPTION 12 Itori
W ❑ FOOTING 0 DEMO-FINAL SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
I, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
• ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v• ❑ DEMO-SITE 0 SEPTIC INSTALL
2• OWNER/CONTRACTOR TO MEET YOU:_YES NO
ti COMMENTS:
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0
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CC
Q
W
W
CC
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• 0 WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
CC
W0 CORRECT WORK&PROCEED 1:1ISSUE CERTIFICATE OF OCCUPANCY
CZ 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
INSPECTION REQUIRED.GMBIdedillBANOSASGSCS7
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.(/ ---
White Copy/Inspector's File Canary Copy/She Notice