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Home My WebLink About2017-01153 - roofing tIIIIIIIIIIII II III III�IIiII II I III11 CITY OF ORONO * 2017 - 01153 * 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2420 DUNWOODY AVE PIN : 20-117-23-21-0018 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 001 BLOCK 007 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 12,000.00 NOTE: VALUATION OF PERMIT:$12,000.00 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 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 232.30 STATE SURCHARGE(VALUATION) 6.00 DERCON CONSTRUCTION SERVICES INC. MAIL-IN FEE 2.00 727 170TH LANE NW ANDOVER,MN 55304- TOTAL 240.30 (612)276-6006 Payment(s) Minnesota State License#:BUIL-BC51296 CREDIT CARD 0961 240.30 OWNER Calvary Memorial Church 2420 DUNWOODY AVE 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. 9/ ('I/ 4 Applicant Permitee Signature Date sued By`ignature Date 09/1812017 16:31 Dercon Construction (FAX)7639513019 P.001/001 City of Orono Building Permit Application for Maintenance/ Replacement/ Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof,etc.— NO STRUCTURAL EXPANSION) , , Mailing Address: a 1/✓ OAp/' PO Box 66 Permit number: �- Crystal Bay,MN 55323-0066 Date received: Er--/7 Street Address: Received by: y� G; 2750 Kelley Parkway Plan review fee: Orono,MN 55356 pp � �/� k6swo�� Total Fee: VO/it Main: 952-249-4600 Fax: 952-249-4616 www,cl,ororio.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: -� 'i 0 \--)J V'\W0oCA � Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑Yes (t 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:! - t :f1 in,, }(.(.,,x-4 `1,-1 'i/1L. State License# ^i3(_,s;i' cl is I� Expiration Date: O'3-j j- ) Lead Certification Number: / L 3c- Expiration Date: l) 1) -7 (for work on homes that were constructed prior to 1978 Phone: (cell) ( `%-'Z1 1p'lai:U (office) Mailing Address: '`y1 --1 110 row City:/.,;ot,L e', ZIP: W5.`,` Contact Person: i orj SVaricasApplicant is: E5ntra2o / Homeowner (Circle one) Email and/or Fax; PROPERTY OWNER INFORMATION: ,- Name: (A�tti�Y^` (.Art Phone(day): - •) -- (45 5 Address: �I�Q .0v L\Ai c.k,u ' City: 'iC\N i.G•-U\ ZIP: 55-2)11 Email and/or Fax: "CO b,e„+-'t e s is J SAA x i ' V L 1 /1 -c o:^frn PROJECT INFORMATION: Overall project description: V ovn y .(Dk Type of Project: Any earth movement may also require Q Door(s) D Remodel ❑Fire Damage MCWD review permits: El Re-roof,asphalt 0 Repair I=1 Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑Restoration ❑Water Damage Minnetonka,MN 55345 0 Re-roof,other(specify) Q Siding ❑Other.(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahagreek.ero Estimated Construction Valuation of Project(excluding land) $ \g,,07:)kD 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 confidontial. 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 you refuse to supply the information,the application may not be issued.'dill W,Pvi � C� . Applicant's Signature: ° ( � " . Date: D"?f� J 9 Owner's Signature: _ Date: Last Updated:January 2016 e_ r) DATE TIME CITY OF ORONO CAL ED IN INSPECTION N T ESCHEDULED l/-3 --1,7 ---eXe---1A---) PERMIT NO. / - PLETED //-,:ii—A, ADDRESS a ad //bt)- -e OWNER T PHONE NO. -?)74,-/pool- CONTRACTOR ?)76-/oGLCONTRACTOR -7) -xl DESCRIPTION W ❑ FOOTING 0 DEMO-FIN 0 SEPTIC FINAL ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Q ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL .C.- WC • OWNEONTRACTOR TO MEET YOU:_YES_NO LI COMMENTS: � A a. "5- �5�1 1z--4 i o 7 - /�Z...__ _CC e._ G" * Q/ QGZo ../�— et 0 u. W Q f" o�� e4. />"7-7‘ )f,r� I .;,:, .4-• � �clC • .0Eeco- . W W CC J W 0 WORK SATISFACTORY`.PROCEED ❑ PROJECT COMPLETE itW 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED i4 SPECTION REQUIRED.CALL TO ARRANGE ACCESS. // Call for the , . , inspection 24 urs in advance. (952) 249-4600 OwnerlContra . . , site: Inspector. P White Copy/Inspector's File Canary Copy/She Notice DATE TIME CITY OF ORONO CALLED IN INSPECTIOI4NOTICEl53 SCHEDULED PERMIT NO )l-C) COMPLETED ADDRESS 2 q 2 O 111-No-4-16-4 Q 2 OWNER TELEPHONE NO.(-0(2-- (o (OL CONTRACTOR r COQ • DESCRIPTION C pc - c abb. W ❑ FOOTING ❑ DEMO-FINAL 0 SEPTIC FINAL • ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING (1 ❑ 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 • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: M % - ‹e,4.-701 e c ars S Ape. a 14 a ] p/C.'rvv�e S o4--ce w•� cr' t'nth-,brct`I^ ok 4)4s v, 0 k 7'o t✓41 CC W CC W ❑WORK SATISFACTORY:PROCEED kPROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. G S o h White Copy/Inspector's File Canary Copy/Site Notice