HomeMy WebLinkAbout2017-01300 - roofing •
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CITY OF ORONO I* 20 I 11 7 - 0 1 300 *
2750 KELLEY PARKWAY DATE ISSUED: 10/1112017
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2585 LYDIARD AVE
PIN : 20-117-23-11-0003
LEGAL DESC : APPLE HILL
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 4,400.00
NOTE: VALUATION OF PERMIT:$4400.00
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 123.87
STATE SURCHARGE(VALUATION) 2.20
CLEAR CHOICE RESTORATION MAIL-IN FEE 2.00
2722 HIGHWAY 694 TOTAL 128.07
SUITE 100
NEW BRIGHTON,MN 55112- Payment(s)
Minnesota State License#: BUIL-20635558 CREDIT CARD 6824 128.07
OWNER
LANGLAS,JOHN&MARY
2585 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 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.
er e / / /( 1 /7
Applicant Permitee Signature Date Issued B/Signature Date
16513440448 From: Olson Steve
2017-10-11 13 20 41 (GMT)
To City of Orono Page 2 of 3
... City of Orono
...
Building Permit Application for Maintenance I Replacement I Remodel- Residential ONLY
," ) r.{,,,.tyll A,.?. ". 1,, .,
ii,e, windOWS, doors, siding, re-roof,etc, - No'STRUCTURAL izAr eteigeAk.,(N)
......___......, — ...,,
//7'9,0,Aise Mailing Address:
PO E3ox 66 Permit number: ,(7,?2/7 6/36 L-) j
___ ___.......,
k...0 Crystal Say, MN 55323-0066 g //-/7 _.j
Dote received:
( )
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Street Address: --- ----- ---
' Received by. 'pi/I/Li
-
, e -• 2750 Kelley Parkway Plan review f ......
/ Orono,MN 55356
1 Total Fee: / , n7
Main: 952-249-4600 Fax 952-249-4616 www.ei.orono.rinA f
..,
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< - / . / IL/E-41 AC-/Z._._
0-----,.
Will this be a Parade of Homes,Remodelers--- owcase Home or other Display Home? Yes i No
If yes,a special event perm!l is required with Police.Department and City Council approval 60 days prior to the event. Shuttle bus .X ervice will be
required unless applicant demonstrates•suffident on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR i APPLiCrT iNFORMATION:
Name ,}
i -
: 0..VC /tt-IIICk itCc4-ffitecTizilit._
State License# --77 - ...- ---er- '-‘.....). Expiration Date: 3'`,. i 1 7
-
Lead Certification Number641 '..- ---2''.?—n
:
,-.,..?. 7_".. ...)....._c.n,_
(for work on homes that were constructed prior to 1978 — Expiration Date
----/- r
Phone: (cell) {officepf91 .e),S9 '-.4.(-9.-:::?.. -
Mailing Address: .0 79,99V
• 1(6r'''iz '6
. 6 e 4, -'11 --....- CitSti.74,&)- -7/?fri....10.); ZIP: ..552./,,i•—:
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Contact Person: Applicant is: cci eltreetr / Homeowner (circle one)
Email and/or Fax: 'ift. /- te'7,.„.
p.t 4 - -./ it; / _ ...._
PROPERTY OWNER INFORWION: ,
Name:
•
Phone(day):
_,„,
Address: 0;--- --7-- i ..---4_ /9(....". , City: ZIP:
-
Email and/or Fax:
' _ ...._
PROJECT INFORMATION: Overall project description:
Type of Project: T Any earth movement rnay also require
MCWD review a permits:
U Doors) 0 Remodel EJ Fire Damage
-roof,asphalt
0 Re-roof,cedar
ro...e 0 Repair
C Restoration D Storm.Damage
0 Water Damage Minnehaha Creek Watershed District(1VICVVD)
15320 Minnetonka Blvd
Minnetonka,MN 65345
Phone: 962-471-0590
0 Re-root,other(specify) ni Siding 0 Other:(specify)
Fax: 952-471-0682
D Window(s) VAVW.Tirtnehaborreek,nm
Estimated Construction Valuation of Project(excluding land) $ 1{1(00 ,
APPLICANT ACKNOWLEDGEMENT:
r----
• 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 hisJher 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
you refuse to supply ttsjpfrertaitiorthdappiication may not be issued.
(: /- ,-2-- ..-'-'---
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4 /7Applicant's Signature: Date. / /? __ _
Owner's Signature:e/ Date:
-- .._
Last Updated:January 2016
/ 0 V
Cf DATE
CITY OF ORONO CALLED IN Z2.11h�`
INSPECTION NWICESCHEDULED /0-4+2C0 t =-
PERMIT NO. 0,-<017-413O 0 COMPL D
ADDRESS 02i- -5.-- L/a,1 d -e__--
OWNER TELEPHONE NO„,y2-,25-9-7
477
CONTRACTOR l V[ 2r l G2— ` `1// //Let
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DESCRIPTION ►<U� /-.--%/...et-i /
ti, 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
y 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v 0 DEMO-SITE 0 SEPTIC INSTALL
Z OWN ONTRACTOR TO MEET YOU:_YES_NO
13
fil COMMENTS:
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0 WORK SATISFACTORY:PROCEED ECT COMPLETE
W 0 CORRECT WORK a PROCEED ❑ISBDE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaN for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector:
White CopyAnspector a FIN Canary CopyBIM Notice