HomeMy WebLinkAbout2017-01572 - roofing CITY OF ORONOI* zl 01 1 7 II 0 15H 7 2
2750 KELLEY PARKWAY DATE ISSUED: 12/01/2017
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 730 GANDER RD
PIN : 04-117-23-43-0021
LEGAL DESC : FOXWOOD 2ND ADDN
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES
VALUATION : $ 15,388.00
NOTE: VALUATION OF PERMIT:$15,388.00 ASPHALT REROOF
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 294.26
STATE SURCHARGE(VALUATION) 7.69
ROSSMAN CONSTRUCTION COMPANY LLC MAIL-IN FEE 2.00
404 MAIN STREET
ELK RIVER,MN 55330- TOTAL 303.95
(763)633-9454 Payment(s)
Minnesota State License#:BUIL-BC629760 CREDIT CARD 0839 303.95
OWNER
ROOT,ANDREW&AMANDA
730 GANDER 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.
CYRAledD 0 // / X17
Applicant Permitee Signat Date Issued By S' ature Date
11-29-'17 14:25 FROM-advisors mtg +763-441-9076 T-397 P0001/0003 F-909
City of Orono
Building Permit Application for Maintenance / Replacement/ Remodel — Residential ONLY
(i.e, windows, doors, siding, re-roof, etc. —NO STRUCTURAL EXPANSION)
A' Mailing Address: Permit number: a)fl-.0157A
Q \ PO Box 66
Crystal Bay, MN 55323-00661 ' Date received:
Street Address: ,1� Received by: --14V)/�
2750 Kelley Parkway Plan review fee:
'fkFstto� Orono,MN 55356 �� n _
Total Fee: �y ( ,(J
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.rankus
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: 736 6c r 7e.1 r (
Will this be a Parade of Homes, R®modelers Showcase Home or other Display Home? ❑Yes .IAo
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/AP ICANT INFORMATION: //�� ��
Name: 6.5500., ( e' r 1'r0r� C.5�'. G--t- .
State License# G Expiration Date: mr '
Lead Certification Number: A 5144 - Expiration Date: By 0,I
(for work on homes that were constructed prior to 1978 ,,
Phone: (cell) 6 � D. 3 a (office) rte- ==�^ 7 f 5-0* n3 3. (.S 4
Mailing Address: p Mme;,, City: �Jf /;l�,r ZIP: £5,3 6
Contact Person; 05Applicant is: ontractor / Homeowner (circle one)
Email and/or Fax: „LA, /ogs-"t;,, s '%4 av,cd
PROPERTY OWNER INFORMATION:
Name: Aid,'
Phone(day);
Address: 7 30 g City:L,rc y Z�) n ZIP: ‘5,53 Cj 1
Email and/or Fax:
PROJECT INFORMATION: Overall project description:
Typo of Project: Any earth movement may also require
❑Door(s) ElRemodel ❑Fire Damage MCWD review&permits:
to-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka,MN 55345
❑ Re-roof,other(specify) ❑Siding ❑Other: (specify) Phone: 95271.0590
Fax: 952-471-0682
❑Window(s) www,minnehahacreek.orq
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Estimated Construction Valuation of Project(excluding land) $ 1—j 70 .
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 application may not be issued. /
Applicant's Signatur . "" Date: l 1/ 1
5
Owner's Signature: Date: --
Last Updated:January 2016
DATE TIME
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CITY OF ORONO CALLED IN /. -/ 7
INSPECTION NOTICE lS7 CHEDULED /2 -7 -/7 / -36
PERMIT NO. c —O
l rI LETED
ADDRESS 2 30
OWNER TELEPONE O.7' 33x -73
CONTRACTOR bs-S✓i J1'1 L 1Y� (lir)
DESCRIPTION _-
W ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION DRAIN TILE ElPLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
• ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
is ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-Sly ❑ SEPTIC INSTALL
Q OWN ENCONTRACTOR TO u�OU:�YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR CI 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. ✓5 a
White Copylinspector's File Canary CopylSite Notice
l2 7Krt TIME
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CITY OF ORONO CALLED IN
INSPECTION NOTICE _ SCHEDULED /2 _b 17
PERMIT NO��1 — )b 02 COMPP ETED
ADDRESS 730 nC��/C/
OWNERTELE NE ,•.7 23- 370 7 41)
CONTRACTOR"P-kscinany:
DESCRIPTION
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W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
• ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ 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
• FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ -SITE 0 SEPTIC INSTALL
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NEW/CONTRACTOR 1:-(:- ET YOU:_YES_NO
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❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractoron site:
Inspector. /
White Copy/Inspector's File Canary Copy/Site Notice