HomeMy WebLinkAbout2016-00894 - Re-roof iiiiiiiiiiiiiiiiiiiiiillillillillillillilliiiimu
CITY OF ORONO * 2016 - 00894 *
' 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)2494616
ADDRESS : 2440 OLD BEACH RD
PIN : 21-117-23-22-0003
LEGAL DESC : SHORE HILLS
: LOT 002 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 82,000.00
NOTE: VALUATION OF PERMIT:$82,000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 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 968.08
GARLOCK-FRENCH ROOFING CORP
STATE SURCHARGE(VALUATION) 41.00
TOTAL 1,009.08
2301 EAST 25TH STREET Payment(s)
MINNEAPOLIS,MN 55406- CHECK 64606 1,009.08
(612)276-9934
Minnesota State License#:BUIL-BC001423
OWNER
BARBETTA,MR.&MRS.
2440 OLD BEACH 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.
Applicant Pennitee Signatuit Date Issued ignature Date
City of Orono
Building Permit Application for Maintenance / Replacement / Remodel - Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
O�^, Mailing Address: aQ 11,_ '
f yO PO Box 66 Permit number:
Crystal Bay, MN 55323-0066 Date received: 7--��
Street Address: Received by:
2750 Kelley Parkway Plan review fee
tq ESHO Orono, MN 55356
Total Fee: ,, O0 5•
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: 2440 Old Beach Road,Wayzata,MN 55391
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑■ 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: Garlock-French Roofing
State License# BC001423 Expiration Date: 3/31/18
Lead Certification Number: NAT-23999-2 Expiration Date: 4/15/20
(for work on homes that were constructed prior to 1978
Phone: (cell) (office) 612-276-9934
Mailing Address: 2301 E. 25thCity: Minneapolis ZIP: 55406
Contact Person: Meg Nathan Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: mnathan@garlock-french.com
PROPERTY OWNER INFORMATION:
Name: Larry Barbetta
Phone (day): 952-200-6500
Address: 244U Uld BeachRoad City: Wayzata ZIP: 55391
Email and/or Fax:
PROJECT INFORMATION: Overall project description:Tear off and replace cedar roof
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)
15320 Minnetonka Blvd
❑E Re-roof,cedar ❑ 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.org
Estimated Construction Valuation of Project(excluding land) $82,000.00
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
you refuse to supply the information,the application may not be issued.
Applicant's Signature: - �/�� Date: 7/27/16
Owner's Signature: Date:
Last Updated:January 2016
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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OwnwlContmctor on site:
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Call for the next lnspec*m 24 hours In advance. (952) 249-4600
OwnwlConlrsctor on site:
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