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HomeMy WebLinkAbout2010-00493 - roofing CITY OF ORONO PERMIT NO.: 2010-00493 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/23/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 685 OLD CRYSTAL BAY RD N PIN 33-118-23-21-0002 LEGAL DESC UNPLATTED 33 118 23 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : INSTITUTIONAL-SCHOOL CONSTRUCTION TYPE : ROOFING-METAL ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 739,500.00 NOTE: COMMERCIAL REROOF FOR ORONO PUBLIC SCHOOLS-TEAR OFF,INSULATION,GRAVEL SURFACES BUILT-UP ROOF APPLICANT PERMIT FEE SCHEDULE 4,656.75 PALMER WEST CONSTRUCTION CO PLAN REVIEW 3,026.89 14595 JAMES ROAD ROGERS,MN 55374- STATE SURCHARGE(VALUATION) 369.75 (763)428-1867 TOTAL 8,053.39 OWNER SCHOOLS,ORONO PUBLIC 765 OLD CRYSTAL BAY RD N LONG LAKE,MN 55356- 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 revoke at any time for due cause. 96e;W;04� tv / 2 Applicdht Permitee Signature Date s ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: — �,0 PO Box 66 0 Crystal Bay, MN 55323-0066 Date received: / /0 a {�, .- �� Street Address: Received by: `. - Gtiti 2750 Kelley Parkway Plan review fe t9xESH0¢� Orono, MN 55356 ee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total F ?NQS 3.39 This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: j' Job Site Address: �Qs5 int U L('y's+AA Rm (2LA Will this be a Parade of Homes, Remodelers Showcase Home or dther 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/APP (CANT INFORMATION: Name: a1M�r i1�1' i - C_oy►s t-ru }ion Co t- / 4�� b/u19�' State License# Expiration Date.- Phone: ate:Phone: -77 - Z 16 -%Q3(o-7 (office) - 7040- *00/ (cell) Mailing Address: jS/ 12d Cit A_( ZIP:P573-74V' Contact Person: Lq 14e Applicant is: ac or Homeowner (Circle One) Email and/or Fax: � - PROPERTY OWNER INFORMATION: _ Name: C)J2C* -V Pu)b jl L &441 OD1S ��� 2;7g Phone (day): _ fi� _ 543 14 Address: bS5 Cry' }.may l Saci " N City: ZIP:557.3 Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) E] Remodel ElWater Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 e-roof ❑ Fire Damage www.minnehahacreek.org Overall Project Description: S ((I+ a oitJ tol'2AY t SaXfP6f19 Estimated Construction Valuation of Project(excluding land) •-1ZQ .5ZG . do 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 hisihar kn-Allorino. The applicant recognizes that they are solely responsible for submitting a complete app to do so, the staff has no alternative but to reject it until it is complete; DoL, C3 ie • Some or all of the information that you are asked t( fied by State law as either private or confidential. Private data is information which gene I �© —S Lit can be given to the subject of the data. Confidential data is information which gener< / blic or the subject of the data. Our purpose and intended use of this information is to < C,Odd )rds of other governmental agencies required by law. If you refuse to supply the informatic01 s y C t Applicant's Signature: „a«. (®l/ Last Updated: 05-04-2009 -Plan-Review Checklis _for New Structures / Additions Address/ PID/Legal: Description of work: Izz 1R.4 a rr Septic review by: Ar /A Date Approved: Zoning review by: P//A Date Approved: Building review by: Date Approved: (� _►'�- m Grading review by: Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitte . D Yes D No Date of Survey: Proposed Setbacks: Front(Lake) Rear treet) ( N Side W ) ( N Side W ) Other B 'dings Wetland Building Defined Height: Building Peak Height: FOR A BUILDING WITH A BASEMENT OR CRAWL SP E: FOR A BUI ING ON A SLAB FOUNDATION: START the distance between the basem t floor/ STA the distance between the slab and the WITH crawl space floor and the highestro eak, H highest roof peak, the top of the cornice the top of the cornice of a flat roof, the ck of a flat roof, the deck line of a mansard line of a mansard roof, or the uppermost roof, or the uppermost point on a round or oint on a round or other arch- a roof other arch-type roof SUBTRACT half the distance between the highest SUBTRACT half the distance between the highest window and highest roof peak of a pits d window and highest roof peak of a roof itched roof SUBTRACT the distance between the basem floor/ ADD the distance between the slab and the crawl space floor and the high t existing highest existing grade within the grade within the foundation 10 feet, ndation whichever is less. EQUALS Defihqqd building height EQUALS I Defined buildinq hei h Lot Coverage: SF Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff D Yes No N/A Yes D No D N/A p Yes D No D D No Permit Number: Setback: Hardcover Zono Existina Proposed Variance Required CUP Re u d 0-75' D Yes D No D Yes D No 75-250 Type(s): Type(s): 250, 00' 50A-1000' REMA KS (in-house): /V C7 C t•1�iVro� Updated: 07/01/2009 zAforms\plan review checklist.dom - - Fees to be Charged YES NO 3r1>t �it Plan Review ✓ 1T e Investigation Fee - Sewer Connection NA Mi Park Fee � te�lta" ec :q, Others eci Ift cau1-- isees_:; Calculated By: UBC: Construction Type: Square Footage $ per Square Footage Basement X = $ 1 Floor X = $ 2 no Floor X = $ Garage X = $ Estimated Construction Value: $ —73010sbo(= .Orono Inspections Required Work Requirina Separate Permits Required State Permits 0 Site 0 Plumbing 0 Grading/ Filling 0 Well 0 Hardcover Removal 0 Mechanical 0 Fire 0 Electrical 0 Footing 0 Septic 0 Water Connection 0 Foundation Survey 0 Fireplace 0 Sewer Connection 0 Framing 0 Masonry 0 Lawn Irrigation 0 Insulation 0 Mfg. 0 Wall Board 0 Other(specify) 0 As-Built Survey aminal D Others eci bre REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: 0 YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 07/01/2009 zAforms\plan review checklist.dom DAT TIME I CITY OF ORONO CALLED IN �G INSPECTION NOTICE SCHEDULED PERMIT N0. �C%/C% -��U� COMPLETED ADDRESS 9-15 �/� - �t_ r OWNER TELEP Ntt E CONTRACTOR✓ C DESCRIPTION - � 1:1 FOOTING El PLUMBING FINAL EXCAV/G ADI G/FILLING Q ❑ POURED WALL El MECHANICAL RI ElLAKESH /WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL O [I TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES NO COMMENTS: cc LU 4 Cr cc \ �� O W W CC Q 1.21 Z W Z W EC_ GW VI ORK SATISFACTORY:PROCEED PROJECT COMPLETE L W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. [; PHOTOTAKEN INSPECTOR WILL RETURN Ci CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. t 4 (3_S: White Copy/Inspector's File Canary Copy/Site Notice