HomeMy WebLinkAbout2017-00835 - roofing I I I I �
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CITY OF ORONO ' �� (
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2750 KELLEY PARKWAY * 2 1 7 - 0 0 8 5
DATE ISSUED: 07/18/22 017
ORONO, MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 850 OLD CRYSTAL BAY RD S
PIN : 09-117-23-12-0005
LEGAL DESC : FRENCH CREEK WOODS
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 102-SINGLE FAMILY HOUSES,ATTACHED
VALUATION : $ 15,000.00
NOTE: VALUATION OF PERMIT:$
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 278.77
KUHL'S CONTRACTING STATE SURCHARGE(VALUATION) 7.50
1515 S 5TH STREET TOTAL 286.27
HOPKINS,MN 55343-
Payment(s)
(952)935-9469 CREDIT CARD 9018 286.27
Minnesota State License#: BUIL-BC 195769
OWNER
ELLWEIN,MICHEAL&ELIZABETH
850 OLD CRYSTAL BAY RD S
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. ,
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Applicant 'ermi ee Signature Date Issued [CV 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)
W
o A Mailing Address:POBox66Permit number:
Crystal Bay, MN 55323-0066 Date received:
Street Address: Received by:
2750 Kelley Parkway Plan review fee:
Orono, MN 55356
Total Fee:
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: 850 Old Crystal Bay Rd, Orono
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: Kuhl's Contracting, Inc
State License# BC195769 Expiration Date: 03/31/2019
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (office)
Mailing Address: 1515 5th St S Suite K City: Hopkins ZIP: 55343
Contact Person: Brook Applicant is: Contractor / Homeowner (circle One)
Email and/or Fax: brook@kuhldesignbuild.com
PROPERTY OWNER INFORMATION:
Name: Andy Ellwein
Phone(day):
Address: 850 Old Crystal Bay Rd City: Orono ZIP:
Email and/or Fax:
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) CIRemodel IDFire Damage MCWD review&permits:
.'Re-roof,asphalt CIRepair 1=1Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345
CI Re-roof,other(specify) ❑Siding CIOther: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ 15,000.00
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 f• ation is to annually update our records and records of other governmental agencies required by law. If
you refuse to supply th' ormation,the application may not be issued.
Applicant's Signature: Date: `
Owner's Signature: Date:
Last Updated:January 2016
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DATE TIME N/
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CITY OF ORONO CALLED IN -Lo-I l
INSPECTION NOTICE SCHEDULED —1 3 I-11 t
PERMIT NO. O O 17COMPLETED
ADDRESS %5O OISi. Cry:� �� �i KiS
OWNER TELEPHONE •. q 5�-Q -Cf 1-(0
CONTRACTOR J-oLt- k u
DESCRIPTIONKOOfI OJ---
L ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
12
12 ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
It 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
Z
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q _INAL ElWATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v• ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
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W ❑WORK SATISFACTORY.PROCEED 0 PROJECT COMPLETE
RECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next Inspection 24 hours in advance. (952) 249-4600
OwnerIConhactor on site:
Inspector: //w 4
White CopySInspector's File Canary CopyIBi a Notice