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Home My WebLink About2014-00367 - roofing • CITY OF ORONO II I '� * 2750 KELLEY PARKWAY * 20 1 4 - 003 7 DATE ISSUED: 04/25/22 014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1100 OLD CRYSTAL BAY RD S PIN : 09-117-23-14-0001 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-OTHER ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 38,000.00 NOTE: EPDM ROOF APPLICANT PERMIT FEE SCHEDULE 552.75 STATE SURCHARGE(VALUATION) 19.00 GARLOCK-FRENCH ROOFING CORP MAIL-IN FEE 2.00 2301 EAST 25TH STREET MINNEAPOLIS,MN 55406- TOTAL 573.75 (612)722-7129 Payment(s) Minnesota State License#: BUIL-0001423 CREDIT CARD 1130 573.75 OWNER GRAHAM,ROBERT GUMNIT AND FRANCES P.O.BOX 85 CRYSTAL BAY,MN 55323- 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. CWLee T2tli , ' 64.237/?/ Applicant Permitee Signatur DatE Issued1''y Signature Date APR/25/2014/FRI 10:52 AM Garlock-French FAX No, 612 722 9754 P. 002 City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) `,r PO Box 66 Mailing Address: Permit number: �' fe4VX) Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: ay 2750 KelleyParkway , GPlan review fee: Orono,MN 55356 "41,5 HO"' 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: SIO I '( i,, d,r.� 44V / (201 ,'. �irJL/ .Ss39/ Will this be a Parade of Homes, Remodelers`- owcase tr.me or o er isplay Ho e? ■ Yes No If yes,a special event permit is required with Police De.artment and C 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 ICA INFORMATION: . Name: y p(� ' 4016h- State 01�, - State License# • C a0/ "2,, _ Expiration Date: 3/3/// Lead Certification Number. 09-1:23'99C/-/ Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: , 57= City:4, ,y , " ZIP: c6-.ye, Contact Person: ,, Applicant is: ontrac o• / Homeowner (Circle One) Email and/or Fax: . �� A/7 i e/1. 1 • PROPERTY OWNER INFORMATIO Name: ��l�.trf" G� NLr f... Phone(day); ( /42- 7 y -006 Address: /l0l� �7/, �...� .ir% _ 4��!rj; City: j(EZIP: 515-011/ Email and/or Fax: i Tear off and replace flat roof section of house,using tapered isocyanurate insulation and Carlisle 60 mil EPDM PROJECT INFORMATION: Overall project description;_ . Type of Project: 1�ny ea(�movement may also require ❑Door(s) CI Remodel ❑Fire Damage r]tCWD review&permits: ❑Re-roof,asphalt ❑Repair . El Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑Re-roof,cedar 0 Restoration 0 Water Damage Deephaven,MN 55391 J.Re-roof,other(specify) ❑Siding Di Other:(specify) Phone: 952-471-0590 EYDP1Fax: 952-4'71-0682 ❑Windows) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 5e) 0,97 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 informatio 1 the application may not be issued.• _ Applicant's Signature: 'it i fi 1, Y Date: /� Owner's Signature: I Date: Last Updated:03/06/2013 DATE TIME CITY OF ORONO CALLED IN INSPECTION NO ICESCHEDULED PERMIT NO ICE -2 COMPLET D 6 ADDRESS n Oj 1$ OWNER TELEPH%NE NO. _' CONTRACTOR _ // / DESCRIPTION 9/vi- / ,.. t ❑ FOOTING ❑ PLUMBI '. AL ❑ V/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI i ORE/WETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL ❑ 'EMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SI SPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS 0 FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP IQ 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO cl ,COMMENTS: W a IV/K ccN. .....— 6,,,,x im,(..----7A.41-iip itO W CC Q WW Cc O W a. •RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE Ct ■ S 4.ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY `O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i .,dvance. (952) , 9-, '00 OwnerlContractor on site: / Sri/Inspector. ' �, / "/ White Copy/inspector's File /Canary Copy/Site Notice . TIME V CITY OF ORONO CALLED IN 1111 — INSPECTION E SCHEDULED - — PERMIT NCOMPLETED, p /� ADDRESS //O H cic eo(�/ S OWNER TE HONE O.� 722 CONTRACTOR 6 �7 . a DESCRIPTION ii- ,La_le pro" IL. 0 FOOTING 0 PLUMBING FINAL , 0 EXCAV/GRADING/FIWNG y 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS Q 0 FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL Z 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS INAL 0 SEWER HOOK-UP 0 COMPLAINT ..t 0 DEMO-SITE 0 SEPTIC MAINT 0 FOLLOW-UP 144 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v 0 PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES NO y COMMENTS: cc 4. Lu F./ 7 racer - G P 0 wt f o6-NN M c CC o e fbmf SG 4f/e✓S do roC.ibe.4 c —N. 145(14i to, 0eowoe 0 --- o W worR. Co#1010..e a.. cc Q 2 fec mit .1.mt.f 4.0 W cc O WIX 0 WORK SATISFACTORY:PROCEED OJECT COMPLETE W 0 CORRECT WORK&PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN 0 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 Owned ntractor on site:,}'41/ G i dot wit Inspector. w.- Wh a Copyllnspector's File Canary Copy/Site Notice