HomeMy WebLinkAbout2017-01548 - roofing CITY OF ORONO I ' F1' 1 F11 I 11 I II
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2750 KELLEY PARKWAY * 2 0 1 7 - 0 1 5 4 8
DATE ISSUED: 11/22/2017
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-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 8,500.00
NOTE: VALUATION OF PERMIT:$8500.00
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 185.83
STATE SURCHARGE(VALUATION) 4.25
GARLOCK-FRENCH ROOFING CORP MAIL-1N FEE 2.00
2301 EAST 25TH STREET
MINNEAPOLIS,MN 55406- TOTAL 192.08
(612)276-9934 Payment(s)
Minnesota State License#:BUIL-BC001423 CREDIT CARD 5261 192.08
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.
•Cte /e,e
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Applicant Petmttee tgnature Date Issued By 'spa ature Date
NOV/21/2017/TUE 05:05 PM Garlock—French FAX No. 612 722 9754 P. 002
City of Orono
Building Permit Application for Maintenance/ Replacement/ Remodel — Residential ONLY
(Le.windows, doors, siding, re-roof, etc. —NO STRUCTURAL EXPANSION)
Mailing Address: Permit number: 'AO/7 —0/WW
G W
SLOIV
ox 66
04 0 Crystal Bay,MN 55323-0066 Date received: ` 7
Street Address: Received by: 11 f,
2750 KelleyParkway '"/"
F M� cPlan review fee:
r'f Orono,MN 55356
Total Fee: /
Main: 852-2494600 Fax: 952-249-4616 www.ci.orono.mn.us • ( V 1J
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; rP p O Q/rte C sf/Z?'. / / .
Will this be a Parade of Homes, Remodelers Showcase Home/or other Display Home? 0 Yes No
N 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 1 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 19x8
(office) 612-276-9934
Phone: (cell)
Mailing Address: 2301 E 25th St. City: ` I " -- •• IS ZIP: •
Contact Person: Meg Nathan Applicant is: Contractor / Homeowner (circle one)
Email and/or Fax: mnathancgarlock-french.com
PROPERTY OWNER INFORMATION:
Name: Frances Graham
Phone(day): 612-747-1900
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Overall project description:Tear off and replace small EPDM roof(see attached drawing)
Type of Project: Any earth movement may also require
❑Door(s) ❑Remodel IDFire Damage MCWD review&permits:
❑Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑Re-roof,cedar ❑Restoration 0 Water Damage Minnetonka,MN 55345
0Re-roof,other(specify) 0 Siding ❑Other:(specify) Phone: 952-471-0580
Fax: 952-471-0682
EPDM 0 Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $8.500.00
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 jnformation,the application may not be issued.
Applicant's Signature: Date: 11/21/17
Owner's Signature: U Date:
Last updated:January 2016
Reviewed for Codf
Compliance City of Oron0
OR6ND COPY
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Reviewer
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PROJECT:
PPROJECT: Graham
ROOFER: 6AIRLOC.K. - FRE Wali
SECTION TAPERED PANELS: (ISO4: 4.0 X 4.0) TAPERED ISOCY AVER VALuE 12. 54
X 0.560 - 1.500 TOTAL S.F.= 350.0
1.500 - 2.500 SCALE: 1/8" = 1'-0"
SECTION FILL PANELS: (4.0 X 8.0) 2" ISOCY DATE: 11-20-17
2.000 ALLIED BUILDING
NOV/21/2017/TUE 05:06 PM Gar lock—French FAX No. 612 722 9754 P. 003
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