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HomeMy WebLinkAbout2014-01224 - roofing CITY OF ORONO 111111111111111111111111111111111111111111111111111111111 * 2014 - 01224 * T - 2750 KELLEY PARKWAY DATE ISSUED: 10/22/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 490 OLD LONG LAKE RD PIN : 36-118-23-34-0010 LEGAL DESC : SUMMIT STATION : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : 4 0/ f�)S i 11-11-4:;°--t VALUATION : $ 48,000.00 NOTE: VALUATION OF PERMIT: $48000.00 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 660.25 STATE SURCHARGE(VALUATION) 24.00 TRADITION ROOFING&EXTERIORS MISC FEE 0.00 2080 ITASCA AVE ST PAUL,MN 55109- TOTAL 684.25 (651)698-3024 Payment(s) Minnesota State License#: BUIL-206434827 CHECK 1843 684.25 OWNER WIKEN, LAWRENCE&BARBARA 490 OLD LONG LAKE 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 ap . t is respo ..le for ass ring all required inspections are request I n c+nform ce wit tate Building Code.This permit may be revoke• • . 1time ft r due c ' 401/PAL � . /0a O / � �' /Q � oZ�i / Ap.l' TI'e itee `relr..tYe' Da Iss e. ey Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) OA, Mailing Address: Permit number: `T•-C)I D <yO PO Box 66 Crystal Bay,MN 55323-0066 Date received: /Q- ?N)`-- Received a- Street Address: Received by: 4 2750 KelleyParkway 9� E Plan review fee: Orono,MN 55356 �kESH0 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: 4�? ` 01\+'� Job Site Address: —`� L. nil AAN 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 se i will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: n Name: ?A�r�t© -,FIG- `4- E. 4-7C:(2-4c:IX. State License# Expiration Date: O 4! i Lead Certification umber: l _ `) ) - , Expiration Date: J (for work on homes that were constructed prior to 1978 / _� �t [ ��1 Phone: (cell) �j� _?�`J�y�� (office) %w •t •Ct`1t; -- Mailing Address: d 3 CJ ��� ` City: -r1.‘ ZIP: 6e j!(d Contact Person: �W7 so plicant is: ontractor / Homeowner (circle one) Email and/or Fax: I � PROPERTY OWNER INFORMATION: ` Name: LARR?Z '�A�� aA f (Lr- Phone(day): ('t -TIDS-�o Z Address: /.4.CI D L l j fr die City: Pr ZIP: `�1 Cj Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑Fire Damage MCWD review&permits: 0 Re-roof,asphalt ❑ Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ARe-roof,cedar 0 Restoration 0 Water Damage Deephaven,MN 55391 ❑ Re-roof,other(specify) [ISiding 0 Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 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 informatio which _"Ieral; -nnot be given to either the public or the subject of the data. Our purpose and intended use of this informatio s to a�1, t••ate our records and records of other governmental agencies required by law. If you refuse to supply th: ' o •44=No- N o - •• •.- issued. Applicant's Signature: , i 7 t Date: /o 111 Owner's Signature: Date: Last Updated:03/06/2013 DATE TIME CITY OF ORONO CALLED IN INSPECTION I� 1/11..5 apr SCHEDULED PERMIT NO. /�//� �[ // COMPLEag- OWNEREP,HONE ED ADDRESS 2 of r/ NO. CONTRACTOR DESCRIPTION7 c4 `'- as& - ',_ , LU ❑ FOOTING ❑ PLUMBI FINAL ❑ EXCA ('RADING/FILUNG Q ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS Is ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP Lit ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: / a CC ..... --- ---/16O Cc 1O : Li A I M I[WM IINITIIP Q i 2 W Ct W RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (95 ' ' 9-4600 Owner/Contractor on site: Air Inspector: le White Copyfnspector's File Canary CopylSRe Notice V K� DTE TIME CITY OF ORONO CALLED IN INSPECTION? TICE FOULED l�7 —/ /` PERMIT NO c D/2� LETED `� ADDRESS L(9 `r C ' WC, A L7 OWNERAli TELEP/. N,O. "ItIr � -7 CONTRACTOR � -/1` ' Aft. / DESCRIPTION /5/ // /. is w 0 FOOTING ❑ PLUMBING 'AL 0 EXCAV/GRADING/FILLING c 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORENVETLANDS H O 0 FRA G 0 MECHANICAL FINAL 0 TREE REMOVAL ❑ I LATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION C ❑ ADON SLAB 0 WATER HOOK-UP ❑ PROGRESS INAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP IQ 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMO Z OWN ERICONTRACTOR TO MEET YOU:_YES • COMMENTS: �2 cc 1 (7;1, ll'Iv7'/L),kii ....,)0 CC 0 4. W CC Q 11)/2 itiZ W CC W 0 WORK SATISFACTORY:PROCEED PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED 0 I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. (952 ' , '-4600 Owner/Contractor on site: 00 Inspector. AQ White Copyllnspector's File Canary Copy/Site Notice