HomeMy WebLinkAbout2016-00468 - roofing CITY OF ORONO I [ 1 1 ��' �. L 'r II!I
468 *
2750 KELLEY PARKWAY DATE ISSUED: 05/02/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2328 OLIVE AVE
PIN : 17-117-23-44-0065
LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA
: LOT 007 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 2,000.00
NOTE: VALUATION OF PERMIT:$2,000.00(ONLY A PARTIAL RE-ROOF)
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 77.40
STATE SURCHARGE(VALUATION) 1.00
JACOBSON,JAMES&LYNN TOTAL 78.40
2328 OLIVE AVE Payment(s)
WAYZATA,MN 55391- CHECK 12558 78.40
OWNER
JACOBSON,JAMES&LYNN
2328 OLIVE AVE
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 as uring all required inspections are
requested in conformance w State uilding Code.This permit may be
revoked at any time for due e.
tom Rte. di li�,�
A,. i''�'ermitee Sigadfu e Date Issued By Signature Date
City of Orono
Building-Permit Application for Maintenance / Replacement / Remodel - Residential ONLY
• (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION)
O Mailing Address: Permit number: a�6-06y00
NO PO Box 66
Crystal Bay, MN 55323-0066 Date received: o�- `(O
Street Address: Received by: teP
y L� 2750 Kelley Parkway Plan review fee:
'Ff S H 0�`� Orono, MN 55356
Total Fee: 76 ilk
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: r3a,? OL, Ave_. 1
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YesNo
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: Tccol,sory
State License# N o ExpirationL...1 Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell)` 5.<)) 7 /- 633`( (office)
Mailing Address: A City:w�y L . IP: S31
Contact Person: (y nSeIrk Applicant is: Contractor /, omeowne (circle One)
Email and/or Fax: p ML ® G M 4, , Com
PROPERTY OWNER INFORMATION: T
Name: Ja rk-e--5 a...� I> rtn -Ike nil 5n
Phone(day): 501) y71-01341
Address: 7-; g n1 .,. 11.t_ City: 4), Zcik, ZIP: SS31
Email and/or Fax: ( � n G, `, / , Gor.�
PROJECT INFORMATION: Overall project description: 7 r-0 cr
Type of Project: Any earth movement may also require
❑ Door(s) 0 Remodel 0 Fire Damage MCWD review&permits:
% e-roof,asphalt 0 Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑ Re-roof,cedar 0 Restoration 0 Water Damage Minnetonka, MN 55345
❑ Re-roof,other(specify) 0 Siding 0 Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
0 Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ aQo0-
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 t. . n 1 . update our records and records of other governmental agencies required by law. If
you refuse to supply the i ormation, e pplica on may not be issued.
Applicant's Signature: 4"1" ��, A Date:
Owner's Signature: •� Date:
Last Updated:January 2016
ADX 00461 DATE TIME
CITY OF ORONO CALLED IN
INSPECTION CE SCHEDULED
PERMIT COMPLETED
ADDRESS . .213.2 g
OWNER C via qi4 hso't. TELEPHONE NO.
CONTRACTOR
E DESCRIPTION -/Oar
Iy 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
s 0 POURED WALL 0 PLUMBING RI 0 EXCAWGRADINGIFILUNG
0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
• 0 RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
IC 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
0 INSULATION 0 WOOD BURNER/FIREPLACE 0 COM LAINT
0 FINAL 0 WATER HOOK-UPGLLOW-UP
us 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v0 DEMO-SITE 0 SEPTIC INSTALL
TO MEET YOU:_TES._NO
a coMMENTSt Perw..e %%eV h <" Jor
IE Permit has expired per MN Building Code Sec. 1300.120 subp. 11
Expiration, no record of a Final inspection.
14.I'
W
IAA
W 0 WORK SATISFACTORY.PROCEED 0 PROJECT COMPLETE
lai• 0 CORRECT WORK&PROCEED 0 ISSUE CERTIRCATE OF OCCUPANCY
Q 0 CORRECT WORK,CALL FOR REINSPECTION • TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O WISPECRON REQUIRED.CALL TO ARRANGE ACCESS.
Cel for the next Inspection 24 hours in W ane& (952) 249-4600
OwnedControctor on sits:
Inspector:
WNW tsPooN S R» Canary CopIAsN.Nolo