HomeMy WebLinkAbout2018-00357 - roofing CITY OF ORONO ,'� I
* 20 1 8 - 00357 *
2750 KELLEY PARKWAY DATE ISSUED: 03/26/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3440 NORTH SHORE DR
PIN : 08-117-23-43-0019
LEGAL DESC : LYDIARDS PARK LAKE MTKA
: LOT 016 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
VALUATION : $ 11,700.00
NOTE: VALUATION OF PERMIT:$11,700.00
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 232.30
INCLINE EXTERIORS INC STATE SURCHARGE(VALUATION) 5.85
26175 BIRCH BLUFF RD TOTAL 238.15
SHOREWOOD,MN 55331 Payment(s)
(612)471-9065 CHECK 10897 238.15
Minnesota State License#:BUIL-20168831
OWNER
LINDBERG,DAVID&PAULA
3440 NORTH SHORE DR
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 Permitee Signature Date Issued Bytature Date
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CITY OF ORONO �'! I 1 I 11 ) LLL
2750 KELLEY PARKWAY 2 0 1 8 - 5
DATE ISSUED: 03/26/2018
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3400 NORTH SHORE DR
PIN : 08-117-23-43-0016
LEGAL DESC : LYDIARDS PARK LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
VALUATION : $ 11,700.00
NOTE: VALUATION OF PERMIT:$11,700
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 SC EDULE 032.30
INCLINE EXTERIORS INC STATE SURCHAR E(VALUATIO 5.85
26175 BIRCH BLUFF RD TOTAL 38.15
SHOREWOOD,MN 55331 Payment(s)
(612)471-9065 CHECK 11897 238.15
Minnesota State License#:BUIL-20168831
OWNER
Southwestern Capital LLC
3400 NORTH SHORE DR
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 an time for due c•use.
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— -�� LCA- 61A-1,v,
Applicant Permitee Signature Date Issued y Signature Date
City of Orono
- Buiiding Permit Application for Maintenance / Replacement / Remodel — Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
A T Mailing Address: Permit number:
��W.e
PO Box 66 `2C O L C0 �
Crystal Bay, MN 55323-0066 Date received: 3 �(p--/3Street Address: Received by: 4
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2750 Kelley Parkway Plan review fee:
Orono, MN 55356kESHO�
Total Fee: 4 .�. 3 ./ 5—
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 wilt be returned. Please print)
GENERAL INFORMATION: ' `
Job Site Address: 7� Uu iIt o(I41 I 5A��✓, 1 01'010
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/APPLIC NT.INFORM_ATION:
Name: till 1;rz. &At '',c7 j
State License# 13 L 14 'L(31 Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructedprior to 1978
Phone: (cell) q5 - q 71- ' O E S (office)
Mailing Address: 7$0 Pka5an A St, City: 'xt.e/,[oc ZIP: 9T33
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFO MATION: l
Name: tua,. L;I- c1 1pb�
Phone (day): _
Address: 3 Imo01 ari 12/ City: Orm0 ZIP: 753411
Email and/or Fax:
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) 0 Remodel 0 Fire Damage MCWD review&permits:
rd Re-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) $ II .700
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 suppl info tion,th pplication may not be issued. 1
Applicant's Signature: Date: 24 `
Owner's Signature: Date:
Last Updated:January 2016
61-e1149 F11
DATETIME Y
CITY OF ORONO CALLED IN 2-'4' l5
INSPECTION NOTICE SCHEDULED •
PERMIT NO. .?oiy' 57 C PLETED �
1/11-CI J E 5�:
ADDRESS ,trvte.
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OWNER /----J//-7--e_.- T P NE NO. "a3
CONTRACTOR ' ! D-6
DESCRIPTION '6
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q 0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
"4 ,R1-191/711- 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
r ❑ DEMO-SITE ElSEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:
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LU ❑WORK SATISFACTORY:PROCEED i / CT COMPLETE
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0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COHERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n: , inspection rs in advance. (952) 249-4600
Owner/Contra . . site:
Inspector. - V
White Copyllnspector's File Canary CopylSite Notice