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HomeMy WebLinkAbout2016-00596 - roofing CITY OFORONO 111111I1II1II1 II II IN TINE IE • 2750 KELLEY PARKWAY * 20 1 6 — 0 0 5 l DATE ISSUED: 05/26/22 011 6 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 500 ORCHARD PARK RD PIN : 32-118-23-23-0003 LEGAL DESC : ORCHARD PARK : LOT 011 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 1,000.00 NOTE: VALUATION OF PERMIT:$1,000.00 PARTIAL REROOF OF CERTAIN ROOF AREAS DAMAGED BY HAIL. 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 43.30 STATE SURCHARGE(VALUATION) 0.50 ADAMS,THOMAS A TOTAL 43.80 500 ORCHARD PARK RD Payment(s) LONG LAKE,MN 55356- CREDIT CARD 9953 43.80 OWNER ADAMS,THOMAS A 500 ORCHARD PARK RD LONG LAKE,MN 55356- 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. 4\/%4SYNA4.7a • iLI — S / Applicant Permitee Signature Date �'id r Issued ignature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY • (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) ��fV Mailing Address: Permit number: /�i O PO Box 66 Crystal Bay, MN 55323-0066 Date received: -4* a Street Address: Received by: 4 G* 2750 Kelley Parkway Plan review fee: l,9kFSHo�� Orono, MN 55356 Total Fee: 2/3, 3-0 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: Soo arflQ\ '&c gooCl L Yl Lakc Iv' tV Will this be a Parade of Homes, Remodelers Showcase Home or other Displ y 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/APPLICANT INFORMATION: Name: 1V10' CN5 C1M S State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: n Name: GY�'1ClS A 6 a r1 S Phone(day): (Dl Z 2Q 2L{. Address: 5o0 ©rC- 0.CC\ cxYk Roca c. City:LOVA Lc ? e ZIP: ��3 Email and/or Fax: 0,4C3"50r6-\grck GU*. ® 1'1'10.3 1 i COW\ PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ElDoor(s) 0 Remodel 0 Fire Damage MCWD review&permits: '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) $ ibOo 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 information,the application/pl� may not be issued. Applicant's Signature: 1"�". -,,AA" -- Date: lAn 2� 20 1 (// P Owner's Signature: Date: V ''\0." `"Q I 2°( Last Updated:January 2016 �'j DATE TIME CITY OF ORONO CALLED IN ✓ INSPECTION NOTICESCHEDULED f _� / I1�1.1. PERMIT NO.2X' /3/! 5 COMPLETED / ADDRESS -Sei e-444.te 7'p -t k' ` OWNER A -//i J A, .. - (' ONE NOZ-2 V_Z0, CONTRACTOR 74 i DESCRIPTIONOP �= W ❑ FOOTING 0 DEMO-FINAL /' 0 SE' IC INAL Q [] POURED WALL 0 PLUMBING RI 0 E CAV/e-•DING/FILLING Om FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 'REE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q ❑ FRAMING 0 MECHANICAL FINAL V RATED WALLS ❑ INSULATION 0 WOOD BURNER/FIREPLACE 1 COMPLAINT r 0 FINAL 0 WATER HOOK-UP ■ FOLLOW-UP ct ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL cr OWNER/CONTRACTOR TO MEET YOU:_YES_NO vs COMMENTS: cc W Q. • CC A Jo 111(4.....„,_ CC 1110t/ / 4 W CC Q Li 2 W 0 WC ATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑ IRRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY w C:)7CRECTWOR CALL FOR REINSPECTION TEMPORARY EF'ORE COVERING PERMANENT ❑COFIRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 1 Call for the next inspection 24 hours in advan .- ' is , 9-4600 Owner!Contractor on site: A / i Inspector. ,/ White Copy/Inspector's File Canary Copy/Site Notice Y DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICESCHEDULED PERMIT NO. nt 1b- et)6'4, COMPLETED (j /—/d o? ADDRESS OO orcAd✓t9 ri/ie 4112 OWNER Tim "%.acs TELEPHONE NO.MP a9(-6211/60 CONTRACTOR DESCRIPTION T ✓' d-P W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION • 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL ❑ WATER HOOK-UP 0 FOLLOW-UP i ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL • OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: cc Lu o-c,r o=ff" /Ut...)e_✓ cozd - 0k j • AWL/i 0;e p i t /i e,f a 4.'4 tipcc ✓ WO d'T 71E4r^A c d I G /J Q r roof f W /" Q a/. (2IL-fri•Ccip W W OC j Ma K SATISFACTORY:PROCEED 0 PROJECT COMPLETE OC W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COHERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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. (952) 249-4600 OwnerlContractor on Site: / G"u IFISpeCtO White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN ------- INSPECTION NOTICE SCHEDULED PERINI NO.07640 •ob59 COMPLETED 'W VcC Amass 500 Ore./wPa'/4 Al2. OWNER 71106140 Ahrilloo TELEPHONE NO. CONTRACTOR EDESCRIPTION Rte`roci.F W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL N 0 POFD WALL 0 PLUMBING RI 0 EXCAVIGRADINGIFIWNG 0 FOUNDATION WATERPROOF 0 PLUMBING ANAL 0 TREE REMOVAL t0 RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Cl FRAMING 0 MECHANICAL ANAL 0 RATED WALLS 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT t 0 FINAL 0 WATER HOOK-UP UP 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v 0 DEMO-SITE 0 SEPTIC INSTALL ONNEPJCONFRACTOR TO MEET TOM_WS_NO :' COMMENTS Pei s.' hdfd c✓ ,Cpl, 71s- G..'/e fpm it.1ee sitf ; I 4 4 tcz Permit has expired per MN Building Code Sec. 1300.120 subp. 11 2 Expiration, no record of a Final inspection. e: W 1y 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE WIAA 0 CORRECT WORK&PROCEED 0 ISSUE CERTIRCATE OF OCCUPANCY Ci O C011RECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PAANEWT O CORRECT UNSAFE OONDmONWITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR O I NSPECi1ON REQUIRED.CALL TO ARRANGE ACCESS. CM for the next Inspection 24 hours in advance. (952) 249-4600 OwnedContractor an eite: Inslsocton ice-+ whit. R» Comm CopyRNM NNW