HomeMy WebLinkAbout2018-00500 - roofing CITY OF ORONO II I l l I I I I I 111111
* 1III1
2750 KELLEY PARKWAY DATE ISSUED: 04/23/2018
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1385 ORONO LA
PIN : 02-117-23-34-0003
LEGAL DESC : HOMES ON BROWNS BAY
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
VALUATION : $ 275,000.00
NOTE: VALUATION OF PERMIT:$275,000
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIDING PERMITS ISSUED MUST PROVIDE COMPLETE SET OF PICTURES OR HOUSE WRAP
APPLICANT PERMIT FEE SCHEDULE 2,212.42
STREETER&ASSOCIATES STATE SURCHARGE(VALUATION) 137.50
18312 MINNETONKA BLVD TOTAL 2,349.92
WAYZATA,MN 55391 Payment(s)
(952)346-2499 CREDIT CARD 1848 2,349.92
Minnesota State License#:BUIL-BC-001380
OWNER
THOMAS,PETER&NICOLE
1385 ORONO LA
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
•
--ds1 76- "1/ 4kr
A-11
-Applicant Permitee Signature Date Issu•. y Signature Date
City of Orono
Building Permit Application for Maintenance / Replacement / Remodel - Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
"-------
Mailing Address: Permit number: !TOO SO
PO Box 66
Crystal Bay, MN 55323-0066 Date received: c/-v23 /$
Street Address: Received by: J���� 2750 Kelley ParkwayPlan review fee:
Orono, MN 55356/SHO
Total Fee: VtLi 5 , 2_
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 1�
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: s� t ��3q/
Job Site Address: /. '3 6Vvn.t) LA) r- Dwwp AIA)Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes 3No
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: Sireeie✓ #1.-- 0e;4'l_$
State License# 1380 Expiration Date: 0/ O
uAT- 96>44-2
Lead Certification Number: Expiration Date: 6/8j'}„/
(for work on homes that were constructed prior to 1978
Phone: (cell) Ga. -21J- • 316Wf (office) ?CI-' I NY - Vit r
Mailing Address: 1931 Mirtlte'i,tk,. 814. City: ZIP: S`.13/ff
Contact Person: Ric Se/f¢, f owstitakx,.3 6/1—$'(>Q-)t/31 Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: dw;(IQebn.. e_,sive vie r4lvwuS. et:w i
\ 4
� Kh 11/;Il1
eiibhkO &frii;4-) 61--g1)-- i
PROPERTY OWNER INFORMATION: .J
Name: pe4. j fe_ 7katruis
Phone (day): ?S2-gig- Pi 8., h-,
Address: Lot's-- 0,-044 Ate, owl) ni ) City: Owr,.p ZIP: ,M.7/
Email and/or Fax: nele.'AkewtA,s '7 ysk i . CCw►
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
❑ Re roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
2E Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345
111 Re-roof, other(specify) I Siding 111Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
18 Window(s) www.minnehahacreek.org
Estimated Construction Valuation of Project(excluding land) $ !aTaftl? `tom 76-; d 0 0
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 -,•lication may not be issued.
Applicant's Signature:0' - • Date: Lf_) — /8
� ` G� •y
Owner's Signature: Date: /Z-it
Last Updated:January 2016