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HomeMy WebLinkAbout2016-01049 - roofing ISI i i i I CITY OF ORONO I �' �' * 20 1 6 - 0 1 0 4 9 * 2750 KELLEY PARKWAY DATE ISSUED: 08/29/2016 ''«, ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 105 ORONO ORCHARD RD N PIN : 35-118-23-33-0003 LEGAL DESC • UNPLATTED 35 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY 0/S BUILDING-UNDEFINED VALUATION . $ 43,600.00 NOTE: VALUATION OF PERM I :$43,600.00 ROOFING PERMITS ISSUED WI HOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUS PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS i Y ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED E SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 648.18 STATE SURCHARGE(VALUATION) 21.80 M&R CONSTRUCTION,LLC TOTAL 669.98 28 OAKWOOD DR NEW BRIGHTON,MN 55112- Payment(s) (651)246-3107 CREDIT CARD 2751 669.98 Minnesota State License#:BUIL- C630488 OWNE LOWE&KELLY GRANNIS,JA ES 105 ORONO ORCHARD RD N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued sha be performed according to the approved plans and specifications,applic:ble City approvals,and the State Building Code. This permit is for only e work described and does not grant permission for additional or related ork which requires separate permits. All provisions of laws and ordinanc,s governing this type of work shall be compied with whether or not specifi- herein.This permit will expire and become null and void if constructs i n authorized is not commenced within 180 days of the date of iss ance,or if construction is suspended for a period of 180 days at any tim• after work has commenced. The applicant is responsible for assuring all r- uired inspections are requested in conformance with the State Build ng Code.This permit may be revoked at any time for due cause. 1119 L,A AAA • .plicant Pe itee t1_ ature Dat Issued By Signature Date City of Orono Building Permit Appl cation for Maintenance/Replacement/Remodel - Residential ONLY (i.e. windo s, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �o A I Mailing Address: t( -C / 0 PO Box 66 Permit number: • Crystal Bay, MN 55323-0066 Date received: /Z�II(Q Street Address: Received by: �_Q S� 2750 Kelley Parkway Plan review fee: L Orono, MN 55356 �/ !A'�fSHO�� I Total Fee: / _/ _9, qa Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us w ll/ This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GEJob Site L INFORMATION: TION:/os- ��LO ��� �y, Ad . t . Job Site Address: Los- 11 Will this be a Parade of Hones, Remodelers Showca ome or other Display Home? 0 Yes Ii No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus seiv".- will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICAN INFORMATION: - Name: ) t CR � UAj , , State License# Qrto • Expiration Date: Q _ a. Lead Certification Number: 1... I — r - Expiration Date: 2.tiff (for work on homes that we - constructs• prior to 1978 Phone: (cell) 4A.. i-2_„ , - s (office) t ' --1 , •— Mailing Address: `s all rat a' MEIIIIIIIIIMMIEMNIVOIL.7_&,.:0i1i 44.1 Contact Person: AEA , 1111M1131 i A AA 1, Applicant is: - .n1 actor Ho j owner (circle one) E Email and/or Fax: ,rylr • i , Mt A J MI �_, I L� PROPERTY OWNER INFOR ATION: Name: 1 i DI . C'1CULYU,1,0 Phone(day): 4" -Z- ' , 4 • Address: /OS- r 0 f i C p ,i City: Otke-yuo ZIP: ,c-c--5S-1, ^ � Email and/or Fax: MAI /1 r 1 5 0 4 we-C� J 0 • Larvt J n PROJECT INFORMATION: Overall project description: 2e- -12-$r/1. Type of Project: Any �movement may also require ❑Door(s) 0 R-model 0 Fire Damage MCWD review&permits: We-roof,asphalt 0 R-pair torm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑Re-roof,cedar 0 R storation 0 Water Damage Minnetonka, MN 55345 12 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 Valuailon of Project(excluding land) $ (-1-31 (n(hfl APPLICANT ACKNOWLED EMENT: • 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 I1 e inforn'ation,the application may not be issued. __?21.2afifp Applicant's Signatu • AI.:1 A A A,,I/_ r ‘All4 . Date: Owner's Signature: / Date: Last Updated:January 2016 I f_7opOlt—' 7 : v t DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED `(///Q//a of-. .4.--) PERMIT NO. o?I}/(c -'0_,. 9 COMPLETED ADDRESS ' /D--- O r On) 6rc__!-2 ,ii . ,4 / JJV OWNER A , TELEPHONE NO. ( 5"- -7% 7555 CONTRACTOR 40 " (',-?-r)/ 32 DESCRIPTION /!!`- l na l/ Oe:, u„, ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ElFOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL O ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS N=. ❑V ISULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT pgr.altAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ., ❑ DEMO-SITE 0 S PTIC I TALL Z OWNERICON TRACTOR TO MEET YOU: YES NO • COMMENTS: p` ,./---ti _p_.,) CU Li .e° /' e tmcc Q. 2 _c_./--(0 - n.77 6}›&-i7 Cl ' j OCC j'&oci I be, ® fc-6-4/CS d1 't - --4 Iti)42 t/ o ibt-ce616-,..="k rooF c.- • Ic y.re-4e- W ccQ Plop s'3 a.Qdr ess n 4.,.trl h Q-: 12 Lai a Wo r aveQ,-S Gb w��J fete -t• OK CC Perms-t Fr"4 701.01, a 4 r/ ©ecY cr.e5 rcc ,ea4"D W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE CC 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY IQ CORRECT WORK, TEMPORARY CI 9 PERMANENT o CORRECT UNSAFE CONDITION WITHIN HOURS. LI PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerICOn on site` Inspector. _ < '"`- White Copyllnspector's File Canary CopylSIte Notice