HomeMy WebLinkAbout2016-00262 - roofing - asphalt CITY OF ORONO 11 1120 1 6 - 00262 *
II
2750 KELLEY PARKWAY * DATE ISSUED: 03/21/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 180 ORONO ORCHARD RD S
PIN : 02-117-23-21-0010
LEGAL DESC : ORONO ORCHARDS
: LOT 050 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
VALUATION : $ 3,400.00
NOTE: VALUATION OF PERMIT:$3400.00 DETACHED GARAGE
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 108.38
STATE SURCHARGE(VALUATION) 1.70
WRIGHT AT HOME SERVICES,INC. TOTAL 110.08
10676 MONTICELLO LANE N
MAPLE GROVE,MN 55369- Payment(s)
(763)493-2724 CHECK 7972 110.08
Minnesota State License#:BUIL-20565445
OWNER
ROKKE,JOSEPH&MARSHA
180 ORONO ORCHARD RD S
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 Cod is permit may be
revoked at any ti - or due cause.
App' Permi ; re Date Issued By ature Date
City of Orono CK 7C7
?-----
-- Building Permit Application for Maintenance / Replacement / Remodel
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
ilo A Mailing Address: Permit number: c30/0- t 2k2.2--
PO Box 66
Crystal Bay, MN 55323-0066 Date received: -- 2/ —/,r''
Street Address: Received by:
.**4' 2750 Kelley Parkway Plan review fee: 4
Orono, MN 55356 If
Total Fee: // �, D d
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: ro,,,,6 OC&l a K L R 6241
Will this be a Parade of Homs,aro
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/APPLICA T INFOR" r --MATION:
Nam
Stat eLicense# l /r, 2 W e � 1 5 Expiration Date:
Lead Certification Num eer: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) - „, (office) . .117 3 — 27
Mailing Address: I ig. .n ' . r City: Li , 'iv ZIP: laf
Contact Person: / L/r Applicant is: -. / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: TO e R4 to k -C
Phone(day):
Address: i YO C ohr3 a rUA,4,-,ci ,d S City0a/21-4ZIP: c.c39/
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:
ElRe-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) $ ' 17/00 ai-
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 i rm tion,theppli ation y not be issued. r
Applicant's Signature: rp Date: --Z� �6
Owner's Signature: Date:
Last Updated:January 2015
t42" —
DATE/ TIME
CITY OF ORONO CALLED IN 3—r:;•e2-4,
INSPECTION NOT5 - 2 SCHEDULED ..__-8 VP�I•L�
PERMIT NO. OO�`(UJ// COMPLETED/
ADDRESS / & 'e't a' ka/A.02_ eO�-S`
OWNER ��/TELEPHONE NO.t� ' ' / �J g,
CONTRACTOey.LAI— ``l cam' /G[�f
jDESCRIPTION ql-A4-&', f r 6
tU ❑ FOOTING 0 DEMO-FINAL El SEPTIC FINAL
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
0 ❑ FOUNDATION WATERPROOF ID PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB ❑ MECHANICAL RI 0 SITE INSPECTION
cr ❑ FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ElSEPTIC IN LL
Z OWNER/CONTRA TOR TO MEET, �YOOU:_YE� O
ti COMMENT `�JM1�•v wU pii Sid- alt —J gv c—
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LU 0 WORK SATISFACTORY:PROCEED P CT COMPLETE
CCW
0 CORRECT WORK&PROCEED UE CERTIFICATE OF OCCUPANCY
C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advance (952) 249-4600
OwnerfContractor on site: , //.—
Inspector.
Ale
White Copyllnspector's File Canary Copy/Site Notice