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HomeMy WebLinkAbout2013-00898 - roofing CITY OF ORONO11 1' '� �II li ill I * 2750 KELLEY PARKWAY * 21 3 - 0 0 8 8 DATE ISSUED: 09/05/22 013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 360 ORONO ORCHARD RD S PIN : 02-117-23-24-0006 LEGAL DESC : REG. LAND SURVEY NO. 1349 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-OTHER ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 27,239.00 NOTE: TAKE UP TILE ON RIGHT SIDE OF GARAGE ROOF,REPLACE DAMAGED DECK AND RELAY TILE. APPLICANT PERMIT FEE SCHEDULE 445.25 GARLOCK-FRENCH ROOFING CORP STATE SURCHARGE(VALUATION) 13.62 2301 EAST 25TH STREET MINNEAPOLIS,MN 55406- MISC FEE 0.00 (612)722-7129 TOTAL 458.87 Minnesota State License#: 0001423 OWNER OSBORNE, STEELE B 360 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 Code.This permit may be revoked at any time or due cause. / /Applic. 'ermiee Signature Date / /� Iss 6 By Signature Dat SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. _ City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) O O A' Mailing Address: Permit number: O/3 6D?9 { t PO Box 66 Crystal Bay, MN 55323-0066 Date received: 9-5"—�' Street Address: Received by: �` 2750 KelleyParkway s� �� Plan review fee: t�k SHO�`� Orono, MN 55356 Total Fee: 14‘53.757 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: 36,0 �j�&,� eAl l9 a/07w )-27/i) Will this be a Parade of Homes, Remodelers Showcase Home or other DisplayHome? [I Yes 0 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/APP (CANT INFORMATION: `` Name: .D( i.(,„r 4. ?e)eisfri7.-`State License# BjC/0 y I Expiration Date: ,V3-(A, , Lead Certification Number: }/7-7-7--,3 3 99! I Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) 6/01-7z. -7/a 9 Mailing Address: i _ / E de 5-14City:/ ow ,,, S - ' : ZIP: S ` e Contact Person: �amL Applicant is: Contractor / Homeowner (circle one) Email and/or Fax: m774 q,✓ rione- w,nd. C9r”' PROPERTY OWNER_INFORMATION: Name: 24d O5b - Phone(day): CLIP- 7ai7 O- 7C Address: 3(7 Ori'DleA40' '319ad City: 0,4, -y,� ZIP: 55---c3 q/ Email and/or Fax: l'a i'e 490 74-44 07/ i-/3/17-,St, 0' .,2.."_, , PROJECT INFORMATION: Overall project description:,i# ,it; ll c-eG:; G�C Type of Project: Any earth vement may also require ❑ Door(s) ❑ Remodel 0 Fire Damage MCWD review&permits: 0 Re-roof,asphalt 0 Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof,cedar 0 Restoration 0 Water Damage Deephaven, MN 55391 �Re-roof,other(specify) 0 Siding ❑Other:(specify) Phone: 952-471-0590 �1.- Fax: 952-471-0682 0 Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ r27/,v 34 00 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; ormation,t e ap•lication may not be issued. Applicant's Signature: /Iiaar !, Date: /off 9// Owner's Signature: , Date: Last Updated:03/06/2013 \/ CITY OF ORONO TE TIME Y CALLED IN J1/ ��ik /3 INSPECTION TI E SCHEDULED /14L_P_,&-Z,.. -J?, PERMIT NO. -/��©4�a COMPLETED ADDRESS 307 6/1)//3 6VefuoLc_ ec& OWNER TEL HONE NO.0 " "5 53 CONTRACTOR TEL I� DESCRIPTION • Lu 0 FOOTING ❑ 'LU :I FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ri MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION 0 RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS Is ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL 0 PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU. YES NO COMMENTS:/tL i��1f" tC. I6Q .y J CC CC cc O CC CC O LU ❑WORK SATISFACTORY:PROCEED /C�'RO�E'CT COMPLETE W IDCORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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 Owner/Contractor on site Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION IRT%` SCHEDULED PERMIT NO. aa(- Des st9g COMPLETED 7- ' -/y ADDRESS WO 4nrcot-0 Orc. ,Q Rea S. . OWNER TELEPHONE NO. CONTRACTOR �r lIC-4 Fte.ic . Ran-{ins i DESCRIPTION 2e-r&,.0 0 FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FIWNG 4. ❑ POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS ezi 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION ct ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS G.EINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT FOLLOW-UP IQ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL v 0 PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES NO co COMMENTS: It dk9 p r..s.t - 40 c;ngt iiiidec..tiewt rep. 1145 j 0 CC r 6,4t! -ooc — 43 e-e Lu e-41 94114 9 G —+F 64c< O u. fcGi(„ - t..>o r k 411-600e-4b 4 es rfr.t./0/e_ec — 144 cc e 2 - S i tc roof6.t ra... ,07 *dor k rieoeirs W0p/ete j f r VOf3 - Coo g?S 4 r/i'.Q a IQ 0 WORK SATISFACTORY:PROCEED PROJECT COMPLETE W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY QO 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 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. 9 *— White Copy/Inspector's File Canary Copy/Site Notice