HomeMy WebLinkAbout2012-00398 - roofing � � CITY OF ORONO * Z 0 1 2 - 0 0 3 9 8 *
2750 KELLEY PARKWAY DATE ISSUED: 05/14/2012
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
�i ' ,
ADDRESS : 300 STUBBS BAY RD N
PIN : 32-118-23-42-0005
LEGAL DESC : TAMARAK HILL
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 19,000.00
NOTE: VALUATION OF PERMIT:$19000.00
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.
V
APPLICANT ., pERMIT FEE SCHEDULE 324.50
JOHN KUST — STATE SURCHARGE(VALUATION) 9.50
26175 BIRCH BLUFF RD
SHOREWOOD,MN 55331- MISC FEE 0.00
(952)607-8348 TOTAL 334.00
Minnesota State License#:20168831
OWNER
FLEMING,THOMAS& SUSAN
300 STUBBS BAY RD N
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 approvais,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming 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 aze
requested in confortnance with the State ilding Code.This permit may be
revoked at any tim r due cause.
, �u , � �-, � , ,� .
Applicant Permitee Signature Date Iss By Signature Dat
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
L Gity of Orono ,+ ;f;
Building Permit Appiication for Maintenance / Renovation J
(windows, doors, siding, re-roof, etc.) :x
,
Mailing Address: ?
g,0,� PO Box 66
Permit number: a�� �J — (��
O �z O
Crystal Bay, MN 55323-0066 Date received: Z
�a � �T" �, Street Address: Received by:
��'� �'�J� �� 2750 Kelley Parkway Plan review fee:
�r9�Ho�'� Orono, MN 55356 I
Total Fee: �j3(� (� '��
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:
Job Site Address: �V� ��jS �j� �� .
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If yes, a specral event permit is required with Police Department and City Council approva/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 nof be allowed. �'
`�
CONTRACTOR/APPLICANT INFORMATION:
Name: ���,^ ��-�-
State License# z� � ��,�31 Expiration Date:
Lead Certification Number. Expiration Date: :�
(for work on homes that were constructed prior to 1978 ;'�
Phone: g�7 ���_cv���{� (office) (cell) -�
�
Mailing Address: ������� �.fc �n�\ ��-�- � , City: i,�,re�� ZIP: �1LI �`�� � �".
Contact Person: �� �� � ,� �r APPlicant is: �Contract� / Homeowner (Circle One) �
Email and/or Fax: �. ,�
PROPERTY OWNER INFORMATION: `��
Name: � rc�.� �- :�.�. �1z� ��,a '
Phone(day): • �
Address: 2�x— �.� bS �� City: (�f�;�� ZIP: f�
Email and/or Fax
°j
PROJECT INFORMATION: "�
Type of Project: Any earth movement may require '
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
[�e-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ Re-roof,other s eci Phone: 952-471-0590
( p iy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq '
Overall Project Description: � � � �� ,
Estimated Construction Valuation of Project(excluding land} $ f g nr-�r-� s
i � '`�
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 5
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 !aw 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
re uired b law. If ou refuse to su I the information, the a lication ma not be issued.
ApplicanYs Signature: "�-���� �-�---��--�-�� Date: S —�LI'���
.
Last Updated: 08-09-2011
DATE TIPAE ��
���������� CALLED IN
B�SP��`�9�N 6���'9C� SCHEDULED
����A°�°��. ac��a- c�39g COMPLEfED �
������ 300 5�466� � .t�
��v��� ������c��� �vo.
Co�TRACTOI� ,1�c/h� x,�.��-s
�: D�SCRI�'TIOiV
� ,
� O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
� ❑ POURED WALL ❑ MECHANICA�RI ❑ LAKESHORFJWETLqNDS
� ❑ FRAMIfVG O iwECHANICAL FINAL
� ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
❑ RADON SLAB ❑ WATER HOOI(-UP ❑ PROGRESS
�a,. ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT �
`'9 ❑ DEMO-SITE ❑ SEPTIC MAINT. ,�YpLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
„� ❑ PLUMBING RI ❑ SEPT�C FIPJAL ❑ FOUNbAT10N/REMOVAL ;
� OWNER/COPITRACTOR'PO WAEE'f YOU:_YES_Pd0 �
� C�NII�EN�: `l0 7F�'4r - D�' /n�eGL�lp.� r'cCard!@�'j
� *OLD PERMIT - NO FINAL INSPECTION REQUESTED.
�
�
� ,., .
� — f1�t7�rG /Jei1.L�.16 L��.... Q/�vdd e'l
p i
� I
sea • 1
I
r[ G✓Qr� aD d� �'f lb i+'���Q- i
� _.
� f
� __ �C/'ivt-�i /�/I'J!r'l�
�
�
J
�
� O WORPC SATISFACTORY:PROCEED OJECT COMPLtTE
� ❑CARFiECT WORK 8�PROCEED ❑ISSUE CERTIFICATE OF OCCUPAPdCY
� ❑CORRECT 1NORK,CALL FOR REINSPECTIOM TEMPORARY
Li BEFORECOYERING PERMANENT
❑CORRECTUNSAFECONDITIO{VWITHIN HOURS. p pHOTOTAKEN
ltdSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL IPlSPECTOR �CITATION ISSUED ;
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS_
Call far the eeext inspection 24 hours en�dvan�. (g52� 249-4600
��►e��s�l�ontra� r on si�e:
9r�sp�tor: ',
White Copyllnspac4or's File Canary CopylSi4e tVotice 1
�� � DAT TIME v
CITY O ORONO CALLED IN � /�-
INSPECTION OTIC -�HEDULED ��� �
PERMIT NO.��o��' ��Zi�'_L�oMPLETED
ADDRESS �� /�
OWNER TELEPHONE N .�fS� ��� '
CONTRACTO �.�j 7-'O
a DESCRIPTION �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
ZO INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� O FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTiC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
�
� �VYDRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C�/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP OFDEH POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (g52) 249-46��
OwnerlContractor on site: '
Inspector. �
White Copyllnspector's File Canary CopylSite Notice