HomeMy WebLinkAbout2012-00444 - roofing I � • � CITY OF ORONO * 2 0 1 2 - fD 0 4 4 4 *
2750 KELLEY PARKWAY DATE ISSUED: OS/24/2012
ORONO,MN 55356-
' 952 249-4600 FAX: 952 249-4616
�D SS : 3045 SUSSEX RD
Il�i : 04-117-23-32-0025
�G DESC : FOX BEND 2ND ADDITION
: LOT 2 BLOCK 1
� T TYPE : MINOR ALTERATIONS
O RTY TYPE : RESIDENTIAL
N RUCTION TYPE : ROOFING-CEDAR
TI TY : O/S BUILDING-LTNDEFINED
L TION : $ 44,000.00
O E: ALUATION OF PERMIT:$44000.00
�F PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 NOTICE,PRIOR TO
O�RI{ EING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
S G�S VERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
N E ORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 617.25
TI E INE ROOFING&SIDING STATE SURCHARGE(VALUATION) 22.00
50 1 I WAY SEVEN TOTAL 639.25
S 2
M E OLIS,MN 55416- PAID WITH CC# 1158
(61 )36 158
M' sot State License#:20631244
OWNER
BR E R,ROBERT&YVONNE
304 U EX RD
LO L E, 55356-
G EMENT AND SWORN STATEMENT
The rk f hich this permit is issued shall be performed according to
the p ove lans and specifications,applicable City approvals,and the
Stat Bbildi Code. This permit is for only the work described and does
not t pe ission for additional or related work which requires sepazate
pe 'ts All rovisions of laws and ordinances governing this type of work
shall be co ed with whether or not specified herein.This permit will
expi d b ome null and void if construction authorized is not
com e ced ithin 180 days of the date of issuance,or if construction is
susp d f a period of 180 days at any time after work has commenced.
The p ic s responsible for assuring all required inspections aze
requ t in nformance with the State Building Code.This permit may be
re o d at ti for e cau .
S�z � � I Z � �/�
ppl c t P ite Signa re Date Iss e By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�/2 2012 wsn 10: 23 FAx 555 5555 Tinuoerline xoofing f�p01/001
�
City of Orono .
Building Permit Application for Maintenance / Renovation
(windows, doors, sidin , re-roof, etc.)
Ma/ling Addres�.• perrnit number: �!a�.
�O�0 Cryetal Bey, MN 55323-0096 Date recelved; 5 �
5heet Add►ess: Received by:
� 2750 Kelley Parkway Plen revlew f�e:
� Orono, MN 55356
Total Fee; � �3�, ��
Main: 962-249-4600 Fex: 952-249-4616 www.ci.orono.mn.us
This application f�rm must be completed in full and all requlred infonnatlon muat be submitted.
Incomplete appllcatlons wlll be�etumad. (Please print)
GE ERAL INFORMATION: �+
Jo Ite Address: (1 y JU$S�C �•
IWII hls be a Parade of Homee�Remodelers Showcase Home or other Display Home? Yes o
,e spedel evenr perml�la�eaulred wlfh Pollq DepeRment end Wry Coundl approval 60 deys pnor b ths event Shuttle Dus aervl w�ll de
_ Ii , _ , , roqulred unleaa appl�enf dernoneMafea eu/Ac►ent on-erle perMng la 6�aileb/e, Nonyoe►m/Hed evenfe will nof be el►owed.
0 RACTOR I AppLICANT(NFORM TIO �
a : Tf/ttibdb�l��'i( � �liny
ta License# 8G(�317�1�j Expiretion Date' � y � �
ea CeAlflcstlon Number; ��� �/y(,6�—� Expiretion Dete: �
r wcrk on homaa thet w�ar�e oonabucted prlor tn 1878
ho : �{,S"2— 92 b�/9/0 (��) �S/— 3 �/� (cell)
sil g Address: ,S'US/ ' 7 // ' 2 D City: / �• ZIP: ,�Sy/
on ct Pe�son; �� ApplicanE is: o / Homeovmer �cw�ro o�.�
m i and/or Fax: � /! D = Q -- —1
i�R ERTY OWNER INFORMA710N:
�Na : �rha�rd Br�r
�ho (daY)�� 1� '7n— 4UOy
dd s; ,3p�VS.SG�' RD�• City: (',�rpr�p ZIP: �,S �(p
me I and/or Fax
R ECT INFORMATION:
• f pro)ect: Any earth moveme�t may roqulro
d r(s) ❑ Remodel ❑Flre Demape MCWD rovlew�permita:
Minnehaha Creek Watershed District(MCWDj
R of,aephalt ❑ Repalr (]Storm Damaqe 18202 Mlnnetonke Bivd
R of, csder ❑ Restoratlon ❑Water Damepe Deephaven,MN 55391
Phone; 952-477-0580
R oof,other(op�cliy) ❑Siding ❑Other.(apeaiFy) Fax: 952-471-0682
❑Window(8) �•minnehahae�eek.ora
r I Pro ect Descrl tlon: .
.
I ted Const�uction Valuation of Pro'ect excludin land) $ Od
P I ANT ACKNOWLEDGEMENT:
• Agr�s lo provide all informetion required or requesled by tha Building Departmont;
I . Certiflee that!he Informatlon supplled Is true and corcect to the best of his/her knowledge. The appllcant recognlies that iAey
are so�ly responaible for submltting a complete applicadon being aware that upon failute to do so,the staff has no al�e�native
I� bui to reject It untfl It Is complete;
�� • Soma or all of the Infonnetlon thet you ere aeked to provlde on this eppllcetion Is claeelfied by Stete lew ae ekher prlvate or
i nfdential. Privste data is inFormation which generally cannot be given to ihe pubhc but can be 8iven to the subject of the
` ata. Confidential data is information which gene�ally cannot I» piven to aithe�ths public or thv subject of the data, Ou�
urpoee and Intended use of thls Informetlon Is to ennuelly update our recorda and records of other governmental egenclea
ulred b law. If ou reFuse to su I tha info ation ths a licatiom m �ot ba issue .
, r /
�bli t's Signature: D�ts: ✓ Z,3/� 7
i .�'li�� �� na.n��n�,
�' b ✓
� ��ATE TIME
CITY OF ORONO ALLED IN
INSPECTION NQTICE SCHEDULED
PERMIT NO. � — COMPLETED ��
ADDRESS �`�-� -s �
OWNER TELEPHO O� _
CONTRACTOR
�— �
�; DESCRIPTION �
�
� O FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT�ON/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL iNSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952) 249-4600
OwnerlCon
Inspector.
White Copyllnspecto�'s File Canary Copy/Site Notice
`C�� /� TIME V
CITY OF ORONO CAL ED IN ��
INSPECTION OTICE ��!/�SCHEDULED � �
PERMIT NO. � T COMPLEfED
ADDRESS ��� �����-�� ��
OWNER TEL�EP.H/ONE NO.��� 33� t D��
CONTRACTOR T� _ �J�� ,
>, DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORREC7 UNSAFE CONDITION WITHIN HOURS. p pH0T0 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. (g52) 249-46��
OwnerlContractor on site:
Inspector. r�',�`��
White Copyllnspector's File Canary CopylSite Notice