The URL can be used to link to this page

Home My WebLink About2012-00749 - roofing 111111111111111111111111111111111111111111111 t • . CITY OF ORONO * 2012 - 00749 * 2750 KELLEY PARKWAY DATE ISSUED: 08/02/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS 3690 TOGO RD PIN 17-117-23-31-0028 LEGAL DESC TOWNSITE OF LANGDON PARK : LOT 000 BLOCK 010 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 4,000.00 NOTE: VALUATION OF PERMIT:$4000.00 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. APPLICANT PERMIT FEE SCHEDULE 103.25 ROBERTS,TIMOTHY STATE SURCHARGE(VALUATION) 2.00 3690 TOGO RD WAYZATA,MN 55391- MISC FEE 0.00 TOTAL 105.25 OWNER ROBERTS,TIMOTHY 3690 TOGO RD 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 conforince with the State Building Code.This permit may be revoked at any ti c Ajlplic, itee Signature Date Issued By Si Vture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: i Permit number. Qv 0 PO Box 66 0 t, Q � Crystal Bay, MN 55323-0066 Date received: ; Stre e t A ddre ss: Received by: zr j 2750 Kelley Parkway Plan review fee: LgkES14,0 Orono, MN 55356 Total"Fee: 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. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) _ Job Site Address: c Q G1�(,► f► /Z g Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes OiNo If yes, a special even;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/APPLICANT INFORMATION: Name: n w/V State License Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor i Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: //1,7e7/1 Li )� 1120,0/X 1_5 Phone (day): �n)Z Y/19 Address: 5 �y / OG (7 jzj� City: Email and/or Fax L 0,11 PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& ermits: ElDoor(s) ❑ Remodel ❑ Fire Damage p Minnehaha Creek Watershed District(MCWD) 25Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ElRe roof, other(specify) Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑ Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ y�SOC' > �� 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 i to annually update our records and records of other governmental agencies required by law. If you refuse to supoiv the i r ation,the application may not be issued. Applicant's Signature: Date: 4 Last Updated: 08-09-2011 JE� TIME V CITY OF ORON6 CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 19-01 0-0074? COMPLETED ADDRESS OWNE / AA. PHONE NO.el' W2 CONTRACTOR DESCRIPTION -� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ZEl INSULATION ❑ WOOD BURNER/FIREPLACE ElSITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ❑ SEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP LU ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO zt o COMMENTS: cc W Q. cc J O cc O W QC Q Z W W CCO Wcc /�A(ORK SATISFACTORY:PROCEED 11 PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Oi BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR El 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. White CopylInspector's Fiie Canary Copy/Site Notice � DATE TIME CITY OF ORONO CALLED IN 2 �^ INSPECTION NOTICEQSCHEDULED PERMIT NO. QQ M 7Y I COMPLETED ADDRESS L .T OWNER I h�)r TELEPHONE NO. L0 1,; - 19 -ar'x CONTRACTOR (� DESCRIPTION t' I Yom- c) n F 1 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � [_1 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: —1:0--ar CJ wos' c`;�oLlno► -card L �CC)r . O cc 0 W W cc Q z W z W cc d WU ❑WORK SATISFACTORY:PROCEED A!�BROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El 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. 1'4'ja, White CopylInspector's File Canary Copy/Site Notice