HomeMy WebLinkAbout2012-00259 - roofing CITY OF ORONO * 2012 - 00259 *
2750 KELLEY PARKWAY DATE ISSUED: 04/09/2012
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 1180 TONKAWA RD
PIN 08-117-23-13-0006
LEGAL DESC AUDITOR'S SUBD.NO.217
LOT 009 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 18,500.00
NOTE: VALUATION OF PERMIT:$18,500.00
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 324.50
SPRINGER EXTERIORS LLC STATE SURCHARGE(VALUATION) 9.25
BOX 668
PRIOR LAKE,MN 55372 TOTAL 333.75
Minnesota State License#:BC402154 PAID WITH CC# 5955
OWNER
J D BYRD,DAVID TEMPLEMAN&
1180 TONKAWA RD
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 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 for due cause./ �1
l l �,wil l l
Applicant Permitee Signature Date Issued By Si azure Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED Ab6VE.
04-0 -12; 12: 37 2494616 # 1/ 1
City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc,)
Mailing Address:
PO Box 66 P..ermit niiinbpr:
Q o Crystal Bay,MN 55323-0066 •Date received::
Street Address: Received by:
2750 Kelley Parkway
$ Orono,MN 55356 Plan r.,avww fee:
Main: 952 249-4800 Fax; 952-249-4616 Totat•.Fee:
no.m s
This application form must be completed in full and all required information must be submitted.
GENE INFORMATION: Incomplete applications will be returned. (Please print)
Job Sibs dress: i k a LOn LAKf- nl $S 3 5b
Will this a Parade of Homes,Remodelers Showcase Home or oth r Display Home? yeS
If y�ss, clal event permit is required with Police Department and City Council approval 60 de NO
requhvd unless applicant dermnstrates surftant on-site parking is avallable. Non-pend d events nl not be n we mice will be
d.
CONTRA TOR/APPLICANT INFORMATION:
Name::..
_ . CO✓� �'i't,t.C��o h .SerVi C
State Licrse# Expiration Date:
Lead Cer ication Number:
Expiration Date:
(foron homes that were constructed prior to 9978
Phone: (office)
Mailing ress: O p (P (cell)
Contact P rson: City: Zlp:
q Applicant is: Contractor / Homeowner
Email and/ Fax: (Circle one)
PROPER OWNER INFORMATION:
Name:
Phone(day):
Adairland/ r Fax l IonK0.tJCL City: Lake ZIP:
PROJE INFORM ATION:
i Type of Project;
Ani►earth movement may requlre
❑ Door(s) , ❑Remodel ❑ Fire Damage MCWD review 8,permits:
❑Re-roof, []Repair Minnehaha Creek Watershed District(MCWD)
❑Storm Damage 18202 Minnetonka Blvd
Re-roof, solar
❑ Restoration ❑Water Damage Deephaven, MN 55391
❑Re-roof,Ipther(specify) ❑Siding ❑Other: Phone: 952-471-0590
(specify) Fax: 952-471-0682
I El Window(s) www.minnehahac ek ori
I
Overall Pro ect Description; C
eAAAe-
Estimated JConstruction Valuation of Pro' excluding land) 1�', �w. 00
APPLICAT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department; i
. t '
Certpes 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 I
ulred by law Ifyou retwo4equpply the Information,the application ma not be issued.
I Applicant's 4ignature: i
Date: � R 12,
LFwj I Indatwi• np—na-,2ni q
�p DATE TIME V/
CITY OF ORONO LLED IN
INSPECTIONOTICE SCHEDULED — 7i
PERMIT NO. 04V101-OIJV 5? COMPLETED
ADDRESS 11-60 7_02_ c 4-
OWNER TELEPHONE NO. 1'5 Z- VV-Q LQ177
45
CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ 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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
ti COMMENTS:
W
a
0
W
c
Q
2
W
Z
W
j
W �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP 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 onsite,
Inspector �__�
White Copy/Inspector's File Canary CopylSlte Notice
TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.NO.Q01e? —00-?54� COMPLETED
ADDRESS //rf 0 -7-0>4-k
OWNER TELEPHONE NO.95-2 VYO /9 9 7
CONTRACTOR LE94t4l �
3Z DESCRIPTION &t4t'A_'C 4ez�
11-
4j ❑ FOOTING ❑ PLUMBING FINAL El El
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
El 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
R
J
0
a
Cr
0
2
W
cc
Q
2
W
Z
W
QC
LU ❑WORK SATISFACTORY:PROCEED ,ECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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 El CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. TL f
White CopyMspectoes File Canary Copy/Site Notice