HomeMy WebLinkAbout2012-00599 - roofing f �
CITY OF ORONO * 2012 - 00599 *
2750 KELLEY PARKWAY DATE ISSUED: 06/26/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
REPRINTED ON 6/26/2012
ADDRESS 2705 WALTERS PORT LA
PIN 21-117-23-23-0043
LEGAL DESC WALTERS PORT
LOT 002 BLOCK 003
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ROOFING-ASPHALT
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 13,000.00
NOTE: VALUATION OF PERMIT:$13000.00
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 236.00
ROOFS PLUS INC
300 DAKOTA AVE S STATE SURCHARGE(VALUATION) 6.50
GOLDEN VALLEY,MN 55416- MAIL-IN FEE 2.00
(763)545-9527 TOTAL 244.50
Minnesota State License#:BC444621 PAID WITH CC# 3437
OWNER
CROSBY,RICHARD&PATRICIA
2705 WALTERS PORT LA
EXCELSIOR,MN 55331-
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
revokpd at any time for due cause.
/P / .7&l/-2� l oZly l/oZJ
Applicant Permitee S gnature Date
Issu66 By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
2012 Oi/26 06:06 FAX 7635461068 ROOF'S PLUS [A 00 1/00 1
city of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.
Marling Address- Permit number
O,¢p,A,O Box 66
Cr
•r Crystal Bay,MN 55323.0066 Data received:
Sheat Address: Received by
2750 Kelley Parkway Plan review,fee:
Orono.MN 55356
Main: 952-249-4600 Fax: 952-249-4616 www.cus Total Fee:i.orono.mn.
This application form must be completed In full and all required Information must be submitted.+ O
GENERAL INFORMATION: oZ` o-
Incomplete applications will be natured. (Please punt) l
Job Site Address: a 7q5 1��es m!A 67
Will this be a Parade of Homes,Remodelers Showcase Home or other Dlsplay Home? El Yes No
W yea,a special event penult Is required with pok&DepWbnent and City Council approval W days prior to the eHant Shuffle bus Servroe wal be
tegw w unbu eppllcent&mommies rAgdeni ort-do parking/s avaft*. Non-psnmfNad events will not be allowed.
CONTRACTORI-APPU T4NFORMAT ON: _. ..
Name: r _ P1 k S nC✓
State License# a f Expiration Date: lia
Lead Certification Number: &/q-T — /Dpi 15(a3_-- I
Expiration Date: •-
(for work on homes awt wen constructed pdw to 1878 (Coll)
Phone: �a 7 7 _(. ... )
Mailing Address: City: ZIP: S
Contact Person' Applicant is: ZfntracW / Hdmeowner (chile oke)
Email and/or Fax: r S -r-
PROPERTY
PROPERTY OWNER INF? TION:
Name, , G I'
Phone(day): 7 5 Q— f/-
Address: SCML C S 11 Grp• City: jor,9110 ZIP: ' 1
Email and/or Fax
PROJECT INFORMATION:
TYPa Of Proms Any earth movement may require
MC
13Door(s) ❑Remodel El Fire Damage Creek
3� :
Minnehaha Crreels Watershed District(MCWD)
Do Re.roof,asphalt ❑Repair Storm Damage 18202 Minnetonka Blvd
❑Re-roof,cedar ®Restoration ❑Water Damage Deaphaven,MN 55391
Phone: 952-471-0590
O Re-roof,other(spedy) 0 Siding ❑Other.(specify) Fax: 952.471-0682
❑W'ndow(s) wmw.minnehahacreek,RM
Ovemll Project Descliptlon: �i� T�
+Estimated Construction Valuation of Project excludin land $
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all informatbn required or requested by ft Building Department;
a Certifies that the informatlon supplied is true and correct to the best of hislher knowledge. The applicant recognRss 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 Stats lava as either private or
confidential. Private data is informetfon 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 afiher the public or the subject of the data. Our
purpose and intended use of FIs Information is to annually update our reoorda and records of other governmental agencies
required by law.,ff vou refinallo.suWy the inform e a lication may not be Issued.
Applicant's Signature: Date: Tcsrie tilos o�/oZ
Last Updated: 09.09.2011
LO
`CITY OF ORONO CALLED IN DA i`''M f Awl
INSPECTION N SCHEDULED l U� 1
PERMIT NO. COMPLETED
ADDRESS Z l� V�/ 'Tv�� �a ✓LfI1SLJ
OWNER /( � CON,T�R .
TELEPHONE NO. (0( Z �—�-�1 " `tL—A-7
DESCRIPTION l
❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z
1-1 WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ElDEMO-FINAL ElSEPTIC INSTALL. ElFOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
a
J
O
a
O
W
CC
Q
Z
W
Z
W
J
O
W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for t ext inspection 24 hours in advance. (952) 249-4600
Owner/Contra site:
Inspector.
White Copy/Inspectok File Canary Copy/Site Notice
,.'j-bDAT TIME
CITY OF ORONO CALLED IN i 2+
INSPECTION N TICE SCHEDULED
PERMIT NO. Sf// COMPLETED
ADDRESS (:9)76,-5 [04
OWNER TELEPHONE NO. —A 8 77
CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL
O El TREE REMOVAL
❑ 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
r ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
cOn COMMENTS:
W
a
j
O
O
W
W
Q
2
W
Z
W
CC
Z)
O
W2 0.WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 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.
White CopylInspector's File Canary Copy/Site Notice
Ab qgtl***,�
ATE TIME v
CITY OF ORONO CALLED IN /�
INSPECTION NOTICE SCHEDULED
PERMIT NO COMPLETED
ADDRESS cZ -7
OWNER TELEPHONE NO.
CONTRACTOR ]
3Z DESCRIPTIONlk-
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q
El POURED WALL ❑ MECHANICAL RI El
ti ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP El COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL� ElFOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES/y�{1/ NO
COMMENTS:
Qc
W
(L
cc
J
O
cc
O
W
CC
Q
2
W
z
W
CC
Z)
GW ❑WORK SATISFACTORY:PROCEED JECT COMPLETE
cc
W ❑CORRECT WORK&PROCEED LlISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
E)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. o( o
White CopylInspector's File Canary Copy/Site Notice