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HomeMy WebLinkAbout2012-00364 (roof) CITY OF ORONO * Z 0 1 2 — 0 0 3 6 4 * 2750 KELLEY PARKWAY DATE ISSUED: OS/04/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3271 CASCO CIR PIN : 20-117-23-43-0053 \1 LEGAL DESC : SPRING PARK ` : LOT 077 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING-ASPHALT ACT[VITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,000.00 NOTE: VALUATION OF PERMIT: $7000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECT[ONS. (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[S BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 147.50 ABLE RESTORATION GROUP STATE SURCHARGE(VALUATION) 3.50 17316 KENYON AVE TOTAL 151.00 LAKEVILLE, MN 55044- (952)378-8000 Minnesota State License#:20637232 OWNER NEUVILLE, PATRICK 3271 CASCO C[R WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT 7'he 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]80 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 nformance with the S[ate Building Code.This permit may be revoked a time for d cause. . `� � � � �� �/� 2`� �/� Ap nt Permite Signat Date Iss e By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: o��/ -�J �0,�. PO Box 66 Q �, O Crystal Bay, MN 55323-0066 Date received: � � �,~`�'��`' Received by: ,a ,"��� ,;�;, �, Street Address: '�',�, � �� �% �titi 2750 Kelley Parkway Plan review fee: lyx�Hog,*� 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. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: � � 3 � ��� �/ Will this be a Parade o Homes, Remodelers Sho case Home other Display Home? ❑Yes o ff yes,a special event permit is required with Police Department and City Council approva/60 days prior to the evenf. Shuttle bu service wil/be required unless applicant demonstrates s�cient on-site paricing is availa6le. Non permitted events wil/not be allowed. CONTRACTOR/APPLICANT INFORMAT ON: Name: �+[l �� ��c• c�n C7lU�� �-. - State License# Expiration Date: � Q Lead Certification Number: ��,�- Expiration Date: /� (foi work on homes at were constructed prior to 1978 �r� ���� � ������ Phone: _ � � � (office) v��,o ��� �� II ���' Mailing Address: j c n /� Cifi � �� ,� ZIP: � � Contact Person: jy �; plicant is: Contract / Homeowner (Circle One) Email and/or Fax: ,� - � �,,,� ,�� �, � �Z�'.��i�-J �Zt� �'�'3,ry� PROPERTY OW INFORMATION: . ,j/� Name: Phone(day): /p�-- G.'` � , "" ' Address: �. � City: � ZIP: � Email and/or Fax ��i�.,�� � PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) oof, asphalt ❑ Repair orm Damage 18202 Minnetonka Blvd ❑Re-roof, cedar ation ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑Siding ❑Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: � �,/� � �/it,(/ Estimated Construction Valua ion of Project(excluding d) rf pc�0 ..�T��6,L 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 but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is dassified 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 re uired b law. If o refuse to su the information,the a lication ma not be issued. ApplicanYs Signatyx�""""� - Date: ���'' � Last Updated: 08-09- AT TIME ✓ CITY OF ORONO CA LED IN � � INSPECTION NOTICE SCHEDULED — �- v PERMIT NO. o�v /� - t���6�COMPLETED ADDRESS 3�-7� C��� �if� OWNER TELEPHONE NO. 7�.3 ��� DD�� CONTRACTOR �� �: DESCRIPTION � 7 /. %"(f� � � ❑ 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�NSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q ti Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �PjDJECTCOMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: Inspector. I� :1�b White Copyllnspector's File Canary CopylSite Notice DATE TIME `� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �6/a��3L�} COMPLEfED -a�- ADDRESS 30�7� C45t� Cir • OWNER TELEPHONE NO. CONTRACTOR �b�e 2GS�6�EftdK Groc�,n � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON S�,48 ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL � ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � 4 *OLD PERMIT - NO FINAL INSPECTION REQUESTED, Q �o ��� - c� �it�rc7�ta�. )r'�d��edl � �l 5 ���� 4�� �s.s — � v ts e.d. O � �t,G F/'2 H.7��!� ��e.v �/�vct�m� w � I��K a��oe,e• s Cc�►�.pl�fc Q � a , � ��rw•�t �'u�G/EtP W � j a W� ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CAL!TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 24J-4600 OwnerlCon tor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice