HomeMy WebLinkAbout2011-00006 - roofing - . � CITY OF ORONO PERMIT NO.: 2 0 1 1-00006
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE �ssuEn: OU04/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2987 CASCO POINT RD
PIN : 20-117-23-34-0023
LEGAL DESC : HARTZELL ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTNITY : O/S BUILDING - UNDEFINED
VALUATION : $ 12,500.00
NOTL': "I'I;nR OFP RGROOF-ASPI IAL'I'
APPLICANT PERM[T FEE SCHEDULE 236.00
ALL SEASON REMODEL[NG & EXTERIORS STATE SURCHARGE(VALUATION) 6.25
17344 PUMA ST. NW
RAMSEY, MN 55303 TOTAL 242.25
(612)221-3318
Minnesota State License#:2038831 1
OWNER
Casco Point LLC
2987 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The�a�ork ti�r which diis permit is issued shall be peribrmed according to
the approved plans and specitications,applicable Ciry approvals,and the
State Building Code. "l�his pennit is for only the work described and does
not grant permission for additional or related�vork���hicl�requires separate
permrts. All provisions of la�vs and ordinances governing this type of work
� shall be compied ti�ith whether or not specified herein."I�his permit will
expire and become null and void if coiutruction authorized is not
commenced within 80 days e date ot�issuance,or if conslruction is
suspende or a pe i d of 0 da�s at any time after work has commenced.
The appl � nt is r . ns le fo ssuring all required inspcctions are
requeste i�conf n • ���� i the Stale Buildinc Code.7'his pennit may be
revoked t n tii �fo due � e.
/ � � � / T" / /
Applic nt Pe �i �e Signature Date Issue By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� � � City ofi Orono
Building Permit Application for internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: oZ l f -('
'��.�j_ �- PO Box 66
Q . � Crystal Bay, MN 55323-0066 Date received: � Z�j/
' � �
� ��� y�` � StreetAddress: Received by:
� �� 2750 Kelley Parkway Plan review fee:
L�.xc�$Ho4`� Orono, MN 55356
� Tota! Fee: ��� �
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be cornpleted in full and ali required informa�ion must be submitted
Incompiete appiications will be returned. (P/ease print)
GENERAL INFORMATION:
Job Site Address: 4 f
Will this be a Parade of Homes, Remodelers Showcase Home or other Dispiay Home? ❑ Ye ❑ No
If yes,a specia/event permit is required with Police Department and City Counci!approva160 days prior to the event. 5huftle bus ervice witl be
required unless applicant demonstrates su�cient on-site perking is availabie. Non-permitted events will not be allowe
CONTRACTOR/.APP�LICANT INFORMATION:
Name: �� /� �(�., ,o�s
State License# ����g3,� Expiration Date: -�—��_,
Phone: � office celi
Mailing Address: _� vy5 fi ,v� Cit : ,� ZIP: �
Contact Person: � e 1,,.4 �r Applicant i � n rac ! Nomeowner (Circle One)
Email andlor Fax: �6 4i
PROPERTY OWNER INFORMATION:
Name: _� e c i
Phone (dayj: / d 6�5, �l,� �
Address: Cit : ZIP;
Email and/or Fax
PROJECT INFORMA�'ION:
Type of Project: Any earth movement may quire
❑ Door(s) ❑ Remodel MCWD review 8�perm
❑Water Damage
❑Window(s} ❑ Repair ❑ Storm Damage Minnehaha18202 M nnet nka g��� ct(MCWD)
❑ Siding ❑ Restoration Deephaven,MN 5539
❑ Other; (specify} Phone: 952-471-059
Re-roof Fax: 952-471-0682
❑ Fire Damage www.minnehahacreek.o
Overal! Project Descriptuon:
Estimated Construction Valuation of Praject(excluding land) $ U
APPUCANT ACKNOWLEDGEMENT: �-S �C�
• Agrees to provide ali information required or requested by the Building Depart
• Certifies that the informafion supplied is true and correct to the best of his/her knowledge. The applicant reco nizes that they
are soiely responsibie for submitting a complete application being aware that upon failure to do so, the staff h no attemative
but fo reject it until it is compiete;
• Some or all of the information that you are asked to provide on this appiication is classified by State law as ither private or
confidential. Private data is information which generaliy cannot be given to the public but can be given to th subject of the
data. Confidential data is information which generally cannot be given to either the public or the subject o the data. Our
purpose and intended use of this information is to nnuall update our records and records of other govern entai agencies
required by(aw. If you refuse to s I he inf n,th a lication ma not be issued.
ApplicanYs Signature: Date: �
C� �� � TIME �
� � DATE � �
CITY OF ORONO �� CALLED IN �
INSPECTION NOTICE SCHEDULED �j��_J-�-�-L -� r�- �=�
PERMIT NO. �� ���J u��OMPLETED
ADDRESS �C� � 7 r�� � ( l�� ��' I�j,,
OWNER TELEPHONE NO.re�'����y� �`�'
CONTRACTOR f t r
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� DESCRIPTION « `�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPjIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS: �
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W� .,�iIORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP OfiDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. �,_L.==�'�- ; f, (
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO cG�N 1/ �
INSPECTION N TIC SCHEDULED � _
PERMIT NO. �� � � 6�COMPLETED
ADDRESS ��S 7 ��
OWNER TE�EPHONE NO�� �` Z
CONTRACTOR
>; DESCRIPTION �
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lli ❑ FOOTING ❑ PLUMBING FINAL Q EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
ti
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRAC TO EET YOU:_YES_NO
� COMMENTS:'�L��GS GV� �,��,� �
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W ❑CORRECT WORK&PROCEED __: ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. �952� 249-460�
OwnerlContractor on site:
�
inspector. i �� � r� `
White Copy/lnspector's File Canary CopylSite Notice