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HomeMy WebLinkAbout2012-00881 - roofing CITY OF ORONO * z 0 1 z - 0 0 8 B 1 * 2750 KELLEY PARKWAY DATE ISSUED: 09/06/2012 .� ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3025 CASCO POINT RD PIN : 20-117-23-34-0002 LEGAL DESC : REG. LAND SURVEY NO. 0394 : LOT 000 BLOCK 000 PERMIT TYPE : M[NOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 14,000.00 NOTG: VALUATION OF NERMIT: $14,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR'I'I',AR OFF INSPECT'IONS. (WE REQUIRE 24-48 NOTICE,PRIOR"f0 WORK BEING STARTED) MUST PROVIDE COMPLBTE SET OF PIC"['URES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROP�RTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLE'I'L:D"I'HE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 250J5 MARK T SEASHORE CONSTRUCTION STATE SURCHARGE(VALUATION) '7.00 1523 LAKE PULASKI ROAD TOTAL 257.75 BUFFALO,MN 55313- (763)232-2316 Minnesota State License#: CR386373 OWNER STANDA, SCOTT& IRENE 3025 CASCO POINT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to thc approved plans and specifications,applicable City approvals,and thc State Building Code. 'Chis 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 speciticd 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 I AO days at any time after work has commenced. 'I'he applicant is responsible for assuring all required inspections are requested in conformance wilh the State Building Code.This permit may be , ,7 revoke t an time for due cause. � �t�� O l SG�'lj � l � l �c� �.,���,�� V�{'1�1.%� � �-J ����. . ���--� � Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ���� �f ����� ���i�ing Pe�e��� Appii�a�iQn �€or tV�air��e�a�ee / RenQ���ic�� � (wic�aov�s, c#oars, siding, re-roof, e�c.} . Mailing Address: j�w 0 PO Box 66 � ��Permit nurriber. � � � � �� Crystal Bay, MN 55323-0066 , Datexeceived: �� � > � � � � � I�� �� `� a. i Street Address: Received by: \'��n t�"'`ro'�, �,� 2750 Kelley Parkway � Plan.review fea: \�9g�s��`�,� Orono, MN 55356 � ( Total Fee: Main: 952-249-4000 Fax: 952-249-4016 www.ci.orono.mn.us This appiication form must be completed in Tull and all required information must be submitted. incompiete appfications will be returned. (Please print) ucN�P.AL INFOR�ATIO�l: � Job Site Address: 30� C��S C o -P� , y� Will this be a Parade of Homes, Remodefers Showcase Home or other Display Home? ❑ Yes �(No !f yes, a special even,permif rs required with Police Deparfinenf and City Council approval 60 days prior to the event. Shuttle bus servrce wil!be required un/ess appficanf aemonstrates sufiicienf on-site parking rs available. Non-permitted events wil/not be allowed. CONTRACTOR/APPLICANT INFORMATIOh: Name: ('�1�,r� Sce.s ho r� ��c�-.s'f'- S;ate License # C 2 3SG3�3 Expiration Date: G'3 �3 l l3 Lead CertiTication Number. (�/�-1- _ 1 "Z �,�,��, ) Expiration Cate: 6 ( 2� � � (for work on �►omes that were construcfed prior fo 1978 Phone: � 6 3- �32 - '3 t.6 (ofrice) (cell) Maifing Address: �S Z3 �I c,� � rc� Cit : �{-f-ti[� ZIP: SS�� j Contact Person: /YZ,�� �c 5�� �,,�� F�,pp(icant is: ` Contractor / Homeowner (Circle One) Email and/or Fax: � PROPcRTY OWNER INFORMATIOt�k: Name: _'��c �'�'KnZ: S Phone(day): . Address: City: ZIP: Email and/or Fax PROJcCT INFORMf�oTIORE: Type of Project: ! lany earth movement rray require ❑ Door s ❑ Fire Qamage M^WQ review& ermits: ( ) ❑ Remodel I � P Minnehaha Creek Watershed District(MCWD) �Re-roof, asphaft ❑ Repair ❑ Storm Qarrfage 15202 Ninnetonka Bfvd ❑ Re-roof, cedar ❑ Restoration � ❑V�,'ater Damage I Deephaven, MN 55391 � Phone: 952-471-Q590 ❑ Re-roof, other(specify) ❑ Siding I ❑ Other: (specify) '; Far,: 952-471-Oo82 � ❑Window(s) I � www.minnehahacreek.orq � Overall Pro�ect Descnption: � �stimated Construction �faivafion os Project (excfuciing fand) $ l y v .� �• APPLICAI�T ACKiV0111lL�D��McNT: i • Agrees to provide all inrorrnaiion required or requested by the Building Depariment; • Certir'ies that the information suppfied is true and correct to the besf of nis/her knowledge. The appiicant recognizes that tney are solefy responsible for submit�ing a compiete appfication being aware that upon failure to do so, the staff has no alternative but to reject it unfif it is complete; • Some or all o`the inrormafion that you are asked to provide on tnis application is cfassified by State law as eitner privaie or � � confideniial. Private data is information wnich generaliy cannot be given to the pubfic but can be given to the subiect of the i da.a. Confidential data is information which generalfy cannot be giver to eitner tne pubiic or the subjecf of tne cata. Our I � purpose and intended use of this inrormation is to annualfy update our records and records of other qovernmental agencies I _ required by iaw. If you refuse to supofy the inrormation tne appiicafion mav not be issu d i Appfi�anYs Sigrature: �� �jc� Date: � " �" I Z �ast Updated: 0�-d9-2D11 ` � l� �Il�� DATE TIME V CITY OF ORONO CALIED w �� ��`�� INSPECTION NOTICE �i SCHEDULED 1� � PERMIT NO. ��������6 / COMPLETED ADDRESS �� �S ��S�G OWNER TELEPHONE NO. 1� � "�3`� "a3�� CONTRACTOR � ���t�C S-�C� S����r � �C�Y��7�_ a DESCRIPTION � �- �� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL � ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES NO � COMMENTS: � W a � J O Q ^' l � O � W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMITNO. oZbla- Db88( COMPLETED -2 -/ ADDRESS 36 c7�S' C4s�o A�'• �. OWNER TELEPHONE NO. COI�TRACTOR I1'1�t�k 7 S�Q �e ��st �: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �t7,FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:_ Te�r r -o f�- !r- �'/.? - kJ6j/3 a *OLD PERMIT - NO FINAL INSPECTION REQUESTED � J � �CG r�rblir��l6t. �/'�v l.f1�N O ti W � �tJO� l� 4�io��/f l?S MeIA� �i - � 2 W W ��iN.-� �t�l� � j d W� ❑WORKSATISFACTORY:PROCEED ��IOJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARFANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. ` White Copyllnspector's File Canary CopylSite Notice