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��
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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��
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(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 � �- �� �
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� ❑ 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:
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� ❑CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY
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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
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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