HomeMy WebLinkAbout2012-00264 - roofing � � CITY OF ORONO * 2 0 1 Z — 0 0 2 6 4 *
2750 KELLEY PARKWAY DATE ISSUEU: 04/09/2012
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3450 BIRCH LA
PIN : 08-117-23-43-0023
LEGAL DESC : LYDIARDS PARK LAKE MTKA
: LOT 018 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : ROOF[NG -ASPHALT
ACTIVITY : O/S BU[LDING -UNDEFINED
VALUATION : $ 8,000.00
NOTE: VALUAT[ON OF NERMI"I': $8000.00
ROOFING PERMPCS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE RF,QUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL 1NSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIMG THG ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 162.25
NEW LIFE CONTRACTING STATE SURCHARGE(VALUATION) 4.00
2478 H[LLWOOD DR E
ST. PAUL, MN 551 19- TOTAL 166.25
(651)224-3442
Minnesota State License#: 20249486
OWNER
ENGLER, MR. & MRS.
3450 BIRCH LA
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
Thc N°ork for�a�hich dus 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 ap�icant is responsible for assuring all required inspections are
request d in conformance with the State Building Code.This permit may be
revoke at any time for due cause.
/ / / � / ��
Ap i ant Permitee Signature Date [ss E3y 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: �0�
/�v 0,�\ PO Box 66 /
il � � Crystal Bay, MN 55323-0066 Date received: �-{
� Received by:
��a �''�'�-�� s, Street Address:
� aro.�
� � �ti 2750 Kelley Parkway Plan review fee:
L9,kESH�g'F' 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: ��� `r"�'��(� ��,(�(�- ����
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
If yes,a special event permit is required with Police Department and City Counci/approva/60 days prior to the evenf. Shuttle bus service will be
required un/ess applicant demonstrates sufficienf on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORM�ION:
Name: ��'� �d��-" ��L-'r�-F��`���
State License# �_�,c�� �� � Expiration Date: �j / ,
Lead Certification Number. ti,a---r __ �� ;�,7-J"� Expiration Date: ����
(for work on homes af w re construcfed priq�r fo 1978
Phone: (o .' �'3( 1 � �7 �3 J (office) (pJ � �v�-`-{-�,5. ��L1 (cell)
Mailing Address: � � (��c� Cit � �. ZIP: �' 'C��
Contact Person: �� _.- , � r Applicant is: Cont or / Homeowner
(Circle One)
Email and/or Fax: ,n� � �J � �-� ` (�
PROPERTY OWNER INFORMATION:
� N a m e: � f— c'�.1��f G� ����'1���!�
Phone(day): Cj s a-- y�/— v � '
Address: �C� j� 2��� (� City: � ��?;�IP: <I J j��
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review& ermits:
❑ Door(s) ❑ Remodel ❑ Fire Damage Minnehaha Creek Watersh d District(MCWD)
Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑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:
_ Estimated Construction Valuation of Project(excluding land) $ � �)��
,
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 alternafive
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 State law as either private or �
confidential. Private data is informafion 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 o annually update our records and records of other governmental agencies
re uired b law. If ou refuse to �u I the info ation,t e a lication ma not be issued.
ApplicanYs Signature: �� Date: ��i
Last Updated: 08-09-2011
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �a-��6f� COMPLETED �/7!
ADDRESS 3�1Sb ����.( Ln.
OWNER TELEPHONE NO.
CONTRACTOR /IcaJ L.�'c �'o�c�r.��i.K
� DESCRIPTION ��-�'��
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS
� c�,FINAL /Y�i'qcaF ❑ SEWER HOOK-UP � COMPLAINT
Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMCVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �ir�,5,e .� ��'� �.�� —
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� ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR RE�NSPECTlON TEMPORARY
� BEFORE C0IIERING
PERMANENT
❑CORRECTUNSAFECONDITfONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLLREfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952 j 249-46�0
OwnerlContractor on site:
Inspector. �i•-... �
White Copyllnspector's Ffle Canary CopylSfte Notice
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DA TIME
CITY OF ORONO CALLED IN ' I�--
INSPECTION NQ�IC�_OD��� SCHEDULED _
PERMIT NO. � � COMPLE
ADDRESS J �
OWNER ' TE HO E NO. �a�-3 �
CONTRACTOR �
>; DESCRIPTION ����
�
lL ❑ 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 O SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �+wORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED C: ISSUE CERTIFICATE OF OCCUPANCY
W
O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
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. �95Z� 249-4600
OwnerlContractor on site:
Inspector. �, � ' ��
White Copyllnspector's File Canary CopylSite Notice