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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 ��-�'�� � � ❑ 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 .� ��'� �.�� — a oL� �f.,2�' - v/a �i`t�/ �rtsaec�.o.c r��cres�`� � J O ., . � y!O -��•- o�-� i�r 5B cc��v.�. /e cc r�e�Q O ° � W Q ►Jo� � �.o���'s �Ps r►�c,pla�e � z W � W � J � ❑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 �� -�-� � 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: � W a � � O a � O � W � Q � Z W � W � � 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