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Home My WebLink About2012-00994 - roofing CITY OF ORONO * Z 0 1 Z — 0 fd 9 9 4 * • 2750 KELLEY PARKWAY DATE ISSUED: 10/15/2012 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 600 BIG ISLAND PIN : 22-117-23-31-0034 LEGAL DESC : ISLAND POINTE : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 8,000.00 NO"1'E: VALUAT[ON OF PERMIT:$8000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROV[DE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-AUVERTISING SIGNS MAY ONLY BE ON THE PROPGRTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 162.25 UNGERMAN CONSTRUCTION INC. STATE SURCHARGE(VALUAT[ON) 4.00 4450 NICOLLET AVE S MINNEAPOLIS, MN 55419- TOTAL 166.25 (612)825-2800 Minnesota State License#: BC001239 OWNER ADAMS, DONNA L 203 MILL ST#202 EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for addi[ional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whe[her 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 applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This pern�it may be revoked at any time for due cause. ��; I 1�Rc�� C� � �� l�� 7 � l l A lic�ant Permitee ignature Dale Issued[3y Sig ure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOU . Oct, 8, 2012 9: AM R, A, UNGERMAN CONST. 6128252901 No. 9064 P. 1 � �� Cit of Orono 1 � I y Building Permit Application for Maintenance / Renovation � (windows, doors, siding� re-roof, etc.) � ' Mailing Address: � .�,0� PO Box 66 Permit number. - � Q Crystal Bay,MN 55323-0066 Date received: /O —�/ , � , �. Sireet Address: Received by: ��' 275o Kelley Parkway Plan review fe : �yyk,Eg o�,� Orono, MN 55356 Total Fee: /�P�� Main: 952-248�i600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed ln full and all required information must be submitted. Incompfete applications will be returned. (Please print) GENERAL INFORMATION: ,Job Site Address: Q� l� � Ej - �rc� i�v�� ,4 '� WIII this be a Parade of liomes,Remodelers 3howcase Flome or other Dlaplay Home? Yes No � 1l yes,a special event permit is required with Police Depadment and City Counci!approval 60 days pdor to(he event. Shutt/e bus servlce will bs � required unless applicant demonstrates sufficient on-site parking is avallable. Non peimltied events will not be el/ow�ed. �V � � CONTRACTOR/APP ICANT INFORMATION: ��1 �C�� Name: 6 .uST (�LG �1 D ��, " State�icense# G �Z,3q Lxpiration Date: 3 3/ Za 3 Lead Certification Number: tijN_ 5C�33�� Expiration Date: 7 7�j (fnr work on homes that weie constructe prior to 1978 /' �j �T Phone; �'/Z- $Z 5- ��d (office) 6 r�'p�0 p��OTv� (cell) Mailing Address� r/ ,�j�� City: „�,s ZIP; c// Contact Person: �,,,�, r,/�,6E�,�,� Applicant is: ac / Homeowner (Clrclo Onv) Email and/or Fax: �� Z.,gZ��qp/ PRaPERTY OWNER INFORMATION: Name: � ,B /IiI,S Phone(day): � . (Q- [J Address: '�O3 rG(S'ni�� -�1a Z ��tY��Xl.£Gt�odc- ZIP: S"f,33/ Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits: ❑�Door(s) ❑Ramodel ❑Fire Oamage Minnehaha Greek Watershed District(MGWD) Ly1 Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Mlnnetonka Blvd ❑Re-roof,cedar ❑ Restoretion ❑Water Damage Deephaven,MN 55391 Phone� 952-471-0590 ❑Re-roof, ot�her(spaclfy) ❑ Siding ❑Other.(specify) Fax: 952-471-0662 � ❑Window(s) www.minnehahecreek.orsl � Overall Pro)vct Desc�lptlon; Estlmated C,onstruction Valuatlon of Project(excluding land) $ l/�i�J. I APpLICANT ACKNOWLEDGEMENT; . Agrees to provide all inFormation required or requested by the Building Depariment; . CertiFtes that the infortnation supplled Is true and correcl to the best of hls/her knowledge. The applicant recognizes that they ara solely responsible for submitting a complete application being awara that upon failure to do so, the staff has�o alternative 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 eilher private or confidential, Private data is information 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 in i n is to nnually update our records and records of other governmental agencies re uired b lew. If ou refuse t I inF n the a licati ma not be issued. Appllcant's Signature: Date: ��Q(��fC ��lZ DATE TIME � CITY OF ORONO CALLED IN I�ISPEC"�ION NOTICE SCHEDULED 1 t� - 1'�-jv2 / ! -"(� PERMIT NO. �C� I �� COMPLETED � ' "�� ADDRESS �C'%C' �` �" -J-'-' j ��-'1 n c� OWNER ��%�^�:`A e�61,+tiS TELEPHONE NO. CONTRACTOR ( ).��[%`—�t,ti�,w,� CCi�. _S �' - >: DESCRIPTION ' `�� ' �' � � ( � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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 ❑ COMPIAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. o . �` �t v t�' � �� . ol� c1 � � � t� ! S< <� 5S �' �' c_ , , 'l• t G .� {-;�,/� C�-{c�/ � Q � Z W � W � � � d W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: �� .- Inspector. White Copy/inspector's File Canary CopylSite Notice