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HomeMy WebLinkAbout2012-00021 - roofing CITY OF ORONO PERMIT NO.: 20�2-0002� 2750 KELLEY PARKWAY � � ORONO, MN 55356- DATE ISSUED: OU10/2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 2995 DEER RUN TR PIN : 04-117-23-23-0030 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 46,000.00 NOTE: VAI,UATION OF PERMIT: $46000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR"I'EAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMYLETED TEIE SIGNS MUST BE REMOVED. APPLICANT PERMtT FEE SCHEDULE 638.75 SUBURBAN FRAMING STATE SURCHARGE(VALUATION) 23.00 P O BOX 490506 BLAINE, MN 55449- TOTAL 661.75 (612)366-4401 Minnesota State License#: 20629100 OWNER HICKS, STEVEN&TAMARA 2995 DEER RUN TR LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Quilding 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 no[specitied herein.This permit will expire and become null and void if eonstruction 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 permit may be revoked at aqy lne for due cause. _`� �^� .,�� �.-, / / /(> { !Z / /f�/ /a' Ap licant Permitee Sig ture Date Issued y SignatuYe� 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: o Og,D,�.O PO Box 66 Crystal Bay, MN 55323-0066 Date received: a i� ��;;, �, Street Address: Received by: �',�, • �� �ti 2750 Kelley Parkway Plan review fee: �Esxo4`'� Orono, MN 55356 — Total Fee: /��j �� 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: •'Z.`��(/j ��,ZI^ r'vU•1 /�. 'ti�'t�,�,c;, M,l� S� �5�, / Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes [i�]"No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �ya,�,�N �v�� : State License# ���r� � Expiration Date: Lead Certification Number: Expiration Date: (for work on homes fhaf were consfructed prior to 1978 Phone: (office) ' �'L- ja(o " "(�'Q (cell) Mailing Address: ,�, v'-�;,� City: y�_ ZIP: �.(t,� Contact Person: �W_ ���� Applicant is: or�racT / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: C�.�.�� (�..����� Phone(day): ��2_�`���-��Z3 Address: ��� �- �-.v ��, ��� City: (��-p,.� ZIP: ��5� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ of, 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 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 either 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 inf mation is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to e information,the a lication ma not be issued. � Applicant's Signature: Date: �—9—Z�� 1— Last Updated: 08-09-2011 ��� DAT TIME V CITY OF ORONO CALLED IN /-a� INSPECTION NO�ICE SCHEDULED � PERMIT NO. a Ia -OUO�--� COMPLETED ADDRESS o?g�5 4L���� �'� �� OWNER TELEPHONE NO. ��a ag0 �lo�� CONTRACTOR a� ����`I C'i � DESCRIPTION ��� ��`�'�- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ����'� �' � W a o /L;�r� �,�- Fr�S�'�.� a ��ec � �. � a � W � Q ti Z W � W � j d W ❑WORKSATISFACTORY:PROCEED LI PROJECTCOMPLETE � �ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector_ White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN r�_ � �� IiVSPECTION NOTICE SCHEDULED PERMIT NO. Z-t�' Z' 2� COMPLETED ADDRESS ��l`'S ��-'Z�R j`Z`"�`� OWNER TELEPHONE NO. �"2 �"366 '`�Yd f CONTRACTOR S�'3 v�'�-�}� �'�✓�'��,�.,�. � >; DESCRIPTION ����D�'— �'2 p� � ❑ FOOTtNG ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >- � � � �'�- QS W � Q � z W � W � j d W �KSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED � 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. (g52) 249-46�� OwnerlContractor site: inspector. White Copyllnspector's File Canary Copy/Site Notice