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HomeMy WebLinkAbout2012-00649 - roofing CITY OF ORONO * 2 QJ 1 Z - 0 0 6 4 9 * 2750 KELLEY PARKWAY DATE ISSUED: 07/10/2012 E ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2580 DUNWOODY AVE PIN : 20-117-23-21-0024 LEGAL DESC : TOWNS[TE OF LANGDON PARK : LOT 004 BLOCK 007 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 6,324.77 NOTE: VALUATION OF PERMIT:$6,324.77 ROOFING PERMITS ISSULD WITI IOUT GNOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE, PRIOR TO WORK BEING STARTED) MUS'1'PROVIDF COMPLETE SET OF PIC"1'URES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVER"I'ISING SIGNS MAY ONLY (3E ON TI IE PROPGRTY DURING TI-IE TIME THE ROOF IS BEING DONG. ONCF WORK IS COMPLETED T}it�.SIGNS MUST BG REMOVF,D. APPLICANT PERMIT FEE SCHEDULE 147.50 PRICE, CHARLES STATE SURCHARGE(VALUATION) 3.16 2813 CASCO PO[NT RD WAYZATA, MN 55391- TOTAL 150.66 OWNER PRICE, CHARLES 2813 CASCO POINT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall bc 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 rcquires separate permits. All provisions of laws and ordinances goveming 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 l80 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 tbr assuring all requircd inspections are requested in conformance with the State[�uilding Code.This permit may be revoked at aqy time for due cause. �� � �J o ,�—) �� �/L�� „`���?,i ,�'�� / / �-��-L� �`7."Y`��1�✓' Applicant Percnitee Signature Date � � �� �� �� Issucd By Signalure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. �i�y of �ro�o � ��� �` Buii�ing Permit Appi�catior� for M��ntenance / RenQvatio� � (windows, doors, siding, re-roof, etc.) Mailing Address j.� PO Box 66 i Permitnnumber. Crystal Bay, MN 55323-0066 i Date received: j ��"��,:»� � �a � �" �, Sfreet Address: Received by: � � �t�'�„_ �� 2750 Keliey Parkway Pian review fee: t`�gESH�''� Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This appfication form must be completed in full and all required information must be submitted. Incompiete appfications will be returned. (Please print) GENERAL INFORMATIOf�:�z�� � Job Site Address: � �`"��'-��'�'� � Will this be a Parade of Nomes, Remodefers Showcase Home or other Display Home? ❑ Yes o lf yes, a specia/evenf permif is required with Po(ice Department and Crty Counci!approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates suffrcient on-site parking is available. Non-permitted events wil/not be allowed. CONTRACTOR/APPLICANT INFORMATIOI�: Name: ���ff.�n c. ��` f� r c-� State License # � , Expiration Date: Lead Certification Number: � ,4 Expiration Date: (for work on i�omes fhat were constructed prior to 1978 Phone: �..�Z . ��-�, ��� �� (office) �.l�L G:,%.l�.s�� (cell) Maifing Address: � r�3 f'���� �,f- ,i� Cit : Y !� - "�-p Tr1-ZIP� „/"�z�' / Contact Person: C:-¢� - 2�J ` � � Appficant is: Contractor / omeown f (Circle One) Erriail and/or Fax: �Sr� �f � _s�Z� _�,��5 ., G��� - PROPERTY OWNER INFORMATION: y Name: C'.�t G.' ,' �.�- �?�<C� Phone(day): ��� ( �� �3-;�� . Address: Z� (..� C ����'-v �T �D City: (,C��'�� ZIP: J�.1'�� Email and/or Fax ��"L � � , �-�� o ,, �x� _ ����{ ����� C, %� PROJECT INFORMATION: Type of Projecfi ' Any earth movement may require I ❑ Door(s) ❑ Remodel ❑ Fire Damage � MCWD review&permits: Minnehaha Creek Watershed District(MCWD) �Re-roof, asphalt ❑ Repair ❑ Storm Damage � 18202 Minnetonka Bfvd I ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-Q590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 � ❑ Window(s) I www.minnehahacreek.orq Overall Project Description: 3Z�� F- ��veRG' " ��2f�c.r- �;,��`� �-�: Estimated Construction Vafuation of Project (excfuding land) $ � APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supp(ied is true and correct to the best of his/her knowledge. The appficant recognizes that they are solely responsible for submitting a complete applicafion 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 Stafe 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 tne data. Our � purpose and intended use of this information is to annually update our records and records of other governmental agencies �_ required by law. If you refuse to suppl tne informafion the�npficaiion may not be issued � .� , ApplicanYs Signature: � C� �v`Z-��""y-''� /`'' �-�-� Date: '�-- /� �—.Jz-, �ast Updated: 08-09-2011 � /\ . ` E ��� _'__. � ., � _ _ DATF CITY nF n[�n��n � , / - v � (�(=�� ' DATE TIME _ � �� ����� --�—�--/� — CALLEDIN �� CITY OF ORONO scHEou�E� INSPEC710N NOTIaE CC�4 COMPLETED —� �— PERMIT NO. � C .� �r� 3 �Q ADDRESS �� �5 C �L�l 1 1,�`C'i`c�� OWNER�y��r I�S �1�/C�.—TELEPHONE NO. �� _� - 370 CONTRACTOR �� " y-7� - f L' � �^ , � � �; DESCRIPTION � EXCAV/GRADING/FILLING W � FOOTING ❑ PLUMBING FINAL ❑ MECHANICAL RI ❑ �KESHORENVETLANDS � [J POURED WALL ❑ TREE REMOVAL Q ❑ MECHANICAL FINAL � SITE INSPECTION O ❑ FRAMING Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � PROGRESS Q ❑ RADON SLAB ❑ WATER HOOK-UP � COMPLAINT _ ❑ FINAL ❑ SEWER HOOK-UP � FOLLOW-UP � ❑ SEPTIC MAINT. v ❑ DEMO-SITE ❑ HARD COVER REMOVAL W ❑ DEMO-FINAL ❑ SEPTIC INSTALL � FOUNDATION/REMOVAL _ ❑ SEPTIC FIN� � ❑ PLUMBING RI YES NO Q OWNERICONTRACTOR TO MEET YOU:_ Z � COMMENTS: � W C � � O � � O � W � Q � 2 W � � W I � j ❑ pRpJECT COMPLETE ' d �WORK SATISFACTORY:PROCEED `� C,ISSUE CERTIFICATE OF OCCUPANC W�rCl CORRECT WORK&PROCEED �_TEMPORARY p ❑C�RRECT W�RK,CALI FOR REINSPECTION pERMANENT � BEFORE COVERING HOURS. ❑CORRECT UNSAFE CONDITION WITHIN u PHOTO TAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REDUIRED.CALLTO ARRANGE 4 hOUCS 117 8C�V811C@. (9JL) 249�`�"00 Call for the next inspection 2 Owner►Contractor on site: � � Inspector. White Copyllnspector's File Canary CopylSite Notice