The URL can be used to link to this page

Home My WebLink About2012-00721 - roofing � '. CITY OF ORONO * z 0 1 z - 0 0 7 z 1 * 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1937 FAGERNESS POINT RD PIN : 17-117-23-23-0012 LEGAL DESC : FAGERNESS : LOT 020 BLOCK 000 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 8,000.00 NOTE: VALUATION OF PERMIT:$ 8000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICG FOR TGAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STAKTED) MUST PROVIDE COMPLGTE SGT OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE YROPERTY DURING THE TIME TI IE ROOF IS BEING DONE. ONCE WORK IS COMPLETGD THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 162.25 DELTA CONSTRUCTION STATE SURCHARGE(VALUATION) 4.00 2722 H WY 694 SERV RD#220 NEW BRIGHTON, MN 551 12- MAIL-IN FEE 2.00 (651)216-4447 TOTAL 168.25 Minnesota State License#: BC633541 PAID WITH CC# 4095 OWNER ROBERTS, RICHARD 1937 FAGERNESS PT RD WAYZATA, MN 55391 ACREEMENT AND SWORN STATEMENT 'I�he work lor which Uiis permit is issucd shall bc performcd according to the approved plans and specilications,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 specitied herein.This permit will expire and becomc 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 requcsted in conformance with the State Building Code.This permit may be revoked at any time for du cause. ( �� a7� �-- � 7 ��7 � a-� Applicant ermiYee ignature Date Issue y Signa ure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � . . City of Orono Building Permit Application for Malntenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: pe�IG number O,�Q�O PO Box 66 Crystal Bay,MN 55323-0066 Date received- Received by� a ,, Street Add�ess: o� 2750 Kelley Parkway Plen review fee: ��o�. Orono,MN 5535B r�i Fgo: Main: 952-249-4B00 Fax; 852-249�618 www.cf_orono.rn�L-us 7his appllcation form must be completed in full and all�equlred information must be submitted. Incomplete appllaations wlll be�turned. (Please prinf) GENERAL INFORMATION: � Job Site Addres9: .3 � � C O/ WIII this be a Parede of Homes,Remod ers Showcese Home or othe.Dlsplay Home? ❑Yes No If yea,a special evBnt permlt!s rsquired whh Police DepeRment end Clry Council epprovel6o days prior to the event• SAuttle bus seMce wl11 be �equlred un/ess eppllcanf demonatrates su�ic;ent on•slte peddng Is evailable. Non-perm►tt�d eventa wlll not be allowed. CONTRACTOR 1 APP C NT INFORMATION: . Neme: Stete License# � Expiretion Date: — l,ead CertificaUon Num er; _ — �� ' Explration Date: — �' (/or worlc on homes thet wera constructed prior to 1878 �.S r 7 Phone: . (office) . , Malling Address: 7� �. G .s C��' �� ' ZIP� Contact Person: Applicant is: ontre / Homeawner �c�ia o�e1 Email and/or Fax: � PROPERTY OWNER 1NFORMAT ON: Name: ' Phone(daY): C 2�2 ' � ZIP� s,r 3�� Address: � t/ C ' C��' � � Emall andlor Fax . � PROJECT INFORMATION: � Type of Project: Any earth movement may requlro MCWD review&permlt6: [�Door(s) ❑Remodel ❑ Fire Damage Minnehaha Creek Wetershed Dlstrict(MCWD) �R�roof,asphalt ❑Repair ❑Storm Damage 18202 Mlnnetonka Blvd Deephaven, MN 55381 ❑R�roof,cedar � ❑Restoration ❑Water Damege Phone: 952-471-0590 []Re-roof,other(apeclTy) ❑Slding ❑Other:(specify) Fax: 952�71-0662 �W, nehah ek.or ❑Wlndow(s) Overall Rro'ect Descri tion; Estimated Constructlon Valuatiolt Of Project(excluding land $ � O��- O� ApPLICANT ACKNOWLEDGEMENT: . . Agrees to provide ell Inlormation reqUl�Ad or requestad by the Bullding Depettment; . Cert�fles that the Information supplled is true and cflRect to the best of his/her knowledge. The �pplicant recflgnizes that they are solely responslble fo�submitting a complete appllcation being aware thet upon fallu�e to do so,the staff has no altemative but to reject it until{t Is co►np�ete; . Some or all of the informatlon that you are asked to provide on this appllcation is classified by State law as either prlvate or confidential. Private data Is information which generelly cannot be given to the publlc but can be glven to the su6ject of the data. Confiden6al data Is Information whlch generslly cannot be glven to either the publlc or the subject of the data. Our purpose end intended use of thls Information 16 to annually update out reeords and records of other governmental egenciee I'e ui�ed b law. If ou refuse to I the' tortn � ,the e lication ma not be Issued. ApplicanYs Signature: Date: ,�� / Last Updated: 0�09-2011 DATE TIME V CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO. �O/a -DD 7a/ COMPLETED � ADDRESS I93� F49Gr/�55 �`� �'� OWNER TELEPHONE NO. CONTRACTOR O �L�`4 o n5Z` �: DESCRIPTION �e-�Go� � � ❑ FOOTING ❑ 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. Q �FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a l�1� ,��►�trt � ✓l0 �if1q� �vtS�ec.�ee.c �'��' z�' � r � J O �.. � - o �U fe4.✓' O� �n SA�c� /'� /'�� W ,��1 Q f�7T�G V'� ��{ro,� p�-va � � � 2 W �D/',(� «�O�Jcs��c C !'S/rI�O�� ,oe� �-� r��.�,�� a - W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-460� OwnerlCon on site: inspector. r�- White Copyllnspector's File Canary CopylSite Notice