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Home My WebLink About2012-00323 - roofing ' CITY OF ORONO * z 0 1 2 - 0 0 3 2 3 * � 2750 KELLEY PARKWAY DATE ISSUED: 04/24/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 375 FERNDALE RD N PIN : 36-118-23-41-0003 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ROOF�NG -ASPHALT ACTIV[TY : O/S BU[LDING- UNDEF[NED VALUATION : $ 9,357.00 NOTE: VALUATION OF PERMIT:$9,357.00 ROOFING PERMITS ISSUED W[THOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE, PRIOR�'O WORK BEING STARTED) MUST PROVIDG COMPLETE SET OF P[CTURES OR A FINAL INSYF,CTION MAY NOT BE ISSUED. S[GNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLGTED THE S[GNS MUST BE REMOVF,D. � APPLICANT PERM[T FEE SCHEDULE 191.75 ROYAL ROOFING STATE SURCHARGE(VALUATION) 4.68 7472 EDMONSON AVE NE MONTICELLO, MN 55362- TOTAL 196.43 (763)295-0540 PAID W[TH CC# 1011 Minnesota State License#: 20175152 OWNER VANDEPUTTE, MARY 375 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approvcd plans and specifications,applicabie City approvals,and [he 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 widiin 180 days of the date of issuance,or if cons[ruction 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 perntit may be revoked at any time for due cause. ��,, �� /� ,,, ?, / / �'� z� .z.0 G'��2,��) � j ��r fi-/_: Applicant Permitee ignature Date Issued By 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.) O ,;:...:�. .. ' .: .,, g' �l' ai/P0 B x 86� � �... �:.. :...�,,;., . :,:.. �;�-.I;,I, .,. ;PecrniL:riUrri6er ., `., � l';• ' `;:ii � Crystal Ba , MN 55323-0066 ` � � � y 'Date':�eceived:.. �i: . ' ; � ,. T ..��.�.:' �: St�et Addr�ss: Reoeived by::•.;':: , `'.•::...`;' ��` o� 2750 Kslley Parkway ` ; .,.:... : � Plan;rev,iew;.fee:`:''': :;r `„ �`xEs�o¢ Orono, MN 55356 Ma;n: 952-2 'Tota'l"Fee:;:' .: ,:.,.;`,`�; <.,,:�.: :..,/;.:>>;�, '.: ;.�.;:',, 49-4B00 Fax: 952-249-4616 uvww.ci,orono.mn us � • � , ... : ,... „ .. ..:.:: :......1�';'>.:;�:. ':':.:.,.,;,; This application form must be Completed in full and all �equired Information must be submitted. ` Incomplete applications will Be returned. (P/ease print) GENERqL INFORMA710N: ' Job Site Address: 3 ER � �, N Will this be a Parade of Homes,Remodelers Showcas�Home or other Display Home? Yes No �yres,a specia!event pe�mit is requlrpd with Police DepaRment and City Council appro►al 60 days p/ior to the event Shuttle bus saniice wlll be r�quired unless app/kvnt demanstrates sulTicient on-srte perking ls aVaila6/e. Non-permi(fied events wil!not be a/lowed_ coNTRaCTOR i APP�iCANr INF�RnnATION: NBme: �Qo �}L ��pf'/N( State License# a o�-�$� �a Expiration Date: Lead Certification Number: ' 3 °� (for work on homes�ar were constructed prior f�n 1978 E��tion Date: Phon�: 3 -a9s-o,�"�O (office) 763--��'/- / � (cell MailingAddress: �y7 �p�,,a soN � Contact('erson: � C�tY'Ma icEt-�v Z1P: S536oZ S�� ti► �6i�S�nl Applicant is: ontra or / Homeowner �c�.��eo�a� Email snd/or Fax: `,,,� �ro 1 reo�m � Co PROPERTY QWNER 1NFORMATION; Name� �R` _ Phone da u � ( v)� �I a-3 �9a�3 Address: 5��,E � ovE Email and/or Fax ��'� Z1P: PROJECT INFORMATION: 7ype of Project ' Any earth movement may requlre ❑Door(s) ❑ Remodel ❑ Fire Damage MCWp review�permits; L�l7 Re-roof,asphalt ❑Rapair Minnehaha Cr�eek Watershed District(MCWD) ❑Storm Damage 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑Restoration ❑Water Damage Deephaven, MN 55391 ❑R�roof, other(spacify) ❑Siding ❑Othar,(specify) PFax: �g52�1 06820 ❑Window(s) www.minn hahacreek.or Over�11 Project Description: ,eE-R6oF Estimated Construction Valuatlon of Project(excluding land) $ Q 3 S7� �� APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all informatio�required or rnquestad by the Building Department; � • Certifies that the informaYion supplied is true and correct to the best of his/her knowledge. The applicarrt recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no altemative but to reject it until it is complete; • Some or all of the infoRnation that you are asked to provide on this applicaUon is Gassified by State law as either private or confidantial. 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 information is to ennually update our records and records of other govemmenial agencies r uired b law_ If ou refuse to su I the information;the a lication ma not be issued. Applicant's Signature: y/ay ', Date: last Updated: 0&09-2011 • �� DATE TIME CITY OF ORONO CALLED IN --� �-- INSPECTION NOTICE SCHEDULED � _�� -� PERMIT NO. COMPLETED ADDRESS .3 7� -� /�-� � OWNER TELEPHONE NO.�� d D9�� CONTRACTOR �� D�� -�/� >; DESCRIPTION �� Ll! ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a L,��.d�p ,�,�GZo /CP ✓ Lr�� j o D/��wt� �-c � � � 0 � W � Q � z w � W � � GW ❑WORKSATISFACTORY:PROCEED �AOJECTCOMPLETE � ❑ CORRECT WORK&PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY W 0 U CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,,; pHOTO TAKEN INSPECTOR WILL RETURN ��CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-460� r OwnerlContractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice