HomeMy WebLinkAbout2012-00856 - roofing � • CITY OF ORONO * 2 0 1 2 — 0 PJ 8 5 6 *
2750 KELLEY PARKWAY DATE ISSUED: 08/30/2012
ORONO, MN 55356—
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1220 GARDEN CT
PIN : 07-117-23-32-0045
LEGAL DESC : TONKAV[EW GARDENS
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RES(DENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 18,000.00
NOTE: VALUATION OF PERMIT:$18000.00
ROOFING PF,RMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOT[CE, PRIOR TO
WORK QEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY N07'BE ISSUED.
SIGNS-ADVERTIS[NG SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIM�THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE S[GNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 309.75
MIDWEST ROOFING STATE SURCHARGE(VALUATION) 9.00
6541 SYCAMORE CT N
MAPLE GROVE, MN 55369- TOTAL 318.75
(763)427-9696
Minnesota State License#: 20637010
OWNER
ERICKSON, RICK
1601 SUNNYBROOK
MINNETRISTA, MN 55364-
AGREF,MENT AIVD SWORN STATEMENT
l�hc work R>r which this permit is issucd shall be performed according to
thc approvcd plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work describcd 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 within 180 days of the date of issuance,or if construclion is
suspended for a period of 180 da}'s at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Buiiding Code.This permit may be
revoked at any tim or due cause.
O / -�C� /�Z_ �����"lic��S.�.�-� U /v� / ��..�.
Ap icant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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. ���y �f C��-a�E� (��-� 2� �`��
��`Ic�ing Perrnit A►pp6i�a�i�n �or t�Eair��er�ance l RenQva�io�
(wi�aov�rs, c�oo�-s, siding, ��-roof, etc.)
Mailing Address: 2��Z _�g'S�
%�,d,�- PO Box o6 I Permit number:
/Q � �� Crystal Bay, MN 55323-0066 Date received: 0— �-� '/ Z
I/a � 'P�-�` a, ,� Street Address: Receiv�d by
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��� ��,,��„��ti � 2750 Kelley Parkway � Plan��:review fee: � �
� �s� �g Orono, MN 55356 I
ESH�
'I Total Fee: •
Main: 952-249-4600 Fax: 952-249-4016 www.ci.orono.mn.us
This appfication rorm must be completed in fuli and all required inrormafion must be submitted.
incompfete appficaiions will be returnecl. (Please print)
GENERAL INFOR�ATI�t�:
Job Site Address: I 2 Z�j ����,� � �-�- f �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ I�o
I f yes, a specia/event permit rs required with Police Departmenf and City Council approval 60 days prior fo the evenf. Shuttle bus service wilf be
required unless applicant demonstrates suffrcient on-site parking is available. Non-permitted evenfs wil/nof be allowea.
CONTRA�TOR/APPLICANT INrOLRMAT101�:
Name: n^ � .� a,�.�-1_ � f .( s.
State License # �` �� -�'7 �r--T� , Expiraiion Cate: 2C�/`.(
Lead Certificafion Number: Expiration Qate:
(for work on homes that were construcfecl prior to 1978
Phone: . (0 3— y Z7- (ofiice) �o��
(��Z�7b2- 7��'� )
Maifing Address: s � L C�t � (c 6�„ Z1P; --3 �e �
Contact Person: �� Applicant is: ontrac r Homeowner (Circie One)
Ernail and/or Fax:
PROPcRTY OWNER INFORMATIOH:
G �
Nam.,: � G � Ci('� c 1�s c?�
Phone(day): 2 C73" y S��- 3 L+�7S "
Address: S�,�v,--L_ City:.��nr�p ZIP: .'����o l.�
Email and/or Fax
PRaJ�CT INF�RM�4SIOf�:
Type of Project: I /1ny earth movement rray require
� � MCWD review& ermits:
❑ Door s ❑ Remodel ❑ Fire Qamage I Ninnehana Creek Watersh d District(MCWD)
�Re-roof, asphalt ❑ Repair ❑ Storm Damage ! 1�202 Minneionka Bfvd
❑ Re-roof, cedar ❑ Restoration ❑V1�'ater Damage Deephaven, MN 55391
Phone: 952-471-Q590
❑ Re-roof, other(specify) ❑ Siding ❑ Other. (specify) I, Far.: 952-471-0682
� ❑Window(s) i www.minnehahacreek.orq II
Overal{ Project �escriptioR:
=sfirriated Construction Vafuafion o�Project (exciuciing fand) $ /� ��
APPLICAMT ACKfVOWLCD�EM�t�T:
• Agrees to provide all information required or requested by the Buiiding Department;
• Certifies that the informafion suppfied is true and correct to the best of his/her knowledge. The applicant rerognizes that they �
are soieiy responsible ror submit'ting a complete appfica'tion being aware that upon railure to do so, tne staff has no alternafive �
! but to reject it until it is complete; i
• Some or all of the information that you are asked to provide on tnis applicatior is cfassified by Siate iaw as eitner private or
confideniiaf. Private data is inforrrzation which generalfy cannot be given to the pubfic but can be given to tne subject of the I
; da.a Confidential daia is inTormafion which generalfy cannot be given io eitner the public or the subject of tne data. Our I
' purpose and intended use of this information is to annualfy update our records and records of other govemmental aqencies
reauired by law. If vou refuse to suppfv tne information, tne aopfi�a'tion may not be issued.
ApplicanYs Signature: Date: ����//Z
Lzst Updated: OP�-D5-2011
DATE �/ TIME /
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE SCHEOULED /�— --���—
PERMITNO.�D/o�- 005� COMPLETED
ADDRESS � �� �i�- '
OWNER TELEPH E N0.7�3- �°��- `��J�
CONTRACTOR
�; DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ 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 MEEf YOU:_YES_NO
� COMMENTS:
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W�-�RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. �j pHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site: -
Inspector. [ 2 !Z
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White Copylinspector's File Canary CopylSite Notice
`9� /J D TIME �
CITY OF ORONO CALLED IN 7
INSPECTION_N�OJ,nTIC / SCHEDULED —� -s�
PERMIT NO. �G[/��—0���(O COMPLETED
ADDRESS l a d O �j�z�-u� �
OWNER T EPHO E NO. ��Z 7�Z �7�
CONTRACTOR ��1���%���� �� ���
>; DESCRIPTION s��� ��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site: �
r
Inspector.
White Copyllnspector's File Canary CopylSite Notice