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HomeMy WebLinkAbout2012-00227 - roofing asphalt , '�` CITY OF ORONO 2750 KELLEY PARKWAY * Z 0 1 2 - 0 0 2 2 7 * DATE ISSUED: 03/27/2012 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2765 KELLEY PKWY PIN : 33-118-23-12-0002 LEGAL DESC : WILLOW PROPERTIES ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 86,000.00 NOTE: VALUATION OF PROJECT: $86,000-ASPHALT ROOF APPLICANT pERMIT FEE SCHEDULE 951.75 FIRST BUILDERS OF MN INC STATE SURCHARGE(VALUATION) 43.00 9523 PINEVIEW LANE N TOTAL 994.75 MAPLE GROVE,MN 55369- (763)391-7547 Minnesota State License#:20178688 OWNER Professional Prop Orono,LLP LLP,PROFESSIONAL PROP ORONO, 835 PARTENWOOD RD 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 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at an ' e for due caus 2 � 27� ���, 3 , �7� i Applicant Pe ee S�gnature Date Issue y 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.) � Mailing Address: Permit number:��lo _ �,L,O,j� PO Box 66 0 �� � Crystal Bay, MN 55323-0066 Date received: � a � ��� �., Street Address: Received by: �'.�c� '� '"� �� 2750 Kelley Parkway Plan review fee: L9,kESH��'�' Orono, MN 55356 Total Fee: S 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: , �J� Job Site Address: � � f�� ��(I�,, Q�/� �,{,E1�yl ���`�`�� ���I /�� ��� �-E� Will this be a Parade of Homes, Remodelers Sh case Home or other Display Home? ❑ Yes [� No If yes, a special event permit is required with Police Department and Cify 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 INF RM�4T1 N: Name: l'� r5� ��� ��C���' ��?� l%1/��/ �� � State License# ZL.� � ��c�� Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: /C '-- / _ � S (office) � (Z - �'�S'�- �S�b�' (cell) Mailing Address: �SL� ' ��� ,e� / City: `� ,'U� G���,ZIP: S"=� � Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: �� , � - 3 � ( .- �Z � �J PROPERTY OWNER INFORMATION: �J Name: ��- ��� �a: C � c�/a C'� , ' � �o'�G�U Phone (day): ����7 � Z � �- 3`f GG�7�r��.� c-�?'/c�/,��fc Address: City: ZIP: 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) �.Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s ecif Phone: 952-471-0590 ( p y) ❑ 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 hislher 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 information is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I the information,the a lication ma not be issued. _...�-� > �--..�""'� �--�..,��' _ /� ApplicanYs Signature: �� � �� -- ��- . Date: � ��— �C �� Last Updated: 08-09-2011 T TIME V CITY OF ORONO CALLED IN � I d� INSPECTION T C —$CHEDULED ! PERMIT NO.�� �a �COM LETED ADDRESS � e� OWNER TEL P�NE . �`" S O CONTRACTO�S� � S � �- ,���I �l � DESCRIPTION � ❑ FOOTING ❑ PLUMBING FI AL ❑ EXCAV/GRADINGlFILLING 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a o �.�s ��c �e f -o � � � 3-.� �-��. � � ° = vv �✓� - �9-i� W � Q � 2 W � W � � W 11rJ�IDRK-6A�FSFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSlte Notice DAT TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�d��� da��COMPLETED ADDRESS a� �� ����'�'e- OWNER E EPHONE NO. - �� CONTRACTOR �r5� • /� '�,1���� . ' � DESCRIPTION � � ❑ FOOTING ❑ P ING F A ❑ 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 v � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTO O MEET YOU:YES_NO y COMMENT • � �, `� W a ✓\ � - j l . 0 a - � 0 � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED /urr��JECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site� Inspector. � � White Copyllnspector's File Canary CopylSite Notice