HomeMy WebLinkAbout2012-00767 - roofing CITY OF ORONO * 2 0 1 2 - 8 0 7 6 7 *
2750 KELLEY PARKWAY DATE ISSUED: 08/13/2012
ORONO, MN 55356-
� (952)249-4600 FAX: (952)249-4616
ADDRESS : 2525 KELLY AVE
PIN : 20-117-23-11-0022
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 001 BLOCK 005
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-RUBBER
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 5,700.00
NOTE: VALUATION OF PERMIT:$5700.00-TEAR OFF AND REROOF 60 MIL RUBBER PORCH ROOF.
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 132.75
ENGLUND ROOFING STATE SURCHARGE(VALUATION) 2.85
1730 UNIVERSITY AVE.
MN 55104 MAIL-IN FEE 1.40
(651)917-7663 TOTAL 137.00
Minnesota State License#:BC585981
OWNER
HEIMBACH,K&R
2525 KELLY AVE
EXCELSIOR,MN 55331
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 sepazate
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 consWction 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
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Si re Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
City of Orono
�Building Permit Application for Maintenance / Renovation
, (windows, doors, sidin , re-roof, etc.
O � �/�" Renri�number. , � D� -Dd�7
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c�e�►.wnv s�oo� o�reo�ea: � -�
sneeraaa�ss:
R�ea e�r: . � .
�� � 2750 Kelley Parkvvay Plan re�view
Orono,MN�5356 �
� Totel Fee: l 3�� O .
Neir �9�,2�9�0 F�c 9�'t 2�+Ib'16 �::iy':a��::<:�.:;::::.".:;_?'..�_ . .
This application fvrm must be completed in full and all required infom�ation must be submitted.
Incomplebe applkatlon�will be retum�d. (Please pnnt�
GENERAL INFORMATION: �
Job Slba Address: �
Will this be a Parada of Homes,Remodelers Sbo se Home or other Displsy Nome? Yvs 1+Io
If yea,a s�aede�erent E►srmlt is��rred wrtn Pollce Ospar6nant and CJh+ccurwYl�pprovel 6o days w'�or b ohe�v�nt shutBe tx�ls a9►vroP w�R 6e
required uNess appl�cant dem�onsdshes�o►hs�e PeAdr�fs avsil�e. Non�pennlltsd evrnl�w�not bs eAbwed.
co�rncTott�nP�ic�rr iN�o�► :
Name:
Stat�Lioense# . Expiration Date: � — ��-
Lead(�errtl�fcatiion Number: — � �- Expiratlon D�a�e:
(for wwlc on hame�tl►�t ww�r conabucbd ' to 18T8�. D
Phone: — (office) ^ � (��)
Mailing Address: — ��� Z�
Cantact Person: ApPlicant is: ntracto l Homeowner �r��a�.�
�mail andlor Fax:
pROPERTY OWNER 1 FORMATI N: �
Name:
Phone(daY): — —
�d�: .. Cit�l ZIP:
Email and/or Fax ���---_... � _
PROJEGT i�+1��ORMA'flON;
.ry►Pe��J� Atry earth movement.mayl require
❑p��$) �Remvde� ❑F'x��ama9e MCWD�vie�•g pemtils:
Minneheha Creek Waters�ed Dishid(MCI�IID)
[]Re-roof.s�sphalt ❑RePair 1����9� 182�02 M�netonka 81vd
Deephaven,MN 5539t
❑R�roaf,cec�r �R�toration ❑Wabe�Damage Phoae: 952�71-059D
,�(Re-ro�tf�othsr(sPscitY) ❑Sidirt9 C�triher(spea� F�c: �52�471-Q682 .
,.n�. . ;,.�p.. ;:�q,t;:;'.:-.r:.
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Overa:!P 'ect Descripl�on:
Ester�,atsd Corist�ction Vslnation af Pro eCt(excludin land S
� �
R►�P�.,ICAItT �
. Aqrees to provide at1 information reguirsd or�uest�d by the 6uildirig aspattme�lt; �
o Cert�es that!he ir�tocmatian supplied f�true arid c�to ihs best of hisTher knowiedge. The�ppUcant►ecagnizes th�at�
� �����sc�i�r�a c��tete ap�pdicalion t�k�g aw�re�et apoort taeiM�re to fb su,Ehe��ias r+c►a�x►�atiMe
i��p nejeef'if��ie vompiete;
+ SaT.a ar aN� a�'f tha 6,�mation th�y���siced ta puai,�s en This appticati� ;s c�assifted by otato f�a �a ei-f,t�ei pti�a:s ar
�r.fs�ntial. Pr+rais �� �s i�farmaSia� v:t+;ch gan�ra�{y c�.^.r�t be g�var to�sB a1:�`IIC �ii� L`�(1 r�8 '3IY8;! �J�E SE��eCi���
�2ta. COi�iQ�ilti8! �='�g IS t��t�.^,�tian �ich geneta!!y ean��t ba give� to either tF:e p�6lic �+!'ltte &uS;ecZ of J1e �. �UT
purFoEs anQ �ntensied t!�a c�f khis info�rriatiQn is fi4 a�nually u��!e oeu?eo��ds and �cords of o#��e�av�Rnm+�4 e�+�
'r�Q , (f r�ft�se to s tt�e' 'ari.tt�a it�tQAn not be iss�di.
D T TIME �/
CITY OF ORONO CALIED IN �'��
INSPECTION NOTICE�/� SCHEDULED � -�J'��-
PERMIT NO.��Ia- —vLl��� COMPLETED �
ADDRESS a5a5 ��-�J � �
OWNER TE EPH NE NO. �O7�16�7 ���-3
CONTRACTOR
>; DESCRIPTION � — /'
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� 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� 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice