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HomeMy WebLinkAbout2012-01179 - roofing CITY OF ORONO * 2 0 1 z - 0 1 1 7 9 * 1 . 2750 KELLEY PARKWAY DATE ISSUED: 1U16/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3452 LIVINGSTON AVE PIN : 17-117-23-43-0018 LEGAL DESC : NAVARRE HEIGHTS : LOT 017 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,000.00 NOTF,: VALUATION OF PERM[T:$2,000.00 ROOFING PERMI"I'S 1SSUED WITHOUT ENOUGH NOT[CE FOR TEAR OFP INSPECTIONS. (WE REQUIRE 24-48 NO"I'ICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SE"C OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVGRTISING SIGNS MAY ONLY}3E ON THE PROPERTY DURING THE TIME THF;ROOF IS BEING DONE. ONCE WORK [S COMPLETED T'HE SIGNS MUST[3E REMOVED. APPLICANT PERMIT FEE SCHEDULE 73.75 CHRISTIANS INC. STATE SURCHARGE(VALUATION) I.00 1480 PARK ROAD TOTAL 74.75 CHANHASSEN, MN 55317 �) Minnesota State License#: 3712 OWNER MARTIN,CORBIN 3452 LIVINGSTON AVE WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perlormed 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 ot�laws and ordinances governing this type of work shall be compied with whether or not specified herein.This pern�it wil] 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 responsi�le Yor assurin required inspections are requested in conformanee with the e Building Code.This permit may be revoked at any time for due c ' / ..' �' � �,�� �� - ��=-�._l( � 1�., � (� �,° �! � �� �� 2 �Appiicant Permitee Signature Date Iss e By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. S . � - City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O�,D,�.O PO Box 66 Crystal Bay,MN 55323-0066 Date received: ��� �, Street Address: Received by: �ti 2750 Kelley Parkway Plan review fee: �'�.'��o�.*d Orono, MN 55356 — Total Fee: �' �-7 5 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: / Job Site Address: � o ,f} Will this be a Parade of Homes, Remodeler howcase Home or other Display Home? Yes No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se � will be required unless applicant demonstrates s�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: � I State License# Expiration Date: Q Lead Certification Number: � /(a��(- Expiration Date: 7- a 3 �/$� (for work on homes that we're constructed prfor to 1978 Phone: - 1f7��. r7��� (office) ��.- y yo� .,� (cell) Mailing Address: ( G� ���(L 0. City: � ZIP: s ? Contact Person: ����� S ,��,,�� Applicant is: o tract / Homeowner �ci�cieo�> Email and/or Fax: � PROPERTY OWNER INFORMATION• 1 Name: ���j�� .� �y�p �rrf�f�y\ Phone(day): �,.- ( � Address: ��.5-�l [ ��Sbv� ,4 U�— City: f�d��v�d ZIP: S��yI Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑Door(s) ❑ Remodel ❑Fire Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) �Re-roof,asphalt [�Repair [�,Storm Damage 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof,other(specify) ❑Siding ❑Other:(specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.om Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ `� d�a, co 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 his/her 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 altemative 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 annuall ate our records and records of other governmental agencies re uired b law. If ou refuse to su I e informati a lication ma not be issued. ApplicanYs Signature: Date: (� ��� la' Last Updated: 08-09-2011 �� DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �D/e'Z •���74i COMPLEfED -5'�-�S' ADDRESS 3Y5� Gi*r�KSd't�n I�r.,� OWNER TELEPHONE NO. CONTRACTOR ___C�r.:ti�� �/.�C ! j DESCRIPTION /2e- reaf � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG � ❑ POURED WALL ❑ ivIECHANICAL RI 0 LAKESHORFJWETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL e ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOIC-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT _� ❑ DEMO-SITE � SEPTIC MAINT. JaSFOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL j � ❑ PLUMBING RI O SEPTIC FINAL O FOUNbATiON/REMOVAL � � OWNERICONTRACTOR TO MEET YOU:_YES_NO � � COMMENTS: /Yd 'f�r-i-o{'�' ��rS��ie� «<p r�S.Q a *OLD PERMIT - NO FINAL INSPECTION REQUESTED. � ' J O � �G 1/Gvt��l�ion. m�'oou�c� ' o � w $ GJ�s�L' Q�,d�rc � /� ' � � � /�e�N,:� F<�r.�/e� W — � 0 � d W� ❑WORK SATISFACTORY:PROCEED �8C{;$Q ECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOA �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: inspector. _Q�.w '�'-- White Copylinspector's File Canary CopylSi4e Notice