HomeMy WebLinkAbout2012-00245 - roofing ` ' � CITY OF ORONO * z 0 1 2 - 0 0 2 4 5 *
2750 KELLEY PARKWAY DATE ISSUED: 04/02/2012
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1580 LONG LAKE BLVD
PIN : 26-118-23-33-0031
LEGAL DESC : ALBEES LONG LAKE ADDN
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 10,000.00
NOTE: VALUATION OF PERMIT:$10000.00
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 191.75
ALLRIGHT RENOVATION STATE SURCHARGE(VALUATION) 5.00
1358 lOTTH AVE NW TOTAL 196.75
COON RAPIDS,MN 55433-
(612)86&7000 PAID WITH CC# 1355
Minnesota State License#:20631860
OWNER
WHEELER,NICOLE
1580 LONG LAKE BLVD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit 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 goveming 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 conf ance with the State Building Code.This permit may be
revoked at any e for due cause.
/ / � / � / �
Applic Permite ' ature Date ssu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
84/82/2612 15:35 8800609860 MMMMMMMMM MMMMMMMM PAGE 61
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Cit� of Orono
Building Permit Application for Maintenance / Renovation
windows, daors, sidi�g, re-roof, etc.)
�,r O,� M� POABox 66 Pertnit�umbe� O! - r�
O � Crystal Bey,MN 55323-0088 Dete reC�ived: �-o�—,/a-.
� � ,, StreetAddiess: Rooeivoa bp:
�,�" 2750 Kdley Parkway p�a„��,�,�:
� Orono,MN 55356
--- Total Fee: G} n
Main: 952-249-4600 Fax: 952-249-4616 �vw.ci.orono.mn.us � / •.`�
This application form must be completed in full and all required informativn mu9t be submitted,
Incomplete applicAbions wlll be retumvd. (P/ease print)
GENEqAL INFORMATIpN:
JOb Slta AOdness:
WIII thls be a Parade of Homes�Remalelers Showcsse Home or s�Dlsplar Hame? Yes No
II y�s,a spepa►evenr pemNt Is�quheC wrtn Pbuce Depertment e�d Cify Courlal epprove/8�deys priar Qo d�e euent Shu1He bus se�vice will be
requircal unlos3 oppli�ant dcmonsbaf�ns suNF.�ivnt on-sil�pBrkrny is avai/abltr. Non-pe�miYf@O eve►!ts Wi11�t bB 6NOw�BO.
CONTRACTOR/APPLICA INF RMA110N: '
Name: �'. /j�af/�l,�y/1
State Lioense# )�.�f��i Expiration Dahc: fl
Lead Certification Number. Expiration Date:
(Ior wo�t on homes q►st wae consQuct�sd prio►Do 7979
Phone: �1-f'6�"lOpG (office) (Cell)
MBiling Address: City: Z�p; "
Contact Person: ,�� �Q, Appiipnt is: ontra r / Homeowner �c��or��
Email and/or Fax: �( a/ee.-y @ �fw�,d.'l, C�os., ..,
PilOPERTY 01111NER INFORMATION: � �j
NamB: QG R A�,'Ar f� ��
Phone(day): / - -
Addr�ess: ,. e. c � Ciry: Q,✓�jA zIP: ,rJ�J`(C
Eman anaior Fax ,n�cd .e ..h c., r���IY.!'a.� e•��•� I.c�w
PROJECT INFORMATION:
Trps vf Project: Any BaM m�v�meM may roqul�e
(]Door(s) ❑ Romodel ❑Firs Damage �������:
�Re-roai,asphslt ❑Repeir ❑SGom�Damege Minnehsha �02 M netonka Blvda�MCWD)
O�Bpneven,MN 55391
❑ Ra-roof,cedar ❑ Restoration ❑Water Damege Phone: 952-491-0580
❑R�roof,other(apsolyl ❑Siding ❑Other. (sp�ciiy) Fax: 962-471-0682
����5� vuww.minnehahacreek.ora
Ove/sll Pro"eet Descri ' n_
Estimabad Constructlon Valuation of Project(Qxcluding land) � � O U.DO
APPLICANT ACKN�WLEDGEMENT:
. Agrees to provide an inronnetwn�equire0 or requestea ay me eui�amg aepartmem;
• Celtifies thet the inbrtn�Gon supplied is true and correct to the best af his/her kno�Medge. The appliqn[ reCognizes Lhai they
are solely respvnsible for submitting a cvmplete epplicalion being swsre that upon failure to do so, the stsff has no altemaativve
but to rejad it uMil k ia oomplelo;
. Soms or el! of!he infom+adon that you are asJc4d to prvvids on this applic�tion is dacsified by State lew as eithe�private or
confldential. Private data is inrormeUon whlch peneraly cannol be piven to t�e DUDIic Dut can De �iven to tl�e SuOiect oi the
data. Confldential data is ir�famation which generelly cannet be given to either the public or the subject of the data. Our
purpo9c and intcnded u�e of thia information is ta annually update our reoords and records of other govemrr�ental agencies
uired Isw. If ou refuss to su the' mtet' ,1ho a �Cetion ma nat be issued.
ApplicanCs Signeture: Date:
1.00t Updaled: 06-09-2011
DATE TIME �. /
CITY OF ORONO CALLED IN V
INSPECTION NOTIC SCHEDULED �
PERMIT NO. y COMPLEfED '
ADDRESS � � � �—
OWNER EP E NO.
� �
CONTRACTOR
� DESCRIPTION
�
� O FOOTiNG ❑ PLU ING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
O 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL 0 SEWER HOOK-UP ❑ COMPLAINT
v ❑ MO-SITE ❑ SEPTIC MAINT.
�FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ POUN'DATION/REMOVAL
2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: , •
a !�� ,QG���+�tr�` '' ✓10 �{.itaL ��'l.5dec..Z�ee�. �'�x Lt4.S�
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W ❑WORKSATISFACTORY:PROCEED P OJECTCOMPLEfE
� ❑CARRECT WORK&PROCEED SSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECTN�RK����R REINSPECTION TEMPORARY
V BEFORECONERIN(3 PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECfOR W{LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. ( 52) 249-46��
OwnerlCoMractor on site:
Ins�ctor.
White Copylinspecto�'s Ffle Canary CopylSite Notlee