The URL can be used to link to this page

Home My WebLink About2012-01181 - roofing CITY OF ORONO t � 2750 KELLEY PARKWAY * DA�TE ISSUED: U 9/012 * ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 100 LUCE LINE RIDGE PIN : 31-118-23-34-0009 LEGAL DESC : PAINTERS CREEK : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,000.00 NOTE: VALUATION OF PERMIT:$7,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 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 147.50 INCLINE EXTERIORS INC STATE SURCHARGE(VALUATION) 3.50 26175 BIRCH BLUFF RD TOTAL 151.00 SHOREWOOD,MN 55331 (612)471-9065 Minnesota State License#:20168831 OWNER PASSOW,MR.&MRS. 100 LUCE LINE RIDGE MAPLE PLAIN,MN 55359- 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 are requested in conformance with the State Building Code.This permit may be revoked at any ti for due cause. �� 1( �� rz / � s�- Applicant Permitee Signature Date ed y Signat r Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. `�.�''� 'S `i�.,,: �,',' � ], �' �; �t�� "E��C� �� .` � t ' ��ic��g E��r�i� �,p��E�c��c�� - 6`��r��r��e� / �er�c��at�� x�r ��. (vvi�aov�p�, �ioa�-�, sie�ir��, �-�-ra�f, ��c.) �, Q� M,ai(ing Adaress: � Permit number: 0��02-O�l� M � %' PO Box o6 �'i y%' C s�al Ba MN 5532 -DOo6 , � � � `'' �� Q\ rY � Y, 3 Cat., r..ceiv.,d: / -- �. /� �; Y �b�:_ I ;" Receivea b ; i'; �� s. ; Streef Address: Y \'�� ' �s"� �� 27�0 Kelley ParkwaY o 0 oQ r�' �.�� \��,�+�, / Pfan r.,vi.,wr.,,:: {. �Esxo4`� Orono, MN 55356 � Main: 952-249-4000 �ax: 952-249-4016 �,,�.� . To:al':Fee: � �J�l � ' E; `' i orono.mn.us _ �;, n.� This app(icatior rorm must be compieted in full and all required inr"ormaiion must be submitted. incompfete appficaiions will be returnec�. (P/ease print) _' � u��d=RA� INFORMATIOf�: (� ? r Job Site Acidress: (� �� ✓�� "L,�. *� Will this be a Parade of Ffomes, Remodeiers� ahowcas� Fiome or other �isp6ay Home? i_l Yes o �� !f yes, a specia/event perrrtif is requirea with Poiice Depar[menf and City Council approval 6G days prror to the evenf. Snutfie bus service will be ' required unless applicant demonsf,�ates sufricient on-sire parking rs available. Non-oermitted events will not be aliowed. � � CONTRACTOR/APPLICANT INr�RMATl01�; � fvame: �' � T.�r-�� C ��/ � � S,ate License # � � � (��'� � �xpiraiion Cate: � � . Lead CertiTicafion Number: Expi-afion Qate: '� (for work on homes ff�at were construcfe�'prior ro ?978 � Phone: C?rc��7-1�--� —4�'3(.,�� (ofiice) (cell) � Maifing Address: �L �, � � City: ,��1 ,� ZIP; � 3 � Contact Person: G" _1 , � . �.xi.7'� �i��Q_(,L�� Appii�ant is: �'Cont�ac / HomeownAr (Circie One) � Errail and/or Fax: �----� � � , PROP�RTY OWNER INc=/O� FZMl�TIO�t: � : Name: 14��✓� k �c��g 1 �S�� Phone (day): �% . �i Addr�ss: � � City: C...��c� ZlP: � '' Email and/or Fax � � �,, � a Pr2QJ�CT IN�OrZM�t,�IOR: ' Type of Project: � � i L�ny eartn movement rray require #` � ❑ D or(s) ❑ Remodel I ❑ Fire Qarnage I MCWQ review&permits: �� I Ninnehaha Creek VI�'atershed District(M;W D} � = Re-roof, as halt I � P ❑ Repair ❑ Storm Damage 1E202 Ninnetonl:a Bfvo : � ❑ Re-roof, ce�ar ❑ Restorafion ❑Waier Gamage Deephaven, MN 55391 � " Pnone: 952-471-Q590 ❑ Re-roaf, other(specify) ❑ Siding � ❑ Other: (soecify) =a�c 952-47i-Do82 ,� i ❑Window(s) www.minnehahacreek orq Ove�all Froject �escrip"tiaR: I ' �: �:` =szirratecE Cor.strucfion 4�afuaiion o` aro�ect (excfuciing �and) $ �7 ��j � ;,;�, �,� APP�I��►(�T ,e,CF�t�U1/�L�D��McP�i: °' i � Agrees to provide all inrorrraiion required or requested by tne Building DepaRment; i • �er�ifies tr,at tne inTormation suppiied is true and corre�t to tne best of nis/ner knowledge. The applicant rocognizes that they � are sofely responsible for submitting a complete apoiicafion being aware tnat upon failure to do so, tne staff has no afternaiive I but to rejec't it until i:is complete; _? I �; • Some or all of the informafion that you are asked to provide on tnis aapfication is ciassified by S;ate iaw as eitner privat� or j � conrideniiaf. Private data is information. wnicn qeneraliy cannot be aiven to the pubiic but can be given to the subject of the I '�'`` ,� da�a. ConTideniial data is information which qene,aliy cannot be given to either the pubiic o� tne subject o` tne data. Gur � � � purpose and intended use of this informafion is te annuali�� updatG our records and records or otner govemmental agencies � ' reauired b�� lati�. If you reruse to supafv tne inrormaiion, tne aoaiication mav not be issued. � � ' -� / z,: kpplicant's Sigr,aiure: Daie: l�—l`� ^(� �zst Updatea: 08-09-2C^� s; :� z�� ,. _ _ . _ _:. . ,.. ..,... �.,.., _ _ . _ _ _ ,.`.:. C�� " 'Y' DATE TIME ✓ CITY OF ORONO CALLED IN I I' �� INSPECTION NOTICE SCHEDULED /I—l ' Y N PERMITNO.�I �-Dll� COMPLETED T_ ADDRESS �� -�-L�'� �� OWNER TELEPHONE NO. CONTRACTOR �-�'l L�{ � -GO j; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � � O a � O � W � Q � 2 W � W � � � � �V6E3KSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTIOM1I TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OFiDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. � � White Copyllnspector's File Canary Copy/Site Notice DATE TIME V CITY OF ORONO CALLED IN I I- 2O /Z INSPECTION NOTICE SCHEDULED J/- 2/ - / Z PERMIT NO. o"t/�/.7-�/�� COMPLETED ADDRESS �� -`�- � �L�-� S�- OWNER T EPHONE NO. �`- -�31� CONTRACTOR � �� DESCRIPTION ` � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑, SEPTIC INSTALL ❑ HARD COVER REMOVAL v � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YQU:_YES�NO � COMMENTS: � . W C � � O a � O � W � Q � 2 W � ' W � � � d .-. � ❑WORK SATISFACTORY:PROCEED �`PQOJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. � White Copyfl�spector's File Canary CopylSite Notice