HomeMy WebLinkAbout2012-01063 - roofing • ; " CITY OF ORONO * z 0 1 2 - 0 1 0 6 3 *
2750 KELLEY PARKWAY DATE ISSUED: 10/23/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1275 LYMAN AVE
PIN : 02-117-23-21-0027
LEGAL DESC : ORONO ORCHARDS HIGHLANDS
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTNITY : O/S BUILDING-UNDEFINED
VALUATION : $ 34,520.00
NOTE: VALUATION OF PERMIT:$34520.00
ROOF[NG 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-ADVERT[SING 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 520.50
KAUFMAN S/M&ROOFING STATE SURCHARGE(VALUATION) 17.26
2521-24TH AVENUE SW
MINNEAPOLIS,MN 55406- TOTAL 537.76
(612)722-0965 PAID WITH CC# 8653
Minnesota State License#: 9324
OWNER
MCMILLAN,HOWARD&ELIZABETH
1275 LYMAN AVE
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this pemiit 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 void if construction authorized is not
co enced wit in 18 day of the date of issuance,or if construction is
sus nded for a erio of 18 d at any time after work has commenced.
The a plicant is espo sible or ss iring all required inspections are
reque ted in co orma ce th h ta[e Building Code.This permit may be
revo d at an ti ie fo u ca
.. ( ,p �24 � � Z !� /� / / �
pplicant Permitee Signature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Oct 22 92 05:06p Kaufman Roofing 612-722-1021 p.1
�
' C�ty of Orono
Buitding Permit Application for Maintenance 1 Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Addness: Permit number. �� -
O.�O,�O PO Box 68
Crystal Bay, MN 55323-0066 Date received: /D- 3/
,� ' a StreetAddress: Received by:
�, �G�' 2750 Kelley Paricway Plan review fee:
o Orono, MN 55358 ��� ��
Total Fee: ,
Main: 952-249-46U0 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 wlll be returned. (Please print)
GEN�RAL INFORMATfON: # � I
Job Site Add�ess: �Z�� L�(J�� �av� _
Will this be a Pa�ade of Homes, Remode�ers Showcase Home or other Display Home? Yes No
li y�es,a specia!evenf permit is requirad wlth Police Department and City Council approve160 days pNor to the event ShutNe bus servtce will be
required unfess applicant demonshates suficient on-site pericing is avai/eb/e. Non-parmlfted events will rrot"be allowed.
CONTRACTOR I I,PPLICANT INFO�MATION:
Name;; �,1�.,,r_,..�,�.� I�,z�,c..,,��, �
State �icense# _ 2 Expirativn Date: 3 i i
Lead�ertification Number: �;a�_5—�,�qZ_ � Expiration Date: ��--
(/o�work on bomes that were constructed prior to�978
Phone�: (�l'Z,: '}Z"Z,, G�11oa (office) �n�2.3t�� . i vt�3 (cell)
Mailin�Address: � � Cit : �L.S ZIP: • ���
Contaict Person: � ,�,� ' ti Applicant is: cto ' ! Homeowner �circ�e o�e�
Email�and/orFax: q rc{n� �3 �� ,.,��„rG�• ,,.� , �;,.,A
i -
PRORERTY OYYN INFORMATION:
Name: �����-+ ����� �. �
Phong (day}: �l 2_.. t'�y.�. �q..'�,c�.
Address: -- � City: �2¢:v`; ZIP: '^�� .
Email';andlor Fax � �
PROJECT INFORMATION:
Type qf Project: Any earth movement may require
❑DoQr(s) ❑ Remodel ❑ Fire Damage N�CWD review 8 permits:
Minnehaha Creek Watershed District(MCWD)
❑Re�roaF,aspfialt ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd
R �roaF, cedar ❑ Resioratian ❑Water Damage Deephaven,MN 55391
el Phone: 952�171-U590
❑Re�roof, other(specify) ❑ Siding ❑Other. (speciiyj Fax: 952-471-0882
' ❑Window(s) www.minnehahacreek.orq
Over�ll Project Description:���� �,� ' ,{� p,�cF c,�,,,� ����
Estimated Construction Valuation of Project (excluding land) S •�4 ^'"Z� —
APPL'ICAIVT ACKNOWLEDGEMENT:
• Agrees to provide all information requi�ed 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 thal they
�, are solely responsible for submitting a complete application being aware that upon failure fo do so,the staff has no attemative
' bul to rejed it until it is complete;
I
• i Some or all of the infor ' n that you are as ed to prov" on this apptication is classfied by State law as either prrvate or
confiderrtial. Private ata is information whi enerall cann b 'ven to the public but can be given io the subject of the
' data. Confidential ata is i ormadon which nerall cannot gi en to either the public or the subjed of the data. Our
' purpose and intend use o this information to an ually upd te ur records and records of other govemmental �gencies
I ce uired b law. If o refu to su the inf mation, li ti ma not be issued.
Or►nlirpnt'c Cinnati irv� C Date: `V Z� 1�.
i
DATE TIME V
CITY OF ORONO CALLED IN L� `oZ �Y
INSPECTION NOTICE SCHEDULED l0-���a--
PERMIT NO. ao�a-��ol,�COMPLETED
ADDRESS � �7
OWNER LEPHO NO.
CONTRACTOR
� DESCRIPTION �-��d� ��'�� � ��
� ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
ti COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL iNSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on site: �
Inspector. �, � �
White Copylinspector's File Canary CopylSite Notice
1J�J DATE TIME �
CITY OF ORONO CALLED IN '��
INSPECTION N E SCHEDULED '
PERMIT NO a "O1 D�3 COMPLETED
ADDRESS �� / 5 L�������
OWNER TELEP NE N ,.��L�-3
CONTRACTOR �— r�i1'�
� DESCRIPTION /L��� �B�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SIAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �[iOJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C�/ERING PERMANENT
❑CORRECTUNSAFECANDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on sit :
Inspector. Pof
White Copyllnspector's File Canary CopylSite Notice