HomeMy WebLinkAbout2012-01182 - roofing s
� CITY OF ORONO * z 0 1 2 - 0 1 1 B z *
2750 KELLEY PARKWAY DATE ISSUED: 1 U19/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1290 LYMAN AVE
PIN : 02-117-23-21-0001
LEGAL DESC : ORONO ORCHARDS
: LOT 037 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 28,900.00
NOTE: VALUATION OF PERMIT:$28900.00-PORTION OF ROOF ONLY
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 456.00
KAUFMAN ROOFING STATE SURCHARGE(VALUATION) 14.45
2521-24TH AVENUE SW
MINNEAPOLIS, MN 55406- TOTAL 470.45
(612)722-0965 PAID WITH CC# 8653
Minnesota State License#: 9324
OWNER
MELBERG, STEVE&CAROLINE
1290 LYMAN AVE
WAYZATA,MN 55391-
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 construction authorized is not
commenced within 180 days of the date of issuance,or if cunstruction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assurin al required inspections are
re ste in conform e with t a B ilding Code.This permit may be
r oked t any time fo ue cau e.
� � �� 12-- �� , ��j ,/�
App ic ermitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Nov 1: 2 08:22a Kaufman Roofing 612-722-1021 p.1
�
City o� Orono
B ilding Permit Application for Maintenance 1 Renovation
(windows, doors, siding, re-roof, etc.)
Marling Address: Perrt3it number: ����
.�0 PO Box 86
Crystal Bay, MN 55323-0086 Dafe received: -- q
�t � Str�aet Address: Received by:
�• 2750 Kelley Parkway Plan review fiee:
��oyy Orono, MN 55356
Total Fee: � �--7(�' �
Ma : 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
T is application form must be completed in fulf and all required information must be submitted.
Incomplete applications will be returned. (Please pri�t)
GE RAL INF RMATION�
Job iteAddr s: 4 Z�� �`t�+M►,J �-:�,. � !
Well is be a P rade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes �No
If es,a speda,event permit is requlred wlfh Police Deparfment and City Councll approval 60 deys pri'or to the everrf. Shu1Ne bus serv�ce wiN be
r '�ired uNess app/icanf demonstrafes s�aent on-site paNcing is evaifable. Non-permrtfed events wil!not be allowed.
CON,TRACTOR! PLICANT INFO�TION: '
Name: ��..�,� e� :;,�
State License# [��j��q�� Expiration Date: �
Lead Certi#ication Number: ��-; Expiration Date:
(for wo�k on homes ihat were canstructed prfor to 1978
Pho�e: ��l2 ��Z. . c�q�.� (o�ice) �'��--3t,�3 � 1 bo� (ce��)
Mailing Address: ' -� �� �, City: � ZIP: y�ti,
Contact Person: Applicant is: ontractor 1 Hameowner {c��ieo�e�
Email and/or Fa�: , .� ,�,� � -_ � . , �,,
PROPERTY OWNER INFORMATION:
Name: j �=t,�., ,��L,�3s�,
Phone (day}: , Gr l Z_�+�{�a.C�.'3�"� 5'�3ct (
Address: I �Z�(C• L`�,�►,��a.,� Lti•,cr� City: Cj���; ZI P:
Email andJor Fax
PROJECT INFORMATION:
Type of Project Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fire Damage � MCWD review 8�perrnits:
Mi�nehaha Creek Watershed District(MCWD)
❑ Re-roof,aspha�lt �Repair ❑ Storm Damage 18202 Minnetonka Blvd
�Re-toof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof, other jspecffy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.ora
Overall ProjectjDescription:�` �,� i�.�.�,� �;F R�c,F � � - i+�s,{,,�c.. �.a���
Estimated Construction Valuation of Project(excluding land) $ `Z��Ct UA "=
APPLICANT AICKNOWLEDGEMENT:
. Agrees t provide all information required or requested by the Building Department;
• Certifies t�at the info�mation supplied is true and correct to the best of his/her knowledge. The applicarrt recognizes that they
are solefy� responsible for submitting a complete applicaiion being aware that u�on failure to do so, the staff has no alternative
but to rej�ct it until it is compfete;
• Some or II of the iriformation that you are asRed to provide on this appfication is classified by State law as either private or
confidenti�l, Private data is information which generally cannot be given to the public but can be given to the subject of the
data. Cqnfidential data i ' formation hich ge erall cannot be given to either the public or the subject of the data. Our
purpose �nd intended e this info tion i t a n ally update our records and records of other governmerrtal agencies
re uired b law. If ou efus to s I t info ,t e a lication ma not be issued.
I � �
AnnliranYc Ginn�t�ira• . oate: '1 I I`! i�
C���� DATE TIME ✓
CITY OF ORONO CALLED IN �/'�l-/ �""
INSPECTIONNOTICE SCHEDULED ��/S-/� �
PERMIT NO.d���'U//�f� COMPLETED
ADDRESS �� `� ��rrn4� �� -
OWNER TELE ONE NO.�P�� '7�i��f��'l �
CONTRACTOR —
� DESCRIPTION �� �G�'���
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� ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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��d6RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�IERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL iNSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
Owner►Contractor on site: '
Inspector. C�(
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO tC SCHEDULED
PERMIT NO. � � COMPLETED � .
ADDRESS �^ o
OWNER T �iONE NO. _
CONTRACTOR
� DESCRIPTION J
41 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
� ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORENVETLANDS
O � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ IN LATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PRQQRESS
� FINAL 0 SEWER HOOK-UP ❑ COMPLAINT
?v D MO-SITE ❑ SEPTIC MAINT. �OLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
v ❑ PLUMBIN � SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNE NTRACTO O MEET YOU:_YES_NO
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W� ❑WORK SATISFAGTORY:PROCEED PROJECT COMPLtTE
❑CORRECT WORK�PROCEED SSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERINa PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 2 -46�0
OwnedContractor on sRe•
Inspector:
Whita CopyAnspectoPs File Canary CopylSite Notke