HomeMy WebLinkAbout2012-00358 - roofing " � t CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 2 - 0 0 3 5 B *
DATE ISSUED: OS/02/2012
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 659 MINNETONKA HGLD LA
PIN : 06-117-23-44-0006
LEGAL DESC : MINNETONKA HIGHLANDS ESTATES
: LOT 002 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 9,800.00
NOTE: VALUATION OF PERMIT:$9800.00
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 191.75
J ZAC,INC. STATE SURCHARGE(VALUATION) 4.90
5249 OGREN AVE NE
MN 55376- TOTAL 196.65
(763)497-4444 PAID WITH CC# 8377
Minnesota State License#:20593845
OWNER
SPEETER,RICHARD
659 MINNETONKA HGLD LA
LONG LAKE,MN 55356-
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 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
re ted in conformance with the State Building Code.This permit may be
r oke at any time f cause.
� � l� ��Z�,�e� � a,/�.
pplic t Pe ee Si ature Date Iss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� ` ' City of Orono
Buiiding Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: � –�c�
�,�,� PO Box 66 _—
Q , Q ` Crystal Bay, MN 55323-0066 Date received:
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a a t Str�et Address: Received by:
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�'�A �' �ti`�' � 2750 Kelley Parlcway Pian review fee:
�sgESKog� Orono, MN 55356
— Total Fee: ��/„ �n�
Main: 952-249-4600 Fax: 952-249-4616 wtivuv.ci.orono.mn.us Y�� �Y
This application form must be completed in full and all required information must be submitted.
Incomplete applications wril!be retumed. (P/ease print)
GENERAL INFORMATION:
JobSiteAddress: 659 Minnetonka Highlands Lane
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
If yes,a special event pennit is required wdh Police Depa+iment and City Coundl approva/60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufl5cient on-site parking is available. Non-peimrtted events will not be aUowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: J Z a c I n c .
State License# 2 0 5 9 3 8 4 5 Expiration Date: 3-31-2 012
Lead Certification Number: NAT lObl96-1 Expiration Date: 3-16-2012
(fnr work on homes that wene constructed prior to 1978
Phone: (763) 497-4444 (office} Jerrys- ( 763) 238-4051 (cell)
MailingAddress: 5249 Ogren Avenue NE C�tY�St.Michael Z�P�55376
Contact Person: J e r r v Z a c h m a n Applicant is: Contractor / Homeowner �circ�o��
Email and/orFax: i errv i zacinc . com Fax - (763) 497-4454
PROPERTY OWNER INFORMATION:
Name: Richard Speeter
Phone(day): (612) 3 3 9-7 5 6 6
Address: 659 Minnetonka Highlands Ln City:Orono ZIP:55356-9728
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑Door(s) ❑ Remodel ❑Water Damage MCWD review S permits:
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair [�]Storm Damage 18202 Minnetonka Blvd
❑Siding ❑Restoration ❑Other:(specify} Deephaven,MN 55391
Phone: 952-�71-0590
(� Re-roof ❑Fire Damage Fax: 952-471-0682
v�•,nv.minnehahacreek.ora
Overall Project Description: R e p a i r S t o r m D a m a g e
Estimated Construction Valuation of Project{excluding land) S D /sa
APPLtCANT ACKNOWLEDGEMENT:
• Agrees to provide a11 infoRnation required or requested by the Building Departme�t;
- 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€ailune 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 gerterally cannot be given to the public but can be given to the subjed 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 intendeti use of this information is to annually update our records and records of other govemmental agencies
re uired b law. If ou refu e t su I the information,the a lication ma not be issued.
Applicant's Signature: � Date: �� G '��
Last Updated: 03-01-2011
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� DA TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE p.�CHEDULED �4���/J'I.
PERMIT NO�d�o"� -OGZ�a cOMPLETED (�
ADDRESS � l� L � �
OWNER TELEP ONE NO7���-���
CONTRACTOR
� DESCRIPTION I�-��
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� ❑ FOOTING ❑ LUMBING FIN � E CAV DING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q O 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
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
�INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on site:
Inspector. Z
White Copyllnspector's File Canary Copy/Sfte Notice
� DAT TIME
CITY OF ORONO CALLED IN �Z
INSPECTION NO�TICErD �2�GSCHEDULED __����
PERMIT N� �/b COMPLETED
ADDRESS
OWNER TELEPHONE . 7'r
CONTRACTOR �
� DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL j
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTfON
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
� ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECANDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. . a
White Copyllnspector's File Canary CopylSite Notice