HomeMy WebLinkAbout2012-00563 - roofing • � � CITY OF ORONO
2750 KELLEY PARKWAY * � 0 1 2 - 0 0 5 6 3 *
DATE ISSUED: 06/20/2012
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1545 MINNIE AVE
PIN : 08-117-23-33-0066
LEGAL DESC : HICKORY HILL
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 2,500.00
NOTE: VALUATION OF PERMIT:$2,500.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 88.50
The Return Homes LLC STATE SURCHARGE(VALUATION) 1.25
2613 COMMERCE BLVD TOTAL 89.75
MOUND,MN 55364-
PAID WITH CASH 89.'75
OWNER
The Return Homes LLC
2613 COMIVIERCE BLVD
MOUND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked t any time for due canuse. � � �
unv.0 1�• l�J�'���`7" (D� o?0 � /'� �� �� / o�-
Ap cant Permitee Signature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
f� - t �." �` � �'� ��
. �1��/ a� o�'O['10 ,�$ �X�'
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� � �
�; Bu6lding Permit Appiicafion for Mainter�ance / Renovation ��
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s� (windows, doors, siding, re-roof, etc.) ,y�
M,ailrng Address: I ��l�^� � �
�v 0,� PO Box 66 Permit number. :,
�,�\` � Crystal Bay, MN 55323-0066 Date received: - �--
a � '� -,-s� s, Streef Address: Received-by:
�� �.$,� ��.�,_ ti
� �,ti 2750 Kelley Parkway Plan review fee:
��� L`�kEsxo4`'� Orono, MN 55356
I Total Fee: ��,�� �
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us '��
i $�
This appfication form must be completed in full and all required information must be submitted. ��
Incompfete applications will be returned. (P/ease print) ��
�;
GENERAL INFORMATION: �
Job Site Address: �' S y� �irJ/J/c.� �j V�; �j,Qe��� � �r`
�
Will this be a Parade of Homes, Remodefers Showcase Home or other Display Home? ❑ Yes ,� No �
If yes, a specia/event permif is required wifh Police Department and City Counci/approval 60 days prior to the event. Shuttle bus service will be �;
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil/not be allowed. ,.�
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CONTRACTOR/APPLICANT INFORMATIOI�: ��
Name: J ,pI�wI�S I��Vi1J 13�'Dr��— IWnF� dr �(���"21;� ,;�
State License # Expiration Date: ��
Lead Certificafion Number: Expiration Qate: "ry�
(for work on f�omes that were constructed priar to 1978
,�
Phone: (office) j5� yS`/- 7/vj�cell) .,�
Maifing Address: � �� Corr�,���r"� ),��1- City: /1�C��nc� � g s 3(,t "
'� Contact Person: A licant is: Contractor / Homeowner
6' : Pp (Circte One) {;
;�:. Email and/or Fax: ���
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: PROPERTY OWNER INFORMATIO • �
' Name: J rq r✓�€S �A V )t7 �t'ae 11
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" Phone(day): �5� �J,S(� ^ �'/0 I ' �
'` Address: r- �� , y �Jb,,�� SS 3 b�/ �
�l013 Con�,v�e c � (j)v cit : , zIP:
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`�H Email and/or Fax �— �
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PROJECT INFORMATION: �
�;
Type of Project: Any earth movemenf may require .�
❑ Door(s) ❑ Remodel MCWD review&permits: �
❑ Fire Qamage a;
�• Minnehaha Creek Watershed District(MCWD) �
�Re-roof, asphalt ❑ Repair ❑ Storm Qamage I 18202 Minnetonka Blvd "
` ❑ Re-roof, cedar I Dee haven, MN 55391 �
❑ Restoration ❑Water Damage p
❑ Re-roof, other s eci Phone: 952-471-0590 ��
( p iy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 �
❑Window(s) www.minnehahacreek.orq
OverallFrojectDescription: �►q2 DI� C�L� �S h,4fj— Sh�'✓r j�S ��� G'�� ��'W �Vr`t'�P� �Ce F�eLT ���/�S
Estimated Construction Vafuation of Project (exclucfing land) $ ��SOp,D�
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
�' ` • Certifies that the information suppfied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solefy responsible for submitting a compfete appfication being aware that upon failure to do so, the staff has no alternafive
but to reject it until it is complete;
::�
• Some or all of the information that you are asked to provide on this application is cfassified by State law as either private or k�
confideniial. Private data is information which generally cannot be given to the pubfic but can be given to the subject of the ;��
data. Confidential data is informafion which generally cannot be given to either the public or the subject of tne data. Our �
purpose and intended use of this information is to annually update our records and records of other governmental agencies �
re uired b law. If ou refuse to su f the informafion,the a lication ma not be issued.
. � /� �� �
� AppficanYs Signature: ;,y��E/ 1 Date: (p �u la ��
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3
'�+ Last Updated: 08-09-2011 �.
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A•�I / ATE TIME
CITY OF O ONO CALLED IN f� � ��
INSPECTION N JICE / � SCHEDULED � y �.�
PERMIT N�` �-U�cSf� COMPL ED
ADDRESS � S
OWNER ��RHONE NO. ��a '�Sf�- 7/D�
CONTRA OR
� DESCRIPTION ���-
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC F�NAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�IERING PERMANENT
❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours irt advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.
White Copylinspector's File Canary CopylSite Notice
C. I � DATE TIME ✓
CITY OF ORONO CALLED IN � � /�
INSPECTION NO ICE SCHEDULED �Q a—'
PERMIT NO. �a��-S� COMPLETED•
ADDRESS ���� �.����'1�l'1/-P_
OWNER TELEPHONE NO. �5�-�GS�`"���`
CONTRACTOR �/ � -���
� DESCRIPTION �� �7�2�
� O FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP
j ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP % ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:._YES_NO
� COMMENTS:
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� 0 WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECTUNSAFECANDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. l. �
White Copyllnspector's File Canary CopylSite Notice