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Home My WebLink About2012-00247 - roofing • CITY OF ORONO * z 0 1 z - a 0 z 4 7 * � "� 2750 KELLEY PARKWAY DATE ISSUED: 04/03/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 500 NORTH ARM DR PIN : 06-117-23-31-0009 LEGAL DESC : REG.LAND SURVEY NO.0924 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTNITY : O/S BUILDING-LJNDEFINED VALUATION : $ 12,500.00 NOTE: VALUATION OF PERMIT:$12,500.00 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 TSSUED. 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 236.00 CONTRACTORS INC STATE SURCHARGE(VALUATION) 6.25 5615 KRAMER RD TOTAL 242.25 MINNETRISTA,MN 55364 (952)224-4495 PAID WITH CC# 3436 Minnesota State License#:BC639265 OWNER HOY,MR.&MRS 500 NORTH ARM DR MOLJND,MN 55364- 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 requested in conformance with the State Building Code.This permit may be � revoked at any time for due cause. ' y / 3 /Alo%� - l i pplic rmitee Signature Date Issue By ' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHE N DESCRIBED ABO . _ �z City of Orono . �y • Building Permit Application for Maintenance / Renovation �� (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 4v�,� PO Box 66 _a Crystal Bay, MN 55323-0066 Date received: O �f�� O Received b � a � >�f> s, Streef Address: y� �; �'.�c, a„w,j„_ Gti 2750 Kelley Parkway Plan review fee: `� L9kESHFog'� Orono, MN 55356 _ ' Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. &T Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: (�(7 /(��r�. f�rv, 2c Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ,� No ,� If yes, a special event permit is required with Pofice Department and City Council approva160 days prior to the event. Shuttle bus service will be ' required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. '� r A u:< ,.....:.J� CONTRACTOR/APPLICANT INFORMATION: _`� Name: ��,�. � State License# �C_ (e �? -ljdGS Expiration Date: 3� � �� Lead Certification Number: _��p Expiration Date: � �"K (for work on homes that were construcfed prior to 1978 .,� Phone: ��1_ ,j,2�, 7�� (office) (cell) � Mailing Address: City: ZIP: - G � Contact Person: Applicant is: / Homeowner (Circle One) ';� Email and/or Fax: �=;� � -,� PROPERTY OWNER INFORMATION: v�# Name: rn�-� l�� Phone (day): �`3 G� � Address: _��c�� w �� City: ��,�1� ZIP: � � Email and/or Fax .� �� PROJECT INFORMATION: � Type of Project: Any earth movement may require ❑ Door s MCWD review& ermits: ': ( ) ❑ Remodel ❑ Fire Damage p Minnehaha Creek Watershed District(MCWD) � 18 Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 � ❑ Re-roof,other s eci Phone: 952-471-0590 � ( p fy) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 �� ❑Window(s) www.minnehahacreek.orq ` 2� �:; Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �d�s� �� G APPLICANT ACKNOWLEDGEMENT: `''' • Agrees to provide all information required 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 that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative , 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 generally cannot be given to the public but can be given to the subject 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 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 I the information,the a lication ma not be issued. ApplicanYs Signature: Date: �- .3 '� _--- Last Updated: 08-09-2011 rxk '/DA� TIME CITY OF ORONO CALLED IN T INSPECTION NOTICE SCHEDULED � _� PERMIT NO. ��'OD��7 COMPLEfED ADDRESS J�DO �va•t� /fr�►�► �' OWNER TELEPHONE NO. 95Z uS� `�5�9� CONTRACTOR ��r�G��`'�S �- � DESCRIPTION T�a'�- DTT � ❑ FOOTING ❑ PLUMBING FINAL ❑ 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 ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W� �RK SATISFACTORY:PROCEED ❑ PROJECT COMPIETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME y CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �l�— DO.Z S�7 COMPLEfED �.30 '�lf ADDRESS_ JSd� �(e rt'!� �t,-� Q� OWNER TELEPHONE NO. CONTRACTOR L'en�.c��ar �� < � DESCRIPTION �G�- rc�p�' � � ❑ FOOTtNG ❑ PLUMBING FINAL � EXCAV/GRADING/FILLJNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ L4KESHOREMIETLANDS � ❑ FRAMING Q ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP � ❑ FINAL � PROGRESS ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FtNAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNEFi/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: e+��>' ' a *OLD PERMIT - NO FINAL INSPECTION REQUESTEL � J O �. . a� -- � � �/tnL�i/��,. �rblilL?�d O � W Q f�Jv r�� ...o��¢�J o.��/�f� ` � r z � ��,+,� �.�../� � a J d W� ❑WOHKSATISFACTORY:PROCEED ��COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector. ti:. White Copy/lnspector's File Cenary CopylSite Notice