HomeMy WebLinkAbout2012-00435 - roofing � CITY OF ORONO * 2 0 1 2 - 0 0 4 3 5 *
` 2750 KELLEY PARKWAY DATE ISSUED: OS/2U2012
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1101 NORTH ARM DR
PIN : 07-117-23-14-0023
LEGAL DESC : SKARP& LINDQU[STS FERNHILL LA
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 9,000.00
NOTE: VALUATION OF YERMIT: $9,000
ROOF[NG PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOT[C�,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.
APPLICAIYT
PERMIT FEE SCHEDULE 177.00
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 4.50
5145 INDUSTRIAL ST TOTAL 181.50
SU[TE 103
MAPLE PLAIN, MN 55359
(763)479-8700
Minnesota State License#: BC631574
OWNER
SARENPA, MARTY
1101 NORTH ARM DR
MOUND,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 governing this type of work
shall be compied with whether or no[specitied 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 are
re ed in conformance with the State Building Code.This permit may be
re ke� at any time for d cause, � � �„r�
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'�Applicant Pe �it Signature Dat [ssued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
_ -'�-�;� �r;
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� • City of Orono �'� � / �
w,: L
�. ' Building Permit Application for Maintenance / Renovation E�
(windows, doors, siding, re-roof, etc.) �
Mailing Address: � Permit number. ��
g,�,�. PO Box 66 �
Crystal Bay, MN 55323-0066 Date received: �
r 0 � � �a
, '�;'� �Received by:
r� � a 9 �� �, Street Address: ��
� .:r 1,$, 6 �'�9r'.�'ro��- F / r
\,�,t Gti 2750 Kelley Parkway Plan review fee: ��r
R'kESHo'"� 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 informafion must be submitted. '�
> Incomplete applications will be returned. (Please print) ��
�;. GENERAL INFORMATION: ��;
�� Job Site Address: ,���'j ��U�Q � ��yj j�j� ��
Will this be a Para� of�s, Remodef rs Sho�e Home or other Disptay Home? ❑ Yes ❑ No ��
� /f yes, a special event permit is required with Police Department and City Counci!approva!60 days prior to the event. Shuttle bus service wiU be ���'�'
T,�. required unless applicant demonstrates su�cient on-site parking is avai(able. Non-permitted events will not be allowed. ',�
�
'� CONTRACTOR/APPLICANT INFORMATION: r
����� Name: G, � _ s,y -< ,� � 3,1� �
� ; ��
'Y� State License# Expiration Date: �
� Lead Certification umber: ����'� �y�,9�� Expiration Date: �'/���',� �:
r� (for work on homes fhaf were constructed prior to 9978 �1�� �
�.,
; Phone: -- � ��� (office) (cell) `
s�' Mailing Address �� ��� `�'";ri City;r ZIP: ''l"- -�� �
�� Contact Person: � ,� ��- � Appficant is: o ractor / Homeowner �c���ie o�e� �
. 6 � — ��
Email and/or Fax: � �;
��
,�=
PROPERTY OWNER I F RMATION: �
�; Name: „�/ '' �
��
Phone(day): .' �'� • rv�
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Address: � ; � � / � � City• � ZIP: ,j � �
Email and/or Fax '�
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PROJECT INFORMATION: �
F Type of Project: Any earth movement may require ��
�i��:, MCWD review&permits: �
❑ Door(s) ❑ Remodel ❑ Fire Damage ���,
, , Minnehaha Creek Watershed District(MCWD) �
�•: �Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �
N ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 �4f;
Phone: 952-471-0590 �;
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 i
www.minnehahacreek.orq �
❑Window(s) ,�
, : �._
��
��� Overall Project Description: � � � S" v �
�,.- Estimated Construction Valuation of Project (excfuding land) $ '� , fi� �"
��
s." �
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APPLICANT ACKNOWLEDGEMENT: �H
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• 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 °
F ' are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no altemative `'�
� r but to reject it until it is complete; 5
�;
�„i • 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 t su I the information, t _IicatjQti ma not be issued. `"
` . ' �9
ApplicanYs Signature: .�� G� � ��-� Date: �✓-�� 2-� w�
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Last Updated: 08-09-2011 ,�
���I�'�" � DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED -Z r
PERMIT NO. �� �� COMPLETED
ADDRESS 1�D1 /vD�L �!'YJ Q�
OWNER TELEPHONE NO.IO�L Z�� �b�J?
CONTRACTOR �����
�; DESCRIPTION ���� ��` "
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: ��«��� � �-
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W ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED != ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR u CITAT�ON ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (95Z� Z49-4600
OwnerlContractor on si e: �
� / `
Inspector. /
White Copyllnspector's File Canary Copy/Site Notice