HomeMy WebLinkAbout2012-00411 - roofing CITY OF ORONO * 2 0 1 2 - 0 0 4 1 1 *
. 2750 KELLEY PARKWAY DATE ISSUED: 05/16/2012
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3498 NORTH SHORE DR
PIN : 08-117-23-43-0015
LEGAL DESC : BALDUR PARK
: LOT 004 BLOCK 003
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 9,383.00
NOTE: VALUATION OF PERMIT:$9383.00
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
TWIN CITY ROOFING CONST SPECIALISTS STATE SURCHARGE(VALUATION) 4.69
72 NY AVE W
ST.PAUL,MN 55117- MISC FEE 0.00
(651)636-9640 TOTAL 196.44
Minnesota State License#:2002943
OWNER
CARLSON,K&D
3498 NORTH SHORE DR �
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 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 sponsible for assuring all required inspections are
requested in cont�mance with the State Building Code.This permit may be
re_v.oked at any timc�.for due cause.
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� Apphcant Permrtee Signature Date Issued By ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
• City of Qrono
' Building Permit Application for Maintenance I Renovation
windows, doors, slding, re-roof, etc.)
MaiJing Addreas: �::�`: ; , ° . .
PO 8ox �e�it riii�; ;, ''�._���o'�::f:�l�1?��f;:
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StreetAdd �39c�iSN�d, � -: ' -
ross: � ':;�
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Orono,MN 55356 � - '
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Main• 952-249-4600 Fax• 952-249-4816 www.cf.orono.mn.ua ,�'', " � ���'z',.�'��`'��'r�="'
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This application form must be compfeted in full and all required informationtrmust be"submitted./ '
Incomplete applicetions will be returned. (P/esse pdnt)
QENERAL INFORMATION: �+G , /���` S�O/L � �2 �/�wyvo
Job Site Address: 7a �v r�
Will this be a Parade of Homes�Remodelers Showcase Homs or other Dispiay Home� Yes No
K ya,a spedel evenf penMt 1s required wNh Paflce Depe�bnsnt and City Council approve/QO days prlor lo the ever►t. Shutt/e bas servke w1!/be
requlrod un�ea app/kent demonsUetee suRicJent on-a/te parMng is evsllabfe. Non�pem�d(ted everMs wl!!not be allowed.
CONTRACTOR/APPLICANT INFORMATION: �/ , '
Name: ',✓ o ��:r! LUriST S � � �S�5,��
State Ucense# Expiratlo Date: • .
Lead Certification Number: ��//��-��/ Expiration Date: /p_����
(for work on hanss that r►�ne conatrycted prlor to 1978 �
Phone: -.,�, '(o s!0 (office) (cell)
Mailing Address: City: ,$� Z�p;
Contact Person: ,t/ � Applicent i Contr ctor / Homeowner �cir�i.o�.�
Email and/or Fax: � ' � u ,r� , �
PROPERTY OWNER INF RINATI
Name: �s.i �� �S�-,�
Phone(day): _ _ S d
Address: 3SL9�/Uoit� f�'DYc� ,��t CItY' �Q ZIP• S�35 /
Email and/or Fax
PROJECT INFORMATION:
ryps ot ProJect:
My aarth movement may requlre
❑Door(s) ❑Remodel ❑Fire Damage MCWD revisw d�permits:
Mfnnehaha Creek Watershed Distrid(MCWD)
�Re-roof,esphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd
❑Re-r�oo�csdar ❑Restoretlon ❑Water Damage Deephaven,MI� 55394� - . � _ _..
Phone: 952-471-0590
❑Re-roof,other(sp�ely) ❑Siding ❑Other:(specify) Fex: 952�71-0682
❑Wfndow(s) www.minnehahscx�eek.ora
Overall Pro ect Descri tlon: ,� p � � �op�
Estimated Constructlon Valuat on of Pro ect ex luding land ; p
APPLICANT ACKNOWLED�iEMENT:
• /lprees to provide all fnfortnaUon requlred or requested by the Building Department;
• Cerdfles that the(nfortnation supplied is true and correct to the best of his/her knowledge. The applicant reoognizes that they
are aolely responsible for submitting a complete applicallon being aware that upon fallure M do so,the staff has no altemative
but to reJed it until ft is wmplete;
� Some or a!I cf the informatlon that you are asked to provide on this applicaUon fs daasifled by 3tate law as either privata or
conMieMial. Private data is informatlon which ganerally cannot be given to the public but can be given to the subject of the
data. CoMidentfal data 1s infortnatlon whlch ganerally cennot be glven to aither fhe public or the subJed of tha data. Our
purpose end Irnended use of this in ation is to annuelly update our records and rocords ot other governmerKel agencfes
re ulred b law. H u refuse to I the Infor tlon the a Ifcetlon ma not be issued.
Applicant's Signature: " Date: �/5� /2-
L.est Updated: 08.p9.2p11
£00/i00f�j XV,3 £Z�ST ZTOZ/8T/90
� DATE TIME ✓
CITY OF ORONO CALIED IN
INSPECTION NOTICE �/ SCHEDULED -� -
PERMIT N0.������� T�� COMPLEfED �
ADDRESS 3�4� ��� �� �v
OWNER TELEPHONE NO.� S� �3� ����
CONTRACTOR �G ��U�
� DESCRIPTION �'e� ���
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
ti COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL 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��
OwnedContractor on site:
Inspector. l S
White Copyllnspector's File Canary CopylSfte Notice
DATE TIME ✓
CITY OF ORONO CA LED IN �
INSPECTION�OTICE SCHEDULED
PERMIT NO. ��a— COMPLETED
ADDRESS ���a ��7� S�� �
OWNER TELEPH NE N ��l 6�� 9�S�
CONTRACTOR ��- � ��''�n
� DESCRIPTION �`'r�
� ❑ 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 0 SITE INSPECTION
Q O RADON SLAB ❑ WATER HOOK-UP � PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ 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
��., COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
W ❑CORRECT WORK 8�PROCEED � ISSl7E CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECO'1/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTfONRE0UIRED.CALLTOARRANGEACCESS.
Call for the next ins ion 24 hours in advance. (952) 249-460�
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice