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Home My WebLink About2012-00885 - roofing � ' CITY OF ORONO * 2 0 1 z - 0 0 8 8 5 * 2750 KELLEY PARKWAY DATE ISSUED: 09/07/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3510 NORTH SHORE DR PIN : 08-117-23-43-0008 LEGAL DESC : BALDUR PARK : LOT 000 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT(AL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 3,000.00 NOTG: VALUAT'ION OF PERMI7':$3,000-OWNER DOING HIMSELF ROO�ING PERMITS ISSUED WITHOUT ENOUGH NOT[CE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING S"l'ARTED) MUST PROVIDE COMPLETE SE"I'OF PICTURES OR A FINAL INSPECT[ON MAY NO"I'BE ISSUED. S[GNS-ADVERT[SING S[GNS MAY ONLY BE ON THE YROPLRTY DURING THG T[ME T�IE ROOF[S BE[NG DONE. ONCE WORK IS COMPLETED"CHE SIGNS MUST BE REMOVGD. APPLICANT PERMIT FEE SCHEDULE 88.50 LATTERNER, MIKE& KIM STATE SURCHARGE(VALUATION) 1.50 3510 NORTH SHORE DR WAYZATA,MN 55391- TOTAL 90.00 OWNER LATTERNER, MIKE&KIM 3510 NORTH SHORE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT "I�he work ror which this permit is issued shall be perfomied 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 Tor additional or related work which requires separate pemiits. Ali provisions of laws and ordinances governing this type of work shall be compied wi[h 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 da[e of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conYormance with the State Building Code.This permit may be revoked at any time for due cause. ��E � /i�%��'-'P - �' l 7 / /�L __ � , � � � �=,, �c � �-, � �j� - -� - � Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,x - '�.�'" �`;��`k?€3°�,:-r � . . . . .. . . - '� `�� , �� f �� x ,, z�� '�� fi 3�t��W�'a � �� I�eng Pe�r�i� Ap��a�iQr� �or li�aic��e�a�ee / Re�Qva�io� �� (winaov�s, doa�-s�, sidir�c�, re-roof, etc.) � . �Maiiing Aadress: ' � ` ��w 0 PO Box 66 � Permit number. i � �(� � (� Crystal Bay, MN 55323-0066 Qate received: � ! �'�,< �„� l9"��'��-?'� �, 1 StreetAddress: Received b�y:� � � �� `� '��'�'�� 2750 Kelle Parkwa o , o. � �' t+,� o y Y Planrrevi.,v�fe.. � �� `��SHo�''� Orono, MN 55356 � � �� ' Total:Fee: � � Main: 952-249-4600 Fax. 952-249-4616 www.ci.orono.mn.us ` � ; t This appficaiion form must be compleied in full and all required inrormation must be submitted. � ' fncompfete appfications will be returnecl. (Please prrnt) "�� G�NERAL INFORMATIOI�: . , �� 'i �� Job Site Address: .> � �C) '�i O�+ �l j �'16✓�� 1' �>i�d�C� � ` a Will this be a Parade of Homes, Remodeiers Showcase Home or other Display Home? ❑ Yes ' No : � !f yes, a special event permit rs required with Police Deparrment and City Council approval 60 days pnor fo the event. Shuttie bus serv�wil/be � = required unless appiicant demonstrates sufiicienf on-site parking rs available. Non-perrnrtted events wil/not be allowea. � CONTRACTOR/APPLICANT INFORMATIOI�: ' � Name: ✓�r��1�' L �`�� e_� � t.� State License # Expiraiion Qate: �; � Lead Certificafion Number: Expiration Qate: (for work on homes that were constructed prior to 1978 � � Phone: (office) (cell) � Maifing Address: Ciiy: ZIP: * Contact Person: Appficant is: Contractor / Homeowner (Circle One) Erriail and/or Fax: � � PROPERTY OWNER INFORMQTION: � ; Name: ��, � y`�'�Cd�u�C_� � � ` Phone(day}: E,j Z_7/r, �-5•�3�i . � Address: 3s jp r�o��-h �- � . 5 �G� � d✓' c�ty:U ��'�c,�� ziP:S�3 1! � Email and/or Fax � � r.•" ;»; � PRQJc�T IN��RM�TIOI�E: _' Type of Project: ' /any earth movement may require � ❑ Door(s) � MCWQ review& ermits: � ❑ Remodel ❑ Fire Qamage � P � i Minnehana Creek Watersned District(MCWD) ,E'J Re-roof, asphalt ❑ Repair ❑ Storm Qamage � 1E202 Minnetonka Bfvd '� ❑ Re-roof, cedar ❑ Restoration ❑V1,'ater Damage I Deephaven, MN 55391 ❑ Re-roof, other s e�i Phone: 952-47i-0590 ( p .,fy) ❑ Siding ❑ Other: (specify) i rax: 952-471-Oo82 ❑Window(s) I www.minnehahacreek.orq i � Ove�all Prolect Descr�ption: � Esfimated Construcfion Vafuafion of Project (exciuciing fand) $ �2�v�� ; APPLICART ACKNOWLE�G�M�t�T: • Agrees to provide all informaiion required or requested by the Building Depariment; � �. , "' • Certiiies that the informafion suppiied is true and correct to the best of his/her knowfedge. The appficant recognizes that they are soleiy responsible for submitfing a compiete appiicacion being aware that upon tailure to do so, the staff has no alierna'tive � but to re}ect it untif it is complete; Fr,; • Some or all of the informafion that you are asked to provide on this appiication is classified by State law as either private or I confideniial. Private da;a is inforrriation which gene�alfy cannot be given to the pubfic but can be given to the subiect of the I data. Confideniia! daia is informafion which generally cannot be given to either the public or the subjec't of tne da;a. Our � purpose and intended use of this information is to annualfy update our records and records of other govemmen;al aqencies ! � reauired b law. If vou refuse to suppf tne inrormation, tne aoplication mav not be issued. ,� AppficanYs Sigrature: ,�� Qaie: � � �ast Updated: OP-09-201'f ,.. __ _ _ ,� �, DATE TIME ` / CITY OF ORONO CALLED IN v INSPECTION NOTICE „ SCHEDULED PERMIT NO. �Ot?- Do�� COMPLETED ADDRESS '-��/� .N- �S�dre �9r � OWNER TELEPHONE NO. CONTRACTOR �ix's f ��.�• �4 f�c�.�� i DESCRIPTION �e�✓�� ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FIWNG � ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PqQGRESS 1=./'�'�� ❑ SEWER HOOK-UP ❑ COMPLAINT _�Y❑ DEMO-SITE ❑ SEPTIC MAINT. �fOLLOW-UP ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL v O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 01MNERICONTpACiOR TO MEET YOU:_YE3_NO � COMMENTS: a !�� ,DG��'�t�t •' ✓10 �ftqL �s?SAer�se.c �� 451� � �O � /20 +e4�� O'F� /�S.�tc�ia .. r��0��¢.Q O � W � Q � _ A/o�K T�,o ��--��1�� W � j d W� �WORK SATISFACTORY:PROCEED �Rp7ECT COMPLETE W ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFiCATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOWERING PERMANENT O CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION�SSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector: .�•-� White Copyllnsoo^•-' -