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Home My WebLink About2012-00449 - roofing � ' ^ CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 2 — 0 0 4 4 9 * DATE ISSUED: 05/23/2012 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4198 NORTH SHORE DR PIN : 07-117-23-43-0002 LEGAL.l3ESC : UNPLAT'TED 07 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RE5IDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY ; O/S BUILDING-UNDEFINED VALUATION : $ 29,000.00 NOTE: VALUATION OF PERMIT:$29000.00 THIS PERMIT INCLUDES ASPHALT ROOF,(2)WINDO REPLACEMENTS AND(1)DOOR 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 TI�PROPERTY DURING TI�TIME TI-�ROOF IS BEING DONE. ONCE WORK IS COMPLETED TI�SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDLJLE 456.00 JACOB LINDER BUILDERS STATE SURCHARGE(VALUATIOl� 14.50 15442 IOTH STREET SW COKATO,MN 55321- TOTAL 470.50 (320)286-3003 Minnesota Sta.te License#:448205 OWNER PLACEK,MATT 4198 NORTH SHORE 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 sepazate permits. All provisions of laws and ordinances governing 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 rime after work has commenced The applicant is responsible for assuring all required inspections are requested in conformance with the tate Building Code.This permit may be revoked at an ' for due c ` .�io73i / i i /� ppli t Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: � Permit number: � ��,�,�. PO Box 66 � x\, � Crystal Bay, MN 55323-0066 Date received: ' � �� ' Received by: ',a ' �-�' �, Street Address: � '�µ'- ti � �� Gti 2750 Kelley Parkway Plan reviewfee: r9kEs�4'� 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. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: r > n Job Site Address: y �� .�i'f� Sj��c' 1�;�,,,� Cl,.�,l� Will this be a Parade of Homes, Remodelers Showcase Home or oth r Display Home? ❑ Yes �No !f yes, a specia/event permit is required with Police Department and City Counci/approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficrent on-site parking is available. Non-permrtted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �Gt c� L,n�r,� U��i��Gis State License # L g��S� Expiration Qate: u,� 3� �?�.j / Lead Certification Number: -�_ 3c�3 5�� //- �( 3� Expiration Date: 3 - !�_ a�,�� (for work on homes that were consfructed prior to 1978 Phone: 3�v� ��'6-- 3c��''� (office) �SJ- 3 3� -'�a�� (cell) Mailing Address: / � �� p��i ��T �i.,,� City: ,,,}j ZIP: y S 3�j Contact Person: �c,k�, L�,,�,,� Applicant is: ontractor Homeowner (CircleOne) Email and/or Fax: �;,,,�lz�e �,-�g� �� , ,��,f- PROPERTY OWNER INFORMATIO • 1 Name: � f-�� K Phone(day): � �- Z�l�- g-� E 7 ° Address: /�/9SS /fJv,-fZi S ,r.� �r.-;v,� City: (�r-T,-iO ZIP: ,j 53��3 Email and/or Fax -- PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& ermits: � Door(s) ) ❑ Remodel ❑ Fire Damage p Re-roof, as halt Minnehaha Creek Watershed District(MCWD) p ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar )� Deephaven, MN 55391 ❑ Restoration Water Damage Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ,g[Window(s)C�� www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ vOc� APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the informafion 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 he 'nform 'o the a lication ma not be issued. Applicant's Signature: � Date: �'�J �,� Last Updated: 08-09-2011 i C�J AT TIME ` / CITY OF ORONO CALLED IN � � Z v INSPECTION NOTICE ' /,/ SCHEDULED � PERMIT NO�) ��`1'`�'c✓ COMPLETE ADDRESS �� D OWNER TELEPHONE NO.��' �g��' CONTRACTOR ��'�-�?�v � DESCRIPTION � ❑ FOOTIIdG ❑ 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 � ❑ FIPIAL � SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL � SEPTIC INSTALL o ❑ HARD COVER REMOVAL J ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: � W C � � � C�a F ��' � ��t r�� 0 � W � Q � W W � � O ��WO�.RKSATISFACTQRY:PROCEED ❑PROJECTCOMPLETE W� O CORRECT WORK 8�PROCEED ❑ ISSUE CERTIF�CATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTIOM1{ TEMPORARY V BEFORECOVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTORIMLL RER/RN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL IPISPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� Ov�rnerlContractor on site: Inspector. � �� Yllhite Copylinspector's Flle Canary Copy/SRe Notice 3 3 DATE TIME J CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.e�aaZ ��OL/� COMPLETED �S� ADDRESS �I`� i(/. S.�,r� ,/7� • �N� TELEPHONE NO. CONTRACTOR 5�d L,.,�r� �lcPis � DESCRIPTION �e"�'� / � ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FIWNG - O0 POURED WALL ❑ MECHANICAL RI p LAKESHORFJWETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REAAOVAL / Z 0 INSULATION ❑ WOOD BURNEFUFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ Cpp�P�� Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COUER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNEWCpNTRACTOIi TO MEET YOU:_YES_N►p � COMMENTS: a`�'. �_�r'.vt�' � vlg �i�l�/ �nsaecz`.a� r��tr�� j " � _ /!o r'e co rm t�� /�¢� -af�" l�tsa��`td.�, ✓'�ccv� a a o - W _ Q uo r K .Ber�e�5 Cv.K, aL�� f�,� � ; � � _ a W� O WORK SATISFACTORY:PROCEED �ECT Cp�qp�ETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCIf' � ❑CORRECT WORK,CALL FOR REINSPECT'ION � TERqppRppY V BEFORE CONERINd PERMANENT ❑CORRECT UNSAFE(�NDITION WITHIN HOURS. p pHOTO TAKEN INSPECTQR WILL RETIJRN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. Call for the next inspectlon 24 hours in advancs. (952) 249-4600 Owner/Contractor on site: Inspector. ��.r�.c.., �- White Copypnspector's flle Canary Copy�ite Nodee