HomeMy WebLinkAbout2012-00620 - roofing CITY OF ORONO * z 0 1 z - 0 0 6 z 0 *
2750 KELLEY PARKWAY DATE ISSUED: 06/29/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4200 NORTH SHORE DR
PIN � : 07-117-23-43-0016
LEGAL DESC : SAGA HILL REVISED
: LOT 008 BLOCK 014
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENT[AL
COI�ISTRUCTION TYPE : ROOFING -ASPHALT
ACT[VITY : O/S BUILDING- UNDEFINED
VALUATION : $ 6,000.00
NOTE: VALUATION OF PERMIT:$6,000
ROOFING PERMI'I�S ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE, PRIOR TO
WORK BE[NG STARTED) MUST PROVIDE COMPLETE SGT OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
S[GNS-ADVERT[SING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME T'HE ROOF IS BEING DONE.
ONCG WORK IS COMPLETGD THE S[GNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 132.75
SELA ROOF[NG &REMODELING, [NC. STATE SURCHARGE(VALUATION) 3.00
4100 EXCESIOR BLVD
ST. LOU[S PARK,MN 55416- TOTAL 135.75
(952)915-7227
Minnesota State License#: 0001050
OWNER
RYAN, DAN&MARY JO
4200 NORTH SHORE DR
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shali be performed according to
the approved plans and specitications,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 not specified herein.This permit will
expire and become null and void if construction authorized is no[
commenced within 180 days of[he 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
requested in conformance with the State Building Code.This permit may be ,
revoked at any time�r due cause. �• � J
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�Xppli mitea..[SignaCure Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�i�y af Q�ono
� Buiic�ing Permit Appfica�io� for Mainter�ance / Renc�vatio�
(windows, doors, siding, re-roof, etc.)
Mailing Address:
�, 7,�. PO Box 66 � Permit number.
�� � � Crystal Bay, MN 55323-0066 Qate received:
�
'1 Y � �;: � Streef Address: Received by:
�� '� Gti 2750 Kelley Parkway Plan review fee: -
\r9kEsxo4`� Orono, MN 55356
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 ww+n�.ci.orono.mn.us
This appfication form must be completed in full and all required information must be submitted.
fncompfete applications will be returned. (Please print)
GENERAL INFORMATION:
�: Job Site Address: ���;�� �`j,�Y�� �������.� �v"
Wil! this be a Parade of Homes, Remode�ers Showcase Home or other Display Home? ❑ Yes {�"Ao
lf yes, a special event permit is required with Police Departmenf and City Council approval 60 days prior to the event. Shutt/e bus service wilf be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil/not be al/owed.
CONTRACTOR/APPLICANT INFORMATIOI�:
Name: _���E' � � 'U�CSU�;�'lit G,
State License# � P� c�(�j ' Expiration Date: ��,�`3
Lead Certification Number. Expiration Qate:
(for work on homes that w re constructed prior fo 1978
Phone: �( �.- -- � � y-� (office)
(cell)
Maifing Address: �>� , •'r (�� City:`��� �j � ZIP: ��,
Contact Person: n<<���� Appficant is: Contra�or / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNE INFORMA�ION:
Name: � �
Phone(day): — ' � -- •
Address: � 1/ CitY: ' ('��Z ZIP:
Email and/or Fax
PROJECT INFORMATIOI�:
Type of Project: I Any earth movement may require
MCWD review& ermits:
❑ Door(s) ❑ Remodel ❑ Fire Qamage P
Re-roof, as halt � Minnehaha Creek Watershed District(MCWD)
�,, p ❑ Repair ❑ Storm Damage I 18202 Minnetonka Bfvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ Re-roof, other s eci Phone: 952-471-0590
( p fy) ❑ Siding ❑ Other: (specify) Far.: 952-471-0682
� ❑ Window(s) www.minnehahacreek.orQ
Overall Project Description:
Esfimated Construction Vafuation of Project (excluding fand) $ �,��J
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Certifies that the information suppfied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a compiete application being aware that upon failure to do so, the staff has �o alternafive
but to reject it until it is complete;
I
• Some or all of the informafion 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 annualfy update our records and records of other governmental agencies �
re uired b iaw. If ou refuse to su f the informafion,the a lication mav not be issued.
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AppficanYs Signature: , � Date: ��������
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Last Updated: 08-09-2011
�Are nnne , /
3�l CITY OF ORONO c,aLLED IN v
INSPECTION NOTICE scH�ULED
PERIIAIT NO.��a -ao�ao COMPLETED �
ADDRESS_ o� /'� ,�r c Or'•
�WN� TELEPHONE NO.
CONTRACTOR -Se/4 �vo�:,�
� DESCRIPTION ��-�
� ❑ F�TINO ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI p LAKEgHORE/WETLANpg
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
�� ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROpRESS
�Na- ❑ SEWER HOOK-UP � COMPWNT
Q 0 DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL p FOUI�bql7pWqp1AOVAL
� OMYNERlCONTRACTOR TO MEET YOU:._.YES_NO
� COIdIMENT�:
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W� ❑WORK SATISFACTORI!PROCEED F�fiROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED �ISSUE CERTIFlCATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION �
�,�j BEFORE COVERIId� TEMPORARY
❑CORRECTUIdSAFECANDITIONWRHIN HOURS. P�MANENT
INSPECTOR WILL RETIJRPI �P�TO TAKEN
❑STOP ORDER POSTED.CALI.INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANOE ACCESS.
Cell for ths n�xt inspection 24 hours in�ranc�. (952) 249-4600
OwreerlCorrtractor on site:
Inspec�or._ �d7 •-� �'—
White Copyflnspector's Flle Canary CopylSlte Notfce
��, DATE TIME ✓
CITY OF ORONO CALLED IN �
INSPECTION NOTICE / SCHEDULED �
PERMIT NO. r�DJ o? `-DO�p G2�L�COMPLETED
ADDRESS Y'4�� ,?�Q1�'� S��-P �
OWNER TELEPHONE N0.�52 ��S �Z�-�O
COIdTRACTOR ��
� DESCRIPTION �`
4� ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FFiAMING ❑ MECHANICAL FINAL � TREE REMOVAL
Z ❑ INSULATION � WOOD BURNERlFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
"� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNERfCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �WORKSATISFACTORY:PRQ�EED ]�JECTCOMPLETE
� ❑CORRECT WORK&PRaCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RENRPI
❑STOP ORDER POSTED.CALL IPISPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne�inspection 24 hours irt advanc�. (952) 249-4600
OwnerlContractor on 'te:
Inspector. v
Whfte CopyOnspector's File Canary CopylSlte Notice