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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 i � -' � � ,�j �� �� �� � E -�-� ��- ,� � � �,�---� �----�,.� ���--i.-� c� �-� � � �- � �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. a AppficanYs Signature: , � Date: �������� % / 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�: a _1.�� .'�s,r �,, � d/� �t?_/ f�1.5�eGL4i.,� f�s�l��►c�� j � / O _ � JIO rccc.B o�' � -o-F� s.1.s� � f- o � W � Q � fv r k ec�/ C'o .�r� ���� W � ����� J — d — 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: � a o � `�"1.��� �a� � � 0 � W � Q � W g W � � W �WORKSATISFACTORY:PRQ�EED ]�JECTCOMPLETE � ❑CORRECT WORK&PRaCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 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