HomeMy WebLinkAbout2012-00957 - roofing e
MIRRUNBRIM
CITY OF ORONO * 2012 - 00957 *
2750 KELLEY PARKWAY DATE ISSUED: 09/26/2012
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 4510 NORTH SHORE DR
PIN : 07-117-23-31-0029
LEGAL DESC : WILDHURST TRAIL
: LOT 004 BLOCK 001
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ROOFING-ASPHALT
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 12,500.00
NOTE: VALUATION OF PERMIT:$12500.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 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 236.00
TRINITY EXTERIORS,INC. STATE SURCHARGE(VALUATION) 6.25
4204 PARK GLEN RD
ST LOUIS PARK,MN 55416- MAIL-IN FEE 2.00
(763)473-8200 TOTAL 244.25
Minnesota State License#:20629997 PAID WITH CC# 0488
OWNER
SAWICKI,PETE&KATHY
4510 NORTH SHORE DR
MOUND,MN 55364-
AGREEMENT
5364AGREEMENT 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 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 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 responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due caul .
a c.Le�� 91 2Cei /2_ f l Flo l 12—
Applicant Permitee Signature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Applic tion for Maintenance / Renovation
(windowsl, oors, siding, re-roof, etc.)
Mall/ngAdd s: Permit number,
Cr Box B
Crystal Bi y,MN 58323-0068 Date received: 'Z "�•
,s p+ Street Addres Received by:
2750 Kell Parkway Plan review fee:
$� Orono.M 4 55358
Total Fee:
Main: 952-2494600 Fact: 952-24 16 www.ci.orono.mn.us
This application form must be Compl ted in full and all required information must be submitted.
Incomplete appili ations will be retumed. (Please prinD
GENERAL INFORMATION:
Job Site Address: S - -t, Omvknp AAJ
Will this be a Parade of Homes, Remodeiers St owcase Home or other Display Home? LJ Yes No
/lYea,a special event pe►mft Is required wfth Police Depar ment and city Cound/approval 60 days prior to the event. Snurde bus Service wt►l be
required unless applicant demonatrates sots wt on-alta parking is available. Norrpennlfted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# C 615 q q Q^1 Expiration Date: ( OI
Lead Certhication Number. - Expiration Date: 'Z f l 90(g--
(for
g-(for work on homes that were constructed prior&1978
Phone: qS'a-qa,p- (office) (cell)
Mailing Address: Lt ,, (w City: ark• ZIP:SSS 4
Contact Person; �`� , Applicant is: Contractor I Homeowner (cwtone)
Email and/or For.
PROPERTY OWNER INFORMATION:
Name,
Phone(day):
Address: li S to -'00A, City: cc- ZIP: S 3
Email and/or Fax
PROJECT INFORMATION: - - - --- -
Type of-Project. -Any earth movement may require
11Door(s) ❑"Remodel Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
Oft-roof,asphalt ❑Repair E Storm Damage 18202 Minnetonka Blvd
❑Re-roof,cedar ❑Restoration E Water Damage Deephaven,MN 55391
Phone: 952-471-0590
❑Re-roof,other(specify) ❑Siding E Other(specify) Fax: 952-471-0682
❑Window(s) www.minnehahscreek ore.
Overall Project Description: e&c- oPrC ^ ;- ,Q.o�
Estimated Construction Valuation of Project(e luding land) S 1 00. ° —
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all Information required or ested by the Building Department;
• Certifies that the Informadon supplied is true a id coned to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a complel 3 application being aware that upon failure to do so,the staff has no altemative
but to reject it until it is complete:
• Some or all of the information that you are a d to provide on this application is classified by State law as either private or
confidential. Private data is information whi generally cannot be given to the public but can be given to the subject of the
data. Confidential data is Information which enerally cannot be given to either the public or the subject of the data. Our
purpose and Intended use of this information s to annually update our records and records of other governmental agencies
re uired by law. If you refuse to smwlythe In don,the appll2pllon may not be Issued.
01/1
Applicant's Signature:
nt' Date: q 1 X I96 sia
Last Updated: 08-09-2011
7E�� `-�1 p to I� ATE TIME
CITY OF ORONO CALLED IN 1 v I a
INSPECTION NOTICE SCHEDULED Q 11E26
PERMIT NOf Qj - 5 COMPLETED
ADDRESS �A G-,r
OWNER TELEPHONE NOe9a0-q
CONTRACTOR �-�f t in l -� w
DESCRIPTION f cr)
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
Q
El FRAMING L3 MECHANICAL FINAL [_1 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
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAI ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:—YES YNO
� CO MENTS: �
a C '
a
O
W
CC
Q
W
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ow
PCORK SATISFACTORY.PROCEED 1't JECTCOMPLETE
W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ci BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
11 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice