HomeMy WebLinkAbout2012-00196 - roofing SUMBRUMEN
CITY OF ORONO * 2012 - 00196 *
2750 KELLEY PARKWAY DATE ISSUED: 03/15/2012
' ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 100 NORTH SHORE DR W
PIN 06-117-23-22-0004
LEGAL DESC UNPLATTED 06 117 23
LOT 000 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ROOFING-ASPHALT
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 2,500.00
NOTE: VALUATION OF PERMIT:$2,500(HOMEOWNERS DOING THEMSELVES)
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 88.50
MEYERS,PETER&CAROLYN STATE SURCHARGE(VALUATION) 1.25
70 NORTH SHORE DR W TOTAL 89.75
MAPLE PLAIN,MN 55359-
PAID WITH CC# 9263
OWNER
MEYERS,PETER&CAROLYN
70 NORTH SHORE DR W
MAPLE PLAIN,MN 55359-
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 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
revokxat, for Jue c e.
App icant rmitee Si re Date Issued By Signaturi Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application for Maintenance / Renovation '11"&5
` (windows, doors, siding, re-roof, etc.)
Mailing Address: "(>Permit number: N
'gv 0 PO Box 66 o`2�%r� " L'
0 a � �
Crystal Bay, MN 55323-0066 Date received: _-3/
a y s Street Address: Received by:
2750 Kelley Parkway Plan review fee:
t9kESH0 Orono, MN 55356
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: 7S
This application form must be completed in full and all required information must be submitted.
GENERAL INFORMATION: Incomplete applications will be returned. (Please print)
Job Site Address: I Do Ko e-� �2. o r-c--iJ 0 3 S-
Will this be a Parade of Homes, Remodelers Showcase Home dr other Display Home? ❑ Yes $�-No
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: 2A- YYd
State License# Expiration Date: — -
Lead Certification Number: — - Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: &( 2 - 140 !� 6 (office) (cell)
Mailing Address: Cit
- -- Y OO ZIP:
Contact Person: � o, J 1 r?� Applicant is: Contractor / Homeowne (circle One)
Email and/or Fax: —
PROPERTY OWNER INFORMATION:
Name: r_
Phone (day): ,6
Address: City: Pe_0 ZIP: S
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ RemodelMCWD review& permits:
❑ Fire Damage Minnehaha Creek Watershed District(MCWD)
`)�;'Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ eci Phone: 952-471-0590
Re-roof, others
(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description: -�E_
Estimated Construction Valuation of Project(excluding land) $ 2lso�
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Certifies that the information 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
.required by law. If you refuse to supply the information,the application may not be issued.
Applicant's Signature: Date:
Last Updated: 08-09-2011
iPED
DATE TIME
CITY OF ORONO N /!S//d.
INSPECTION NOTICE SCHEDULED 1 kIL4 kp
PERMIT NO. �� "Gt~I �JG' COMPLETED ��-
ADDRESS
OWNER �>` %� �� TELEPHONE NO.
CONTRACTOR
>: DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
LL
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
❑ FRAMING ❑ MECHANICAL FINAL
O El 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
_ El DEMO-FINAL El SEPTIC INSTALL_ El HARD COVER REMOVAL
J ElPLUMBING RI ElSEPTIC FIN A ElFOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES NO
COMMENTS:
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CO BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. FI PHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C 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
AT
CITY OF ORONO CALLED IN TIME V/ �-
INSPECTION LVOT CE SCHEDULED !2-/0
PERMIT NO. Z) /a -1! Q/g1�7 COMPLETED
ADDRESS /6") /(�t4 S1L016' ca— GO
OWNER a24-64�M IAS' &-'-TELEPHONE NO. �OIZ T?0 D35
CONTRACTOR
DESCRIPTION rllla,� le-007�
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ElPLUMBING RI 1:1SEPTIC FINAL ElFOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:LIC
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. l
White Copy/Inspector's File Canary Copy/Site Notice
\ /
CITY OF ORONO CALLED IN DATE TIME
INSPECTION NOTICE SCHEDULED
PERMIT NO. o961J -h6/9L COMPLETED 00
ADDRESS- C0 Al- Sore fir- W
OWNER __ ioe-�,ei d 6 nett '��*_9kEPHONE NO.
CONTRACTOR ! ll��
DESCRIPTION -- lee-r*O f
,W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
_ ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
4<ZWAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ DEMO-SITE ❑ SEPTIC MAINT. )&fOLLOW-UP
❑ DEMO-FINAL Cl SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS-
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OMMENTS:o
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Q WOf tC �ead,� (�r✓I,fJIeP�
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W� ❑WORK SATISFACTORIC PROCEED g; IECT COMPLETE
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V BEFORE COVERING
❑CORRECT UNSAFE CONDITION WITHIN HOURS,
PERMANENT
INSPECTOR WILL RETURN ❑PHOTO TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next Inspection 24 hours In advance. (952) 249-4600
Owner/Contractor on site:
Inspector. 7y�
White Copy/Inspector's File Canary COPY/Site Notice