HomeMy WebLinkAbout2012-00930 - roofing CITY OF ORONO
2750 KELLEY PARKWAY * 201 - 8 0 9 0
DATE ISS - 009 09/17/22 012
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 180 NORTH SHORE DR W
PIN : 06-117-23-22-0024
LEGAL DESC CHADWICK
LOT 006 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 434-RESIDENTI4,L
VALUATION : $ 12,200.00
NOTE: VALUATION OF PERMIT:$12200.00
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
WEATHER-TITE EXTERIORS STATE SURCHARGE(VALUATION) 6.10
5200 WILLSON ROAD#150
EDINA,MN 55424- MAIL-IN FEE 2.00
(952)564-7634 TOTAL 244.10
Minnesota State License#:BC648656 PAID WITH CC# 5779
OWNER
SULLIVAN,ERIN
180 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
revoked at any time for due cause.
6M AL4 � 9i /7 /12- 5 /7/
Applica Perm a Signa Date C4Issued Signature6yA� Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application for Maintenance l Renovation
(windows, doors, siding, re-roof, etc.)
Meiling Address:
aPO Box 66 Permit number. —4V (�
� .�
Q 0 Crystal Bay, MN 55323-0066 Date received: 'JYdr
Sheet Address: Received by:
2750 Kelley Parkway Plan review fee:
o Orono, MN 55356 AUS'
Main: 952-24914600 Fax 952-249-4616 Total Fee: !f
wv�v v.ci.orono.mn.us
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: //T0 A,.
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? LJ Yes
If yes,a$pedal event permitis requin:d with Porrce Department and CityCouncf/approval 60 days prior to the event. Shuttle bus service w7lbe
required unless applicant demonstrates su/tfcient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: e-V-
State License# Expiration Date: _� _fit_• ��
Lead Certification Number. '� ---^ — Expiration Date:
(for work on homes that were onstructed prior to 1978
Phone:
(ice) - C/ (cell)
Mailing Address: `t City: r ZIP:
Contact Person: Applicant is: on ra / Homeowner (ciraie One)
Email and/or Fax
PROPERTY OWNER INFORMATION;
C
Phone(day): � 1�4� �`i✓!/a'1���
Address: City: ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑�oor } j]Remodel Fire Damage MCWD review 8�penrtits:
Minnehaha Creek Watershed District(MCWD)
f,asphalt ❑Repair ❑Storm Damage J 18202 Minnetonka Blvd
❑Re-roof, cedar ❑Restoration j]Water Damage Deephaven,MN 55391
❑Re-roof,other(specify) ❑Siding ❑Other.(specify) Phon
Faxe952-471-06820
❑Window(s) mmminnehahacreek org
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ � ,
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Certlfies 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 r
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 wired b law: If you refuselEIgMheOWOffRgio—ff-theaDiDlicavon may not be issued.
Applicant's Signature: -T`" Date: _ r '7—
Last Updated: 08-09-2011
Minneliaha Creek strict
IMPROVING QUALITY OF WATER, QUALITY OF LIFE
June 3, 2009
Erin Sullivan
180 North Shore Drive W
The Minnehaha Creek Maple Plain, MN 55359
Watershed District is
RE: 180 North Shore Drive W, Maple Plain
committed to a
During routine inspections by the Minnehaha Creek Watershed District(MCWD) staff on June 2,
leadership role in 2009, at the above mentioned location the following violations were recorded:
protecting,improving
• Working without a MCWD Permit
and managing the • No erosion/sediment control BMPs installed on site
• Potential wetland impacts
surface waters and
affiliated groundwater To avoid formal enforcement action, please complete the actions required below by 3:00 P.M.,
Tuesday,June 9, 2009.
resources within the
• Send or deliver a completed Combined Joint Notification permit application with an original
District,including their signature for each project(Enclosed)
relationships to the Site plan (Refer to the enclosed Application Checklist for details)
• Due to the disturbance proximity to wetlands, please submit a complete delineation report of
ecosystems of which the existing wetlands. The wetland boundaries should be staked in the field.
• A$10.00 application fee is required for each permit application
they are an integral part. A$100.00 After-the-fact permit fee is required for each project started without a MCWD
We achieve our mission permit
through regulation, Formal enforcement action to which a permittee may be subject for permit violations includes
issuance of a stop work order and fees for additional inspections and legal costs. Working without a
capital projects, permit where one is required is in violation of MCWD Rules and is a misdemeanor subject to
penalty by law. Work must stop until a permit is issued. For more information on MCWD Rules,
education,cooperative please go to our web site at www.minnehahacreek.org. If you have additional questions please call
endeavors,and other me at(952)471-0590 ext. 214.
programs based on Sincer, I 1
sound science, i.
innovative thinking,ar, Luke Schwitzer
informed and engaged Compliance Officer
constituency,and the Cc: Jason Ziemer, City of Maple Plain
cost effective use of Enclosed: Combined Joint Notification Form
puhlichinds. Example Erosion Control Plan
Application Checklist
18202 Minnetonka Boulevard,Deephaven,MN 55391 • 952-471-0590 • Fax:952-471-0682 www.minnehahacreek.org
v CJ_ DTE TIME V
CITY OF ORONO CALLED IN ' /
INSPECTION NOTICE SCHEDULED 9- -I
PERMIT NO.0201;- 60451) COMPLETED
ADDRESS wj� S&Aff :1)"1 V'Q
OWNER TE�.f_ PHONE NO. i' 4-7/43
CONTRACTOR W e r t
DESCRIPTION
UU ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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rMRK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
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W ❑CORRECT WORKS PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
�j BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor C P smite:
_
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CITY OF O NO CALLED IN 9471'11
TIME
INSPECTION NOTIC SCHEDULED _-J��
PERMIT NO. "Gin CqMPLETED
ADDRESS �Dy /V v c , —
OWNER EP E NO.1,70 -RA10 04i)
CONTRACTOR ��bf
DESCRIPTION L
LU ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
R ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
OWNERICONTRACTOR TO MEET YOU:—YES—NO
y COMMENTS:
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LU13WORK SATISFACTORY:PROCEED ,A03ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORECOVERING PERMANENT
❑CORRECT UNSAFECONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑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 Copylinspectoes File Canary CopylSite Notice