HomeMy WebLinkAbout2012-00340 - roofing MHUMMHUMEMM
CITY OF ORONO * 2012 - 00340 *
2750 KELLEY PARKWAY DATE ISSUED: 04/30/2012
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 710 NORTH SHORE DR W
PIN : 06-117-23-33-0003
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 : $4,000.00
NOTE: VALUATION OF PERMIT:$4000.00
REROOF @ MAINTENANCE SHOP AND 3 RAIN SHELTERS
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 103.25
JENSEN CONSTRUCTION SERVICES LLC STATE SURCHARGE(VALUATION) 2.00
2620 GRANGER LN
MOUND,MN 55364- MISC FEE 0.00
(952)472-7223 TOTAL 105.25
Minnesota State License#:20639601 PAID WITH CC# 3589
OWNER
WENKSTERN,MR.&MRS.GRANT
710 NORTH SHORE DR W
MOUND,MN 55364-
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
revoke t any time for due cause.
Ap licant Permitee Signature Date Issued By S' ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED ABO .
City of Orono
i3uilding Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
Y'0 PO Box 66
Crystal Bay, MN 55323-0066 Date received:
� s i Street Address: Received by:
2750 Kelley Parkway Plan review fee:
RkESH�4� Orono, MN 55356
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: J (� ►�dV'-4-h41�-� Dr. Wy
Will this be a Parade of Homes, Remodelers Showcase Home or 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: J ensea
State License# G IZ e_,o 3 cl(Qb Expiration Date:
Lead Certification Number: Expiration Date: T
(for work on homes that were constructed prior to 1978
Phone: `�k_S`Z -7 -F-0 (office) (cell)
Mailing Address: 2( �p City: oc ZIP: 5-53L
Contact Person: �O� -rfe III Applicant is: racto��/ Homeowner (Circle One)
Email and/or Fax: 9Cat S (F -72yl5Q•✓,
PROPERTY OWNER INFORMATION:
Name: �f('c�ti-� �� -5.�->2.- ✓1
Phone(day): d
Address: -7 10 I3 ors Df , �,.,� City: 04� eL-L , c4 ZIP: 6j.5_3 � `7
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,cedarDeephaven, MN 55391
❑ Restoration ❑Water Damage Phone: 952-471-0590
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.org
Overall Project Description: Ian-on e-,-- �✓ � a-f j y25
Estimated Construction Valuation of Project(excluding land) $ y i ppp
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.- C� �T Date: k4ZO
Last Updated: 08-09-2011
op� DA TIME v
CITY OF ORONO CALLED IN _ v
INSPECTION NOTICE CHEDULED
PERMIT NO.010 !a poif COMPLETED
ADDRESS 7/0 ti S1L41Q q;-'U
OWNER / TELEPHONE,NO.q52 X72' 7 2 23
CONTRACTOR L/e44-4 l
>, DESCRIPTION
W ❑ FOOTING ❑ PLUMBING FINAL ❑ G/FILLING
% ElPOURED WALL ElMECHANICAL RI [ILAKESHORE/W
OyQ ❑ 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 ❑ FOUNDATIOWREMOVAL
Z OWNEWCONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS:
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0
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0
2
W
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W
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LU ❑WORK SATISFACTORY:PROCEED �JECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours In advance. (952) 249-4600
Owner/Contractor on site:
Inspector. �.
White CopyMspector's File Canary Copy/Site Notice