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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: e j 0 a cc 0 2 W cc Q W z W 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