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HomeMy WebLinkAbout2012-00650 - roofing CITY OF ORONO * 2 0 1 2 — 0 0 6 5 0 2750 KELLEY PARKWAY DATE ISSUED: 07/10/2012 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 820 NORTH SHORE DR W PIN 07-117-23-22-0004 LEGAL DESC UNPLATTED 07 117 23 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 11,800.00 NOTE: VALUATION OF PERMIT:$ 11,800.00 -- -?,coP,rn a S i c(i r� 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 221.25 ROOF COMPANY NA INC. STATE SURCHARGE(VALUATION) 5.90 5565 QUAM AVE NE ST MICHAEL,MN 55376- TOTAL 227.15 (763)550-0444 Minnesota State License#:20172153 OWNER SEHR,R REWERTS&M 820 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 erio of 180 days at any time after work has commenced. The applicaX is resp nsible for assuring all required inspections are requeste n confo ance aSte*Building Code.This permit may be revoke at or cause. �-y�cam► i i t Penni Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono a Building Permit Application for Maintenance / RenovationGj (windows, doors, siding, re-roof, etc.) C. Mailing Address: Permit number: O�,© �O PO Box 66 ,r Crystal Bay, MN 55323-0066 Date received: 3 a s, Street Address: Received by: '� o~ 2750 Kelley Parkway Plan review fee: LgkZlslao *� 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: bL6 juo e+(i IA•✓w, nr►v-<- Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No /f 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/AP ICANT INFORMATION: Name: 00( Gci rUa Cut e, State License# J9C 1.7 Zi S 3 Expiration Date: -A�3 i/ Z O/3 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: _ 0 - O (office) (cell) Mailing Address: 5 S(, -5- 62oa,.7 4&C N, City: ZIP: Contact Person: � p�f Applicant is: ontracto / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: y 4 klle_� Phone(day): Cl�,2 — L��,t — 735-3— Address: 3S3— Address: �ZG IVB/ Q-+✓K ,c City: C/irovj"o ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require �4e-roof, or(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: as halt Minnehaha Creek Watershed District(MCWD) p ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar VS storation ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ing ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ 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 infor o hich generally cannot be given to the public but can be given to the subject of the data. Confidential data is info at' w 'ch ge erally cannot be given to either the public or the subject of the data. Our purpose and intended use of his Inform ioni to annually update our records and records of other governmental agencies required b law. If you refus to u I t e inf m o lication may not be issued. Applicant's Signature: L6 Date: Last Updated: 08-09-2011 31( CITY OF ORONO CALLED IN DATE TIME INSPECTION NOTICE SCHEDULED PERMIT NO.gNug-06&IrO COMPLETED -I ` ADDRESS qQek Al. 5 OWNER TELEPHONE NO. CONTRACTOR' Co. DESCRIPTION 2e_rod-F W ❑ FOOTING ❑ PLUMBING FINAL t� ❑ EXCAV/GRADING/FIWNG e ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION _ ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS �� ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. )94OLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS. O _ _Y10 ta4l� LOC. o W Q _ kior K �ra�ecv5 Cm m�/� W J d W� ❑WORK SATISFACTORY PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PERMANENT INSPECTOR WILL RETURN 0 PHOTO TAKEN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next lnsPwdon 24 hours In advance. (952) 249-4600 OwnsdConftctor on site. Inspector. r� White Copy/Inspectoes File Canary Copyrolte Notice