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HomeMy WebLinkAbout2012-00911 - roofing CITY OF ORONO 11 I 1111 11.11 II 111 11 II .I II 2750 KELLEY PARKWAY * 2 0 1 2 - 8 0 9 1 1 DATE ISSUED: 09/12/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 525 ORCHARD PARK RD PIN : 31-118-23-14-0002 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $40,000.00 NOTE: VALUATION OF PERMIT:$40,000-ASPHALT ROOF,SIDING&WINDOWS 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 574.25 HANSON HOME IMPROVEMENTS INC. STATE SURCHARGE(VALUATION) 20.00 17750 JOHNSON ST NE TOTAL 594.25 ANDOVER,MN 55304- Minnesota State License#: 20639400 OWNER WEESTRAND ETAL,RANDALL 525 ORCHARD PARK RD LONG LAKE,MN 55356- 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. /11.-2 / 1 c c• / /0"- Applicant -Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Co c'K7 • Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: 1 4:0.2t .® PO Box 66 'Permit number: "4„,,,i.:: Crystal Bay, MN 55323-0066 Date received: aa, Street Address: Received by: �� rl �,^� f't 2750 Kelley Parkway t M,, I o Y Plan review fee: 9'kESHo4� 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 INFORMATION1 Job Site Address: coPoirL Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ,A 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: AnISc�t ,Tiivtrar- -OWA IIAL. State License# ap 3 9 Expiration Date: :�Ekii�i`1 , t Lead Certification Number: (/ 113790-1 Expiration Date: r(rf;+l (for work on homes that were constructed prior to 1978 Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER IltORMATION: Name: f 1n1eotrcirotnti Phone(day): ✓ • 1110, - _, , Address: 9S ©r,c,►',1Prrl g , V-01 , City: Ciro lit) ZIP: Ss -S� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) 0 Remodel 10 Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) NRe-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar 0 Restoration . 0 Water Damage Deephaven, MN 55391 ❑ Re roof, other(specify) Phone: 952-471-0590 tg Siding ❑ Other: (specify). Fax: 952-471-0682 N Window(s) www.minnehahacreek.orq Overall Project Description: rL_.p(c.,ec. S;ct,L , - - 004° Estimated Construction Valuation of Project (excluding land) $ Li0OW 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 s • il the 'nfr, mation,the application may not be issued. Applicant's Signature: .</ 'tom , Date: `%(� /al- / ' Last Updated: 08-09-2011 DATE TIME V CITY OF ORONO CALLED IN INSPECTION IX? ,, / S61EDULED PERMIT NO. � ` f, COMPL D ADDRESS S 0 OWNER GJ�` t9/TELEPHONE NO. CONTRACTOR A. DESCRIPTION ' 14, ❑ FOOTING 0 PLUMBING I 0 EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS " 0 FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL 0 INS ATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION C ❑ ADON SLAB 0 WATER HOOK-UP 0 PROGRESS Z FINAL 0 SEWER HOOK-UP 0 COMPLAINT v ❑ EMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP IQ ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_.__NO co COMME,-° IQ *OLD PERMIT NO FINAL INSPECTION REQUESTED cc 0 cc it O W CC Q ' Z \ W Z W cc j W ❑WORK SATISFACTORY:PROCEED ROJECTCOMPLETE CCW 0 CORRECT WORK&PROCEED IS UE CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 24 s 4600 OwnerlContractor on site: .11ril Inspector. White Copyllnspector's File angry Copy/Site Notice WrTE TIME CITY OF ORV) CALLED IN INSPECTION NUIC „ SCHEDULED //— off'/�-- __ PERMIT NO.r,V�A-40,0 . COMPLETED ADDRESS S/ OWNER ELEPHON 7or z CONTRACTOR 1, m/ DESCRIPTION Lu ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRA00 FILLING Q ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS C') ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION vC ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 0 FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP 14 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO vv3 COMMENTS: cc W Cre .� u' 5 � 13 4 .)— cc ti W cc Q 2 W z W cc LU 0 WORK SATISFACTORY:PROCEED (<2130J ECT COMPLETE 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY IZ 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site Inspector. / L5 White Copyllnspector's File Canary Copy/Site Notice