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HomeMy WebLinkAbout2012-00256 - roofing 4 7. CITY OF ORONO 1 1 1 1111D 11111 1 1111 1 II IH 1 11 11I1 OII11 * 20 1 2 - 0025 6 2750 KELLEY PARKWAY DATE ISSUED: 04/09/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 615 ORCHARD PARK RD PIN : 31-118-23-11-0006 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 : $ 8,450.00 NOTE: VALUATION OF PERMIT:$8450.00 TEAR OFF REROOF HOUSE AND GARAGE 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 177.00 TODAYS EXTERIORS INC. STATE SURCHARGE(VALUATION) 4.22 11308 70TH PLACE N TOTAL 181.22 MAPLE GROVE,MN 55369- (763)425-0803 Minnesota State License#:20387451 OWNER LANG,MR&MRS KEVIN 615 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 f. . •_all required inspections are requested in cord*••• e with the : e Building Code s permit may be revoked a time for due c. c /n de/0T / ?Cr . gfst6( 47(/ 9 / /a- Applicant Permitee Signature Date Isd By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: c).(26-.)/...) —Ue) 5., ‘----4c:::07-4 . PO Box 66 � Crystal Bay, MN 55323-0066 Date received: f . !l --P.- Street Address: Received by: Il' t ; i' 0.;." 2750 Kelley Parkway Plan review fee: L"1kESHO�� 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 r turne (Please print) GENERAL INFORMATION: O C Pk 2c Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes []� 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: /..o 04%9 r ..S crX4I('oI S L State License# jC- 3 S 4K ( Expiration Date: 0.301 /20/,s' Lead Certification Number: NAT _ /o03 &6 - I Expiration Date: 0Z/2/ /?o/C7 (for work on homes that were constructed prior to 1978 Phone: 763 '•fzS - o oS (office) (o(L 61-14( - 0Zg 6 (cell) Mailing Address: 1(30g 70 +P PG r. City: 4 /t:groie ZIP: SS..S%'9 Contact Person: AAeo... Applicant is: CContr / Homeowner (Circle One) Email and/or Fax: 763 - WS"- G l rP S PROPERTY OWNER INFORMATION: Name: <Ev;i Lei^1 Phone (day): C (otC) 96`1 76 Address: ,6/S Qc cA-r-e-C2 All e City: 4 e-- ZIP: s--s-3s 6 Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require El Doors MCWD review&permits: ( El ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) ❑roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re roof, other(specify) Phone: 952-471-0590 E Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: E r- of( rec.) P o-J Adus AJ gq.r-4 F_ Estimated Construction Valuation of Project (excluding land) $ gy5p _ _of �` 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 c.it•• •- given to the public but can be given to the subject of the data. Confidential data is information which get,- . cannot be, given to either the public or the subject of the data. Our purpose and intended use of this inform. is to annually mate our records and records .• -other governmental agencies required b law. If ou refuse to su.• • the information, plication may not be is - . c q Applicant's Signature: Date: < U / Zt>/Z Last Updated: 08-09-2011 D• E TIME CITY OF ORONO CALLED IN '1 — INSPECTIONJ OTICE SCHEDULED /0 / . PERMIT N 'A- (30235COMPLETED ADDRESS ' 15 96kzA-- 7JJ45-6 OWNER TE/LnE,P�HONE NO. g71-3CONTRACTOR �1 Q S tom/ ! or, DESCRIPTION I't°Y- W ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING U. ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS I ❑ FINAL 0 SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP 441 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL • OWNERICONTRACTOR TO MEET YOU:_YES_NO c.,• COMMENTS: cc W cc O U- W C: W W ct C(ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW CI CORRECT WORK&PROCEED 17 ISSUE CERTIFICATE OF OCCUPANCY ▪ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on si : Inspector. 1- White Copyllnspector's File Canary Copy/Site Notice