HomeMy WebLinkAbout2012-00468 - roofing CITY OF ORONO I' I I lirrI' III I I li I I
2750 KELLEY PARKWAY * 2 0 1 2 - 0 0 4 6 8
•
DATE ISSUED: 05/31/2012
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 680 ORCHARD PARK RD
PIN : 32-118-23-22-0006
LEGAL DESC : ORCHARD PARK
: LOT 014 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 9,300.00
NOTE: VALUATION OF PERMIT:$9300.00
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 191.75 .
BERKSHIRE HOME SOLUTIONS STATE SURCHARGE(VALUATION) 4.65
10800 OLD CTY RD 15
SUITE 104 TOTAL 196.40
PLYMOUTH,MN 55441-
(763)432-9855
Minnesota State License#:20631273
OWNER
WINTERS,DOUGLAS
680 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 confo ance wi e State Building Code.This permit may be
revoked at an • - for.. •.f.;00/
4aC licant Permi -- Signat - Date
PP g Issu 6(- 674/1-aln j-/3
y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
-ht' u 2g 2012 1 : 09PM Berkshire Home Solutions 783-432-9854 p. 1
City of Orono �k F-60 2___,
Building Permit Application for Maintenance I Renovation
.,sal. {/IA)11 . (windows, doors, sidin , tie-root etc.)
Mailing Address: Permit number: / r
Ap PO Box 66
O 4 0 Crystal Bey,MN 55323.0069 Date received: 25_
Street Address: Received by:
k 1i�, ��i,/i; 4, 2750 Kelley Parkway Plan review fee:
"1' i100 Orono, MN 85356
Total Fee. 1 / 7 w, 7`c-.J .f- cA,d0
Main: 952-249.4600 Fax: 952-249-4616 www.rjigrarno.mnu!
This application form must be completed In VI and all required Information must be submitted. U
Incomplete applications will be returned. (Please print) V
GENERAL INFORMATION:
Job Site Address; 6 to b,„1.1 Ramb. 2.15_ o.r+w c S;S( -91:43
Will this be a Parade of omes,'Remodelers Showcase Home or other Display Home? Yee ViNo
If yes,a sporequired uevent nlessaprequired t demonstrates sufficient onrtment®nd City Council ate per�np s available,/No days
prior to the tltted events willnotbe allowed. Nice will be
CONTRACTOR/APPLICANT INFORMATION;
Name: Sae l/rt►bi 44• 4. cauck '
State License# Ri:L Zi1 Expiration Date: '3 /4414
Lead Certification Number. ,j __ ill-va` - 1 Expiration Date: G / t j?01r
(for work on homes that were construded prior to 1978
Phone: - .. , (office) % _ i - ,t — (cell)
Mailing Address: ., , . _ City: A ,_ ZIP:
Contact Person: . •pplicant is: ontr-cto I Homeowner (cirw•one)
Email and/or Fax: lit �),&„ mow,
PROPERTY OWNER INFORMATION:
Name: bc....lY+ 1 Phone(day): 6t? , 34 1-292(a Clty:�wK� ZIP: tt�S(o-OIL�3
Address: j wed ,('e,�y- el
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review&permIte:
❑ Door(s) ❑ Remodel ❑Fire Damage Mlnneheha Creek Watershed District(MCWD)
XtRe-roof,asphalt CE Repair 5aStorm Damage 18202 Minnetonka Blvd
Deephaven, MN 55361
❑Re-roof,cedar 0 Restoration ❑Water Damage Phone: 952-471-0580
❑Re-roof, other(specify) ❑ Siding 0 Other: (specify) Fax: 952-471-0682
CI Window(s) •
vmww.minnehaha.reek.orq
Overall Project Description: , 4%eu. 0e4 I.
Estimated Construction Valuation of Protect(exclu ng I nd) $ Q30iD.m
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
ere 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
required by law�lfyou refusefto thisinformation
the Information,thalsppl�lcaton may not beate our records ess�d,nd records of other governmental agendas
Applicant's Signature: F/1''� ..- Date: sy2.q 1 i2.
• .
City of Orono
vic; O4�Gti
2750 Kelley Parkway
P.O. Box 66
Crystal Bay, MN 55323
(952) 249-4600
Fax: (952) 249-4616
FAX TRANSMISSION COVER SHEET
Date: SAF •
To: Al � — r/ i re irA
Fax: 1(to.
1-3‘3, "q
Re: V 1/1 — 6E-- ��� �
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Sender: LI, (5vI)W
YOU SHOULD RECEIVE PAGE(S), INCLUDING THIS COVER SHEET
IF YOU DO NOT RECEIVE ALL THE PAGES,
PLEASE CALL (952) 249-4600.
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