HomeMy WebLinkAbout2012-00333 - roofing CITY OF ORONO I' I I, 11 I 1111
* 2012 - 00333 *
2750 KELLEY PARKWAY DATE ISSUED: 04/27/2012
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 135 O'ONO ORCHARD RD N
PIN : 34-118 23-44-0035
LEGAL DESC : SUBD VISION NO 1
: LOT 100 BLOCK 000
PERMIT TYPE : MIN @ R ALTERATIONS
PROPERTY TYPE : RESI I ENTIAL
CONSTRUCTION TYPE : ROO ING-CEDAR
ACTIVITY : 0/S :UILDING-UNDEFINED
VALUATION : $ 50 000.00
NOTE: VALUATION OF PERMIT:$50,100.00
ROOFING PERMITS ISSUED WITHOU ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PRO IDE 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 'IGNS MUST BE REMOVED.
•APPLIC NT PERMIT FEE SCHEDULE 681.75
MIDWEST EXTERIORS PLU STATE SURCHARGE(VALUATION) 25.00
6451 SYCAMORE CT.N. TOTAL 706.75
MAPLE GROVE,MN 55369-
Minnesota State License#:BC 10277
II
OW ER
RYDELL,EDMUND
135 ORONO ORCHARD RD N
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is ssued shall be performed according to
the approved plans and specificati ins,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for addition. or related work which requires separate
permits. All provisions of laws : d ordinances governing this type of work
shall be compied with whether o:not specified herein.This permit will
expire and become null and voi. if construction authorized is not
commenced within 180 days of t e date of issuance,or if construction is
suspended for a period of 180 d.ys at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with e State Building Code.This permit may be
revoked at any e for due ca se.
•
lz7 . //2 _
Alicant Pe itee Signat re Date Issue By :e. ature ' Date
S PARATE PERMITS REQUIRED FOR WORK OTHER HANDESCRIBED AB?' E.
City of Orono
Building hermit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
¢,U � PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address:
Received by:
It 114: Gtiti 2750 Kelley Parkway
Orono, MN 55356 Plan review fee:
fEsso4�
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:II11
Job Site Address: \ CDr on O nerckc.-l 12c� ,. IV_
Will this be a Parade of Ho es, Remodelers Showcase Home or other Display Home? 0 Yes 'IKNo
If yes,a special event permit is quired with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless app'cant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICAN INFORMATION:
Name: 0.8w.es V 8,-s t. c1uS
State License# BI.0107Expiration Date: 3-31 - 'Z 014
Lead Certification Number: 2.037S-- I Expiration Date: $-S.-ZC1/S
(for work on homes that we constructed prior to 1978
Phone: 7V3-Li 7 --96 no (office) (cell)
Mailing Address: toM51 ,c_ctivvore GA-. &) City: -1ZIP: � 3(0 9
Contact Person: Ike Applicant is(" ontractor / o 5 meowner (circle one)
Email and/or Fax:
PROPERTY OWNER INFOR TION:
Name: Od%A..4,A I (z.j d'e-q
Phone(day): 7S-2--V-3 -62_(
Address: 1'3S(_roA-0 O r-� Rd . j..-) City: lc" Ictre ZIP: ^,S'' 3 5
Email and/or Fax I
PROJECT INFORMATION: 1
Type of Project: 1 Any earth movement may require
❑Door(s) 0 Remodel ❑Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑Re-roof,asphalt ❑Reoair ❑Storm Damage 18202 Minnetonka Blvd
We-roof,cedar ❑Restoration 0 Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑Re-roof,other(specify) 0 Si4ng 0 Other:(specify) Fax: 952-471-0682
0 Window(s) www.minnehahacreek.org
Overall Project Description:i aec 'r Re, Root 73 S,. o-P cd� 5(n�Kzc.
Estimated Construction Valuat on of Project(excluding land) $ $ ) 000
APPLICANT ACKNOWLEDGMENT:
• 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 sumitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is comp) te;
• Some or all of the informatio that you are asked to provide on this application is classified by State law as either private or
confidential. Private data is formation which generally cannot be given to the public but can be given to the subject of the
data. Confidential data is in ormation which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use ofIthis information is to annually update our records and records of other governmental agencies
required by law. If you refuse Ito supply the i formation,the application may not be issued.
Applicant's Signature: Date: 27- /
Last Updated: 08-09-2011
CITY OF ORONO CALLED IN 4�T"
TIME
INSPECTION NOTICE AO333CHEDULED '7�1P-
PERMIT NO.a0/ COMPLETED
ADDRESS /35 °row (Vt."`/,,
OWNER T E H NE NO. 7O� T/ reP
CONTRACTOR •
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DESCRIPTION 64aj
ly ❑ FOOTING ❑ PLUMBING FINAL dEXCAV/GRADING/FILLING
Q ❑ POURED WALL 0 MECHANICAL RI LAKESHORENVETLANDS
Ci) ❑ FRAMING 0 MECHANICAL FINAL
QTREE REMOVAL
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP
_ 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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• ❑WORK SATISFACTORY:PROCEED it ROJECT COMPLETE
W IDCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
(..) BEFORE COVERING 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 Copy/Inspector's File Canary Copy/Site Notice