HomeMy WebLinkAbout2012-00427 - roofing CITY OF ORONO * z 0 1 Z — 0 fd 4 2 7 *
" 2750 KELLEY PARKWAY DATE ISSUED: OS/18/2012
� ORONO, MN 55356-
4 952 249-4600 FAX: 952 249-4616
ADDRESS : 1359 PARK DR
PIN : 07-117-23-41-0082
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIViTY : O/S BUILDING -UNDEFINED
VALUATION : $ 20,000.00
NOTE: VALUATION OF PERMIT:$20,000.00
ROOFING PERM[TS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECT[ONS. (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 339.25
EXTER[OR SOLUTIONS MN STATE SURCHARGE(VALUATION) 10.00
16641 JACARANDA WAY
LAKEVILLE,MN 55044- TOTAL 349.25
(888)582-4450
Minnesota State License#:20639419
OWNER
EASTMAN, ROBERT& SUSAN
1359 PARK DR
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,applicab]e City approvals,and the
State Building Code. This permit is for only[he work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construc[ion 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 aRer work has commenced.
The applican[is respons ble for assuring all required inspections are �
requested in conforma with the State Building Code.This permit may be ��'`) �'`
revoked at an i o�iA�e cause. .> - /�
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A licant Per ' , i � I � � ���� ���y�(:~ ��/ /
pp ee S gnature Date lssued By Signature Date
SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE.
. C i ty of O ro n o �' G� ��I U D ��j
� Building Permit Application for Maintenance / Renovation�
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
�,0,�.\ PO Box 66
Crystal Bay, MN 55323-0066 Date received:
��� ,. � I
�� ���f;�r :'� a.' Street Address: Received by:
�'�,c, %� '�� �ti 2750 Kelley Parkway Plan review fee:
t�g���¢� 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: t 3 �`� P�-�►� d-� '
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 approva160 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: ��c����v r , ���v�,� N� � L'��-
State License# (3L(pz�c� (,.��G� Expiration Date: � 3J Za r 3
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: �sl (�a�--iZti� (office) (cell)
Mailing Address: ��- U � �,.,,, ,,,, City: �., / ZIP: � �l.i° S c,
Contact Person: �� �„�� Applicant' . Contract� Homeowner (Circle One)
Email and/or Fax: ,-oc_ i C_ fd �� �ti r ����jr-���5►r-�v�.. L o ,._.—�,
PROPERTY OWNER INFORMATION: /
Name: � � � � � � s f�-�--a-- �-.
Phone (day): ���2 � l� �"j 3 cP �
Address i���� � �-� �2 City: �l�d i,,.�� ZIP: �5 3�y
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
e-roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof, other(specify) ❑Siding Other: (specify) Fax: 952-471-0682
❑Window(s) G..F'l'��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 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 rec governmental agencies
re uired b law. If ou refuse to su I the information,the a sue .
ApplicanYs Signature: -- Date: ��''6—✓Z
Last Updated: 08-09-2011
DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE /, /� SCHEDULED �" -
PERMIT NO.�D��—C/O 7 ��OMPLETED
ADDRESS l� �� ��-�l� ��!r��
OWNER �ELEPHONE NO.
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46�0
OwnerlContractor on site: �
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White Copyllnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. e�aa•O�S`o�? COMPLETED "�8''
ADDRESS 13S�Q �4r k t�� -
OWNER TELEPHONE NO.
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INSPECTOR WILL RETURN
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Call for the next inspection 24 hours in advance. (952) 249-4600
OwneHContractor on site:
Inspector: /�^^� ,j�
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�� � �`�� ` DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE l SCHEDULED _� _"�"'`—
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ADDRESS ���C�
OWNER � L� �C�?f7�l�TELE ON NO. ��� -� 7�`-���//
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Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
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. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. ��f � ) �
White Copyllnspector's File Canary Copy/Site Notice