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Home My WebLink About2012-01187 - roofing CITY OF ORONO * 2 0 1 2 - 0 1 1 B 7 * 2750 KELLEY PARKWAY DATE ISSUED: 1U20/2012 M � OI�ONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1390 PARK DR PIN : 07-117-23-41-0072 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 013 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFMED VALUATION : $ 6,000.00 NOTE: VALUATION OF PERMIT:$6000.00 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 132.75 VERDE RESTORATIONS STATE SURCHARGE(VALUATION) 3.00 553 ROBERT STREET S TOTAL 135.75 ST PAUL,MN 55109- (651)290-2222 PAID WITH CASH 125.00 Minnesota State License#: BC 196403 PAID WITH CC# 0942 OWNER HOLMES,WAYNE M 1390 PARK DR MOLJND,MN 55364- 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. � 4 =--� 11 i�.� i �� r� r ( i 2�i � Z Applicant Permitee Signature Date Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ""�,�: �'r;y�sc�y%5l,��.- � '>�� y` h'.� � �t�� f ��c��c� ;` � �` . � �� Gi��t� f��r�� .��6�c�� c��- �a��a�a�a�� / �er�c�� '� ;�� ' �v�i�ciQ��, �iaa�-�, siai�g, �-�-ra�f, ��c.) � � �.. Mailin Address: D , � � � �� PO Box oo � Perm'it=number: p7 l l� '; "� /(� � �� Crystal Bay, MN 55323-DOo6 � Qate received; - � `/2--; , .f; i 3 t,,� �a 1� « �'` ,� Srreet pddress: RecAiv�d b��: � .`l' \� �l�" �z...� � Q i, ��cn � ��j'�, � 2750 Kell.,y Parkway .��"�''\�rr,-'`�+�-, Plan review fee: `��Esxoy"� Orono, MN 55356 To,a�.Fee: J�J� �� Main: �52-249-4000 Fax: °52-249-4010 www.ci.orono.mn.us _ � This appficaiion Torm must be completed ir full and all required inrormaiion must be submitted. �� incompfete appiicaiion will be returned. (Please prrnt) � uEN=RAL INFORMATIOn: /� � '' Job Site Acidress: �� ! � Wil! tnis be a Parade ot Homes, Remode�ers� Showcasa Home or other Disp�ay Fiome? U Yes i � �fo !f yes, a special event permif is required wifh Poiice Departmenf and Cify Counci!approva!6D days pnor to the event. Snuttie bus s rv e wil!be J required unlsss appficant aemonstrates suffic�ent on-site parking is available. Nor,-Qermitted events wif/not be aliowed. 1� �-, a.�� '�, COIVTRAC�'OR!�PPLICANT INrOP.M�}TIO�t: � �,�: �vame: '/ �- �`� o�J1 � �I� U� 27��-- �� ;� � � ' State License# C �xpiraiion Cate: t�, Lead Certificafion Number. Expiration Qate: `.�' (Tor work on f�omes thaf were constructe�'prior ro 1978 � ` j Phone: (office) (cell) � Maiiing Address: � p City: ZIP: Contact Person: Appiicant is: Contractor / Homeowner (Circfe One) Email and/or Fax; PRO?�RTY OWNER IN�ORMATION: Name: � � �,�S Phone(�ay): �S'�— �j % — y . Address: 1.3�T� 1�G_of� �2. City:ii%�-�-��zal� z�p's S-3�� ;_�- Email and/or Fax -'�� ' . .�.�. PRQJ�,CT IN�ORMf�,�IOR�: ,� Type of Project, ' Any eartn movement rra}�require `� I Door(s) � ❑ Remodel ❑ =ire Camage MCWD review&permits: I � Ninnehaha Creek Waiershed District(MCWD) � ' R e-r o o f, a s ha l t g i 1 E202 Minnetonka Blvo ' 1 P ❑ Repair ❑ Storm Dama e i � ❑ Re-roof, ceclar � Deeohaven, Mh' ��391 � ❑ Restorafion ❑ V�ater Gamage 1 Phone: 952-471-Q590 ...1 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Far,: 952-471-0082 "� I ❑Window(s) www.minnehahacreek orq i � .-� Overall Projec� ��scripfiaR: � =siirrzated Construciion �.°afuaiion of Frojecf (�xciucfing ;and) � �� PPLl�AI�T �CF�f�JVIlL=D�=M�t��: � � Agrees to provide all inrormaiior required or requested by fne Building Department; I � F • �eriifies trat the informafion suppiied is true and corre�t to tne best of his/her knowledge. The appficant recognizes tra� tney I � are sofely responsible for submit'ting a compiete appiication being aware that uoon �ailur�to do so, tne s'taff ras no aliernaTive I ,�� but to reje�t it until it is compiete; � Some or al! o` tne informafion that you are asked to provide on tnis aopiication is ciassified by State iaw as eitner private or j �� ,, confidentiaL ?rivate clata is inrormation wnich gene;aliy cannot be given to the pubiic but can be qiven to the subject of ihe I Y aata. Confidential da;2 is information wnich generally cannot be qiven to eitner tne pubiic or tne subiect o` tne data. Our , s � i purpose and intenoed use of this information is tc annualfv update our records and records of otner governmen,al aqencies � � reauired b��law. If vou refuse to sup�iv tne inr rmaiion.the aopfication mav not be issued. AppltcanYs Sigrature: ��—� ��. _ Date: -� � '_ast Updated: 08-09-2U11 .,�� i �;� ,.s .. �� _a.. _ _s_ _ � .. _ _ �, _ _. �_�r _ DATE ' TIME � CITY OF ORONO CALLED IN ��'�"�Z- INSPECTION NOTICE SCHEDULED //-ZJ �Z-- PERMIT NO��o3�l�k 7 co PLETED ADDRESS �� 2��y��i1/� OWNER TELEPHONE NO.�-ZC/�-222� CONTRACTOR � - �'7�7' �� DESCRIPTION �� ,rn � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL O FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W C � � O �. � O � W � Q � 2 W � w � �C� � W L$�OLpRK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETUflN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice DATE TIME ` / CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED �Z -/Z � PERMIT NO.o?D / 02 -U �� 7 COMPLETED ADDRESS I3`1 D ��-'� �� OWNER TELEPHONENO.�� Z�b ZZ� T"' CONTRACTOR ��. ��Cfi�wf�"�U�/I �; DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL , ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:_.�LG� �I'L �� W a � J O � � O � W � Q ti Z W � W � � � ❑WORKSATISFACTORY:PROGEED PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on sit :' Inspector. •�Y _ White Copyllnspector's File Canary Copy/Site Notice