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HomeMy WebLinkAbout2012-00914 - roofing � CITY OF ORONO * 2 0 1 2 - P1 Pl 9 1 4 * ' 2750 KELLEY PARKWAY DATE ISSUED: 09/13/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1415 PARK DR PIN : 07-117-23-42-0017 LEGAL DESC : SAGA HILL REVISED : LOT 002 BLOCK O15 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 9,250.00 NOTE: VALUATION OF PERMIT:$9250.00 REMOVE 3 TAB SHINGLES-INSTALL TEMCO RUSTIC SLATE 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 STRUCTION CONTRACTING LLC STATE SURCHARGE(VALUATION) 4.63 1315 PARKVIEW DRIVE TOTAL 196.38 CHASKA,MN 55318- (612)309-4653 Minnesota State License#:BC637053 OWNER BRANTER,BRIAN 1415 PARK DRIVE 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 dces 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 aze requested in conformance with the State Building Code.This permit may be r any ti use il� l�Z � i �,.3 i /�- pplicant i ee Signature Date ssu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ' ' � ' '''� �_� .� '��:�� ��� � ���� a�f C��o��� � '� 't��a`��ir�g Pe���f App�i�a�io� for li�air��e�a�ce l �enQva�ia� ,I • � (windov�►s, doa�-s, siding, re-roof, e�c.) , , � � ;4, Maifing Address . � �.E /� PO Box o6 i Permit number. �-O (�-(TU 9 I �: C stal Ba MN 55323-0066 Date received: �, �� �',.�:., � �' y' c1 / 3 -/ � , �•. ��`� I� � � �, � Streef Address: Received by � `�' � ��'�' ti ' 2750 Ke(le Parkwa � � � �� \;�'��"i�R�' ° Y Y Plani;reviewfen, ;�� gESHo�''� Orono, MN 55356 � Y{ Total Fee: � �'1 ,� - � a �; �� Main: �52-249-4000 Fax: 952-249-4616 www.ci.orono.mn.us `� This appiication form must be completed in full and all required information must be submitted. � incompfete appficafions will be returnecl. (Please print) ;� y' � GENERAL INFORI1rATlOf�: ��- Job Site Address: 1 /S I��.v� 1.`���. �'`� �a , ;�IUI� �s��� � �� Will thEs be a Parade of Homes, Remodeiers Showcase Home or other Display Nome? ❑ Yes P�o �� lf yes, a spec�al event permit rs required with Police Departmenf and City Counci,'approval 60 days prior to the event. Shuttre bus ae�e wi(l be �"'; required unless appficant demonstrates sufiicient on-site parking rs available. Non-permitted events wil/not be allowea'. ,;� I � ! CONTRACTOR/APPLICANT INFORMA'�101�: r�<1 N a m e: f/�. � G-Gr�=c••-1 L� �— � :�� State License # �� ��,_� ��S � Expiration Date: 3 � :� � Lead Certification Number. Expiration Qate: ,� f:� (for work on homes thaf were consfructed rior fo 1978 � �� � Phone: �O�Z' S'�a/-L1�� � (office) ��o��� Maiiing Address: � ���-�� City: � ZIP� � ;_ Contact Person: )�,,,,«,,�y� App(icant is: ontractor / Homeowner �Circ{e One) � Emai! and/or Fax: bj-�1h,, 1����..� � g��7--L � C�� 5,= � � �� �'=; PROPERTY OWN INFORMATIOI�: ;�; Name: l� � a.. rZ c� � � . Phone(day): �PIZ� (py5�-(ol� � ' �� �'> Address: i�/� I-�G.�� 1�l''�✓� City:Q�,,t� ZIP' �� F�� Email and/or Fax ` � �� °- PROJcCT INFORM�eT101�: Type of Project: qny earth movement rrsay require � ❑ Door(s) ❑ Remodel ❑ Fire Camage I MCWD review&permits: !3` Minnehana Creek Watershed District(MCWD) � ,�"�� Re-roof, asphalf ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � �' ❑ Re-roof, cedar ❑ Restorafion Deephaven, MN 55391 � ❑Water Damage �;� Pnone: 952-471-Q590 � �. ❑ Re-roaf, other(specify) ❑ Siding ❑ Other: (specify) Far.: 952-471-OoS2 �`- �,, � ❑Window(s) � www.rninnehahacreek.orq � � �` � � Overall Project Description: � ��+: ✓vt '� T s :-��L�S �r�c-fa C( ►�eGh I 2�n L� -�-r� �/a�'� �r� Esfimate�t Construction Vafuation of Prolect (exciuding fand) � ����j �� � �;;A �� APPLI�AI�4T ACKNOWLED�EMcf�(T: ;�� �;. �r:- • Agrees to provide all inrorrnation required or requested by the Building Department; • Certir'ies that the informaiion supoGed is irue and correct to the best of his/her knowledge. The appficant recognizes that they � �; are sofely responsible for submitting a compfete appiicaiion being aware that upon failure to do so, the staff has no aliernative �N; but to reject it unfil it is complete; I • Some or all of tne information that you are asked to provide on this application is ciassified by S,a'te law as eitner private or ��� � coniideniial. Private da,a is information which gene;alfy cannot be given to the pubfic but can be given to the subiect of tne ! da,a. Confidenfial data is informatior which generalfy cannot be given to either the pubfic or the subjec't oT tne data. Our Ipurpose and intended use of this information is to annualiy update our records and records of other qovernmen;al aqencies � re uired by law. If vou refuse to suppiy tne inrormation tne appfication mav not bP ICSL�Ad I t� ApplicanYs Sigrature: �� _ paLo: I� � f Z ,',` _J �zst Updated: OP,-09-2D11 ATE TIME � CITY OF ORONO CALLED IN -� ' a---- INSPECTION ICE . /SCHEDULED �J.� / �-- PERMIT NO. � `� �`/� MPLETED � ADDRESS OWNER • LEPHO�"` / �� CONTRACTOR,�U �O�l � DESCRIPTION / � � ❑ 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 _ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a j O �. � O � W � Q � 2 W � W � � ��1WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAIL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on 'te: Inspector. White Copyllnspector's Fiie Canary Copy/Site Notice F� ��>f � � � C �� DATE TiME CITY OF ORONO > CALLED IN j ( -Z�-�" �z--� INSPECTION NOTICE SCHEDULED i Z-��-+Z I . SZ`, PERMIT NO. �-��-` =? �L�L��1 ��coMP�ETE� ADDRESS �I (C'� �-=`-��� .j��._ . OWNER TELEPHONE NO. �'�`� ���-��'j� CONTRACTOR ��� ►���.�=y.� `r� ������'}f_�c��-� 1 Yr'1 (�� �; DESCRIPTION � �-�������1 ��1 � � V`��- I � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC JNSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � o ,' C ����5 �� �-1��,- �. � 0 � W � Q � z w � W � � GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP OFiDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice