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Home My WebLink About2012-00526 - asphalt roofing CITY OF ORONO * 2 0 1 2 — fd 0 5 2 6 * ' 2750 KELLEY PARKWAY DATE ISSUED: 06/13/2012 ` ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 900 PARTENWOOD RD PIN : 08-117-23-21-0008 LEGAL DESC : PARTENWOOD : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 24,500.00 NOTE: VALUATION OF PERMIT:$24,500.00 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 TI�ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 413.00 GIERTSEN COMPANY 8385 IOTH AVE N STATE SURCHARGE(VALUATION) 12.25 GOLDEN VALLEY,MN 55427- TOTAL 425.25 (763)54Cr1300 Minnesota State License#:BC1796 OWNER JACKSON III,ROBERT&ANN 900 PARTENWOOD 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 sepazate � 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 revoked at any time for due cause. ' �il 3 i ZZ� i i Applicant Pe 'ee Signature Date Issue y ature - ate SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED ABOVE. � ' �"'"�`"� �:� `` " ,� � � ��1/ Of a'r4F�C} .: � � a� � � �� : � �; ' B�ilc�ing Permit Appiication for IVlainter�ance / Renovation �� ' (windows, cioors, siding, re-roof, etc.) �� v M,ailing Address: I O � � /O�v 0,� PO Box 66 Permit number. — � 0 Crystal Bay, MN 55323-0066 Date received: —/ ;: �. , �a l ��`;� s� � Streef Address: Received by: ' � � t ;" ti/ 2750 Kelle Parkwa � o y Y Pfanrreviewfee: L9'kESH04� Orono, MN 55356 �,, ',' Total Fee: �" ��; Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us p�� This application form must be completed in full and all required information must be submitted. �� r incompfete appfications will be returned. (Please print) �� GENERAL INFORMATION. � , % �' Job Site Address: ��7'^ i- f"` ';i _`Y-� lt .,' ��.,� _ �,.,'�, �`�;I�� j f' �"L,�.� � �� < < � ��=� { � � - � � �� ' Will this be a Parade of Nomes, Remodelers Showcase Home or other Disp{ay FFdme? ❑ Yes �No � If yes, a specraf event permit is required with PoGce Departmenf and City Counci/approva/60 days prior to the event. Shuttle bus servic`�will be � required unless applicant demonstrates suffcrent on-site parking is available. Non-permrtted events wil/not be allowed. ` ;,,r' CONTRACTOR/APPLICANT INFORMATIOf�: � �' Name: �_ "�- ;�; ' _ ,� :� _ x�.,.,,: Gy.,, ;�� ' State License# L�:�,�-�,�7�� Expiration Date: •� ��/`-� � �� :' Lead Certificafion Number: Expiration Qate: �; � (for work on ho es that were constructed prior to 1978 � Phone: -,-�` ;� � �. ��: . �;,� (office) �'�f,,;-, _�, ,. _ ..�,� �._,-� ,_��- (cell) � , , � ,3; Maifing Address: ` _; c i:- ,�.-":. �� \ City:�%,�r `.vU ,� `,.. %/,,�ZIP. c:`�.� -� -- � Contact Person: ,�' _ ,� �, �r��t{,J Applicant is: Contractor� / Hom OWf10( (Circle One) �� Email and/or Fax: ��v+� �7�q/��(%✓'�"�E°�:��,�-� �'��''�; � �:" / PROPERTY OWNER INFORMATION`,_ �� Name: r' �--�..; ,,�� C.0 1�� Phone(day): /f�; .v 'f 7I —O.�'?`�' ° Address: ��j �� ,,�'��,�./ � .�"� ;%�,i� City: � j', ZIP: .� ��'��-, �_ ; /s'X�-�'" r'r /' �,. ( Email and/or Fax �C �� PROJECT INFORMATION: � �. Type of Project: Any earth movement may require I � � ❑ Fire Qamage MCWD review&permits: ❑ Door(s} ❑ Remodel f� ` ° Minnehaha Creek Watershed District(MCWD) � ' Re-roof, asphalt �Repair .Storm Damage 18202 Minnetonka Blvo � _ ❑ Re-roof, cedar ❑ Restoration Deephaven, MN 55391 � ❑Water Damage ❑ Re-roof, other s eci Phone: 952-471-0590 � ( P fy) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 � ❑Window(s) i www.minnehahacreek.orq �� '$� Overall Project Description: �` , -- r ; -;�._ �=� u �y, � ` Esfimated Construction Vafuation of Project (exciuciing fand) $ ��, �=l'�- , ��' ¢� ,; z;� *n �� APPLICANT ACKNOWLEDGEMENT: �� • Agrees to provide all information required or requested by the Building Department; � ` • Certifies that the informafion suppfied is true and correct to the best of his/her knowledge. The app(icant recognizes that they �� ` are solely responsible for submitting a complete app(ication being aware that upon failure to do so, the staff has no alternafive �� but to reject it until it is complete; ,� � • Some or all of the informafion 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. Confidenfial data is information which generalfy 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 records and records of other govemmental agencies ;� re uired b law. If ou refuse to su I the informafion, the a fication ma not be issued. �_.� � ApplicanYs Signature: �—�"`�' ' _ ' Date: l �� 1��`�� Last Updated: 08-Q9-2011 � � - ,:,�� , ; � �� _,, �.,_. _ _. �. P .�,{� ��' � �� DATE TIME � CITY OF ORONO � CALLED IN ! ' � � INSPECTION NOT�CE / scHEou�E� _ - !4� � �`` ` � PERMITNO. ,-�s('f,� �`(�COMPLETED ADDRESS Cf�.- ��'�%-` �-"�? �� `L��.C� OWNER TELEPHONE NO. 4��"� ��=��-J-�� CONTRACTOR � ,; % s'�'? / SP�, �C� • � � , � DESCRIPTION l " • '�--�- ��'� � ❑ FOOTING ❑ PLUMBING FINAL ' ❑ EXCAV/GRADING/FtLLING 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 J ❑ PLUMBING RI ❑ SEPT C FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W C � J O � � O � W � Q � Z W � W � � � d W� �t W�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWtTHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETUFN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on ite: - Inspector. o w ' White Copy/lnspector's File Canary CopylSite Notice — p DAT� TIME ✓ CITY OF ORONO CALLED IN 8 INSPECTION NOTICE SCHEDULED X�-Z---1 Z PERMIT N0. °'?��a—DO sz` COMPLETED ADDRESS g�� P oe � OWNER TELEPHONE NO. 7�3 Z 3 � S?v��' CONTRACTOR ��s�� Co r�y � DESCRIPTION /�--�T / l�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ZO 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 ❑ FOUNDATIOWREMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J O � � O � W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR O CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Ca11 for the next inspection 24 hours in advanc:e. (952) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice