HomeMy WebLinkAbout2012-00409 - roofing CITY OF ORONO * 2 0 1 2 - 0 0 4 0 9 *
' 2750 KELLEY PARKWAY DATE ISSUED: 05/15/2012
� ORONO,MN 55356-
� 952 249-4600 FAX: 952 249-4616
ADDRESS : 2710 PENCE LA
PIN : 21-117-23-23-0046
LEGAL DESC : WALTERS PORT
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTNITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 28,000.00
NOTE: VALUATION OF PERMIT:$28000.00
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 445.25
TRADITION ROOFING&EXTERIORS STATE SURCHARGE(VALUATION) 14.00
2080 ITASCA AVE TOTAL 459.25
ST PAUL,MN 55109-
(651)69&3024
Minnesota State License#:206434827
OWNER
HABERMAN,D&H
2710 PENCE LA
EXCELSIOR,MN 55331-
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 onty 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 sponsible for assuring all required inspections are
requested in c an e with the State Building Code.This permit may be
rev time f due cause.
���s � 5 i/J`� i/a---
App icant Permitee Signature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
- City of Orono
, " Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number. � �— �
O.g,�,�.0 PO Box 66 _
Crystal Bay, MN 55323-0066 Date received: �
�
,� � �� ,:;_ �., Street Address: Received by:
'�'�,L,��������°ti 2 f50 Ke��l�levy ParkwaY Plan review fee:
9 k E a g,� O o o, 5 5 3 5 6
$K, ��-� ��.
__
-- Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 wl�,-�,v � �rt;;� ,:���_us �
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (P/ease print)
GENERAL INFORMATION: �J /_
Job Site Address: =�! rC� �'t'�`�E /�'UF.
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No
If yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required un/ess applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION: � �
Name: �/za D�!7c�i' ,sec•a F/�t,'L � L�J�'�-��cr?S
State License# �� �,� �1 � Expiration Date: 3 ?�/3
Lead Certification Number. /t,14 T E� �-/,X -- / Expiration Date:
(for work on homes that were constructed prior to 1978 `j�- ��`• j'C'1f��----�,
Phone: �,�a .���,� - 7�/ � (office) � i r,�•¢a��� (cell)
Mailing Address: �j .Z ,;SL�c � City: _ ,� ZIP: 5'S'��
Contact Person: �' � D5�N Applicant is: ontractor Homeowner (Circle One)
Email and/or Fax: �� � ` �yj �� �� , CpM .
PROPERTY OWNER I FORM�TION• �
Name: ��,� �� /�Ui �/j�f�
Phone(day): �
Address: Z7lQ �iJe.F .v,r City:���,v;.� ZIP: SS33/
Email and/or Fax C� cd /N�� <r�i+�'� - ��'rN
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits:
Minnehaha Creek Watershed District(MCWD)
❑ Re-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), www.minnehahacreek orq
Overall Project Description: 1l �'� !2 + �
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 infor ation which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of is inform � n is to annually update our records and records of other governmental agencies
re uired b law. If us u information,the a lication ma not be issued.
; —..._. 1
ApplicanYs Signatut� Date: �� �'� l���
Last Updated: 08-09-2011
� — /� / Ju4TE � TIME ✓
CITY OF ORONO CALLED IN �
INSPECTIO���-0D�� SCHEDULED
PERMIT NO. COMPLEfED
ADDRESS �7�� J� �
OWNER ONE . S�� 2'
CONTRACT � �� �
� DESCRIPTION ��� � �
� ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/ LING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTORIMLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali torthe next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector. ,!'21J�S
White Copyllnspector's Ffle Canary Copy/Site Notice
� D,,AT�_ �' TIME ,/
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE �CJ SCHEDULED -S-� ��
PERMIT NO. a��a� �OD�` ' COMPLETED �
ADDRESS G�7�� �� ��
OWNER TELEPHO E NO. IDIZ � ��'�
CONTRACTOR T��Zd'��� � ���!`+
j, DESCRIPTION ��"u'� ' v" /
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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
"� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECCr/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL�NSPECTOR O CITATION iSSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-46��
Ovmer/Contractor on site:
Inspector. o. � �
White Copyllnspector's File Canary CopylSite Notice