HomeMy WebLinkAbout2011-00728 - roofing '�' CITY OF ORONO PERMIT NO.: 2011-00728
, ' 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISsuEn: 07/26/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2550 SIXTH AVE N
PIN : 28-118-23-41-0005
LEGAL DESC : WILLOW RUN
: LOT 004 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILD[NG-LJNDEFINED
VALUATION : $ 12,300.00
NOTE: 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 236.00
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 6.15
5145 INDUSTRIAL ST
SUITE 103 MISC FEE 0.00
MAPLE PLAIN, MN 55359 TOTAL 242.15
(763)479-8700
Minnesota State License#: 20631575
OWNER
RICE,EDWARD&TERESA
2550 SIXTH AVE N
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,applicabie 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 l80 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 confo ce with the State Building Code.This permit may be
revoked y time for ue cause. '''
c� / � / � �
pplican mitee Signature Date Issued y Si ture ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO
�- City of Orono
. Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address �
Permit number:
��v 0,�� PO Box 66 �;�
Crystal Bay,MN 55323-0066 Date received: '
,� � ;��, �, Street Address: Received by:
�'�,c, ''�' ti�' 2750 Kelle Parkwa
'� a `yG Orono, MN 55356 Y Plan review fee:
�ESHo4
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: � ` � ±
s
Job Site Address: `��� `�v'v'�I ,�-t_G� ,�
S
Will this be a Parade of Homes, emodelers Showcase Hom r other Display Home? ❑ Yes o ,;,
!f yes,a special event perrnit is required with Police Department and City Co cil approval 60 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. R;
�;,
r
CONTRACTOR/APPU( T, INFORMATION: �
Name: �l������'r�- �
��
State License# ������7� Expiration Date: i�;
Lead Certification Numbe : Expiration Date: a�
(for work on homes t�►at were consfructed prior to 1978 �
Phone: ������(�—��3 S/ (office) (cell) �
Mailing Address: Cit : ZIP:
,'�
Contact Person: , Applicant is: on� / Homeowner (Circle One) �
Email and/or Fax: �
. �
PROPERTY OWNER INFOR A�ION: �
Name: — ,c� l�: a;
,�
Phone (day): C�S _ �
Address: ( City: �✓\f� ZIP: �
Email and/or Fax �
�
PROJECT INFORMATION:
Type of Project: Any earth movement may require ,,�
❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: �''
Minnehaha Creek Watershed District(MCWD) ��
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ��
❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391
Phone: 952-471-0590
(�-�te-roof ❑ Fire Damage Fax: 952-471-0682
V www.minnehahacreek.orq �
Overall Project Description: - . -- w �, _,�l���.j,�
Estimated Construction Valuation of Pro'ect exc udi fand �� �
1 ( 9 ) s
'�
;�'
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 records and records of other governmental agencies
re uired b law. If ou refuse su ! e i ormation, the a lication ma not be issued.
Applicant's Signature: Date: �;�_
Last Updated: 03-01-2011 �
�
s3
TE TIME V
CITY OF ORONO CALLED IN .
INSPECTION NOTICE SCHEDULED
PERMIT NO.O1D//—G�O7o�� COMPLETED
ADDRESS � �
OWNER TELE HONE NO.
CONTRACTOR /�f_.��-�
� DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
� v� � I
�
O `!
�
O
�
W
�
Q
�
2
W
�
W
�
� ,
� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. —� ._�T���
White Copyllnspector's File Canary CopylSite Notice