HomeMy WebLinkAbout2011-00670 - roofing � ��
CITY OF ORONO PERMIT NO.: 2011-00670
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/18/2011
952 249-4600 FAX: 952 249-4616
REPRINTED ON 7/18/2011
ADDRESS : 3045 SIXTH AVE N
PIN : 28-118-23-32-0008
LEGAL DESC : UNPLATTED 28 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL 4,
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 16,000.00
NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48IdOTICE,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.
TEAR OFF REROOF-HOUSE,GARAGE&SHED
APPLICANT pERMIT FEE SCHEDULE 280.25
EXECUTIVE EXTERIORS&REMODELING STATE SURCHARGE(VALUATION) 8.00
4205 LANCASTER LANE
PLYMOUTH,MN 55447- TOTAL 288.25
(763)432-4677
Minnesota State License#:20592356
OWNER
RYDER,JOHN&BARBARA
3045 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,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 goveming 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.
�£l� �IfY�� i i 7/ � g l �
Applicant Permitee Signature Date Issu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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� City of Orono r-� �--3 �
Building Permit Application for Internal Work ��
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(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: -�� Q
�g,0,�.� PO Box 66 ;
Crystal Bay, MN 55323-0066 Date received: /� l '
�q�� � Received by: °
a �;,:z� s. Street Address:
�'.�, �� �,ti`� 2750 Kelley Parkway Plan review fee: ``'
t9kESH�g'� Orono, MN 55356 �
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:
Job Site Address: �Q�� �? �
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Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
!f yes,a specraf event permit is required with Police Department and Cify Council 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.
CONTRACTOR/APPLICANT INFORMATION: �-�
Name: � e ) �J �; �" �1 n �
State License# '�9�� xpiration Date: - -/ '.�
Lead Certification Number: Expiration Date: �
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(for work on homes that were constructed prior fo f 978 � .��,'
Phone: ? 5-� �'� .Z' �77 (office) �1,2 ' �v—� -!� `� �`� (cell) '�
Mailing Address: q ;^ �� City: ; , ;r-� ZIP: �,��� �
Contact Person: i e Applicant is: on ra r / Homeowner �c�r�ie one� '':�
Email and/or Fax: , . ; �>- � U(��, �y
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PROPERTY OWNER INFOR A��ON: � � I��� �
Name: ,�- G� _ _ �
Phone (day): �j�z_ ^_ `' �
Address: _-, � �� d-- � City: ,� i?F7G �, � ZIP:_,,;���'�, t '�i
Email and/or Fax �
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PROJECT INFORMATION: �
Type of Project: Any earth movement may require �
❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: r
Minnehaha Creek Watershed District(MCWD) ;�
❑Window(s) ❑ Repair � Storm Damage 18202 Minnetonka Blvd
❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 ��
Phone: 952-471-0590
� Re-roof ❑ Fire Damage Fax: 952-471-0682 ?��,
www.minnehahacreek.orq
_Overall Project Description: �•��� Hr�.�>. ra��r�c.��ic�f � �,l i�c� ('e—rc'Xaf '
Estimated Construction Valuation of Project(e'cluding land) $j6.nC�c� �
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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 altemative ''`�
but to reject it until it is complete; �
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• 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 to su I the information, the a lication ma not be issued. ;;;;
, � '
ApplicanYs Signature: ��-t'�� ��s',�[�/ Date: � ` �(�� �r t
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Last Updated: 03-01-2011 �
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CITY OF ORONO CALLED IN �
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INSPECTION OTICE SCHEDULED `] � �
PERMIT NO. � COMPLETED
ADDRESS �C> �a7'� �d11�V , /
OWNER TE HO E NO. ���"��`f
CONTRACTOR � �
� DESCRIPTION
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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. ❑ FOILOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
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❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's Flle Canary CopylSite Notice
DATE� TIME ��
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED � �
PERMIT NO. �oi�oo�7o COMPLETED --1��
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CONTRACTOR L°C(.t�'l U'e- �C7-c{�l�rS V�
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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❑CORRECT UNSAFE CONDITION WiTHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor o site:
Inspector.
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White Copyllnspector's File Canary CopylSite Notice
DATE TIME �
CITY OF ORONO CALLE�
INSPECTION NOTICE SCHEDULED �u�0-l'L �/
PERMIT NO.����-����� COMPLETED �
ADDRESS �D`�'�"� S�-,'��► c-u� /V
OWNER TELEPHONE NO.��� oZD7 ��7�'
CONTRACTOR �
�: DESCRIPTION �.��� �"'`y7�
� ❑ 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 ❑ COMPLA�NT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO 7-I�I- �� NO O�'�-2`F�t-4�t-C�
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 urs in advance. (J52� 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice