HomeMy WebLinkAbout2011-01362 - roofing .� � `� CITY OF ORONO PERMIT NO.: 2011-01362
2750 KELLEY PARKWAY
ORONO,MN 55356- nA'rE�ssuEn: 10/3U2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1230 SPRUCE PL
PIN : 07-117-23-41-0092
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 11,004.00
NOTE: VALUATION OF PERMIT:$11004.00
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 221.25
AL HIRSCH& SONS STATE SURCHARGE(VALUATION) 5.50
PO BOX 633 TOTAL 226.75
DELANO,MN 55328
(763)972-2716 PAID WITH CC# 7645
Minnesota State License#: 1240
OWNER
MOE,W WYATT&NANCY
1220 SPRUCE PL
MOiJND,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 does
not grant permission for additional or related work which requires sepazate
permiu. 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 alt required inspections aze
requested in confortnance with the State Building Code.This permit may be
revoked at any time for due cause.
���d�.--�t . � l�l 3� l R o �1 U�� �
Applicant Permitee Signature Date Issued y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
_ �
. ' City of Orono
Building Permit App(ication for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number. ��� �—d/J� �P
/ g+�,� PO Box 66 '
/Q Q Crystal Bay, MN 55323-0066 Date received: �� �� '
� ��
�,a � s, � Sfreet Address: Received by:
���-
��� t ;,':,,,,�, �ti 2750 Kelley Parkway Plan review fee: •�
t9,kEs��' Orono, MN 55356 ;i
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 app(ications will be returned. (Please print)
GENERAL INFORMATION: �'
Job Site Address: �,� �� 0 S��v,,� c N j�lc� E; �
Will this be a Parade of Homes, Remodelers S�iowcase Home or other Display Home? ❑ Yes ❑ No
If yes,a specia!event permit is required with Police Department and City Counci/approval 60 days prior to the event. Shuttle bus service will be "!6
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil/not be allowed.
;�
CONTRACTOR/APPLICANT INFORMATION: �
Name: �� / �,1 i ✓� `���, �� �.S e y1 S ��u r1 5� �
State License# ' ��j�� Expiration Date: �� —�� �� �
Lead Certification Number: Expiration Date: � � �`'
(for work on homes fhat were constructed prior to 1978 �:�
Phone: (office) (cell) r;
Mailing Address: City: ZIP:
Contact Person: Appficant is: Contractor / Homeowner (Circle One) �
Email and/or Fax:
� :t�
PROPERTY OWNER INFORMATION: �
Name: Lr> c/ci� rt %llrc',h�i..� � d C'_
Phone (day): r�'_,r-a ..�;�7L7� � a
Address: � �3� S �r J c.�, �/� e � City: ���, ,�G ZIP:
Email and/or Fax
PROJECT INFORMATION: ;�
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&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
a;
Overall Project Description: �,,� �,,;� a s a , a;� w J� ^
Estimated Construction Valuation of Project(excluding land) $ /lQ�,� �t� +�
��
APPLICANT ACKNOWLEDGEMENT: � �
f�
• 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 ;j
• are solely responsible for submitting a complete appfication 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 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 `y
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 informafion, the a lication ma not be issued.
ApplicanYs Signature: , z7��� Date: ;�
�,�/� -3/�- ���C
Last Updated: 08-09-2011
;,.
. . __ _. i;
� ATE TIME v
C/'`/� ALLED IN �� I I
CITY OF ORONO c
INSPECTION�/��13��CHEDULED I � ��
PERMIT NO. OMPLETED
ADDRESS � �V �_►�Y�L�C� 1Y �GLC' �--
OWNER �T LEPH E N0.7�P3- �17 a-Z�I�
CONTRACTOR � �S� �'�-�
�; DESCRIPTION I ��"� ����
�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
h ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
Q
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
w
a
z
J
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
j
d
W� �14{ORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED Ci ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
[7 CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
i 7 STOP ORDER POSTED.CALL INSPECTOR
[] INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail tor the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
Inspector_ .���
White Copy/inspector's File Canary CopylSite Notice
(,� � CY-,�ED�' ✓
/DATE TIME
�TY OF ORONO CALLED IN � �1 � �
�PECTION NOTICE SCHEDULED � f �
RMIT NO. :-�O I I —D � 3 L'ZCOMPLETED
�DRESS �a�� �� 1�1�(1�.�' Q , � ��
uWNER TELEPHONE N 1������ �`� ���/5fa
CONTRACTOR � �<< I^��� ("l`��•
, , r
�: DESCRIPTION � �� �` � �--�
�
lL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
ti
O ❑ 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 ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINA ,� ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEEf YOU:_YES�NO
� COMMENTS: ��l"'�� �>�-�-- �`I �1'� �I �Z_/ I (
w
a
�
J
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
j
GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CA�I FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
C�CORRECT UNSAFE CONDITION WITHtN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
i ; STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector
White Copylinspector's File Canary CopylSite Notice