HomeMy WebLinkAbout2011-01205 - roofing '� " CITY OF ORONO PERMIT NO.: 2011-01205
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEv: 10/06/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1240 SPRUCE PL
PIN : 08-117-23-32-0007
LEGAL DESC : SAGA HILL REVISED
: LOT 005 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 6,000.00
NOTE: VALUATION OF PERMIT:$6000.00
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 132.75
CHRISTIANS INC. STATE SURCHARGE(VALUATION) 3.00
1480 PARK RD
CHANHASSEN,MN 55317- TOTAL 135.75
(952)470-2001
Minnesota State License#: 3712
OWNER
LINDER,JENNIFER
1240 SPRUCE PL
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned 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 separate
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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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A icant Permitee Signature Date Issu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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' ' City of Orono � `
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Building Permit Application for Maintenance / Renovation �
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: —
�,�,�. PO Box 66
Crystal Bay, MN 55323-0066 Date received: �
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''� � Received b �
a � � �_ s, Streef Address: y� �
�',�, �'��J Gtiti 2750 Kelley Parkway Plan reviewfee: ,
� � Orono, MN 55356 `'
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\-- 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: `���� �or;�� ��6,��� �„Lb �,,,�� c�,`, S S 3��-1 �
Will this be a Parade of Homes, Re odelers Showcase Home or other Display Home? ❑ Yes ❑ No
If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be :�
required unless applicant demonstrates sufficient on-site parking is available. Non-permifted events will not be alfowed.
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CONTRACTOR/APPLICANT INFORMATION:
Name: ��t .5��1g"�nS �..rl G ''`
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State License# ��'� , a Expiration Date:
Lead Certification Number: Expiration Date: ;�
(for work on homes that were constructed prior to 1978
Phone: C��a_y,�(� _���\ (office) (cell) >�:
Mailing Address: ��b Q�,�� �� city: � .,� �Se,N ZIP: �5;3�'1 �':
Contact Person: �p�� Applicant is: �-��t7''�Ct� / Homeowner (Circle One) �
Email and/or Fax: l :�
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PROPERTY OWNER INFORMATION: �;
Name: ��.��e � �,,nke.f �
Phone (day): �S��'�.�1� -3�.a1 �
Address: 1 a`1� S�A`C���Q._. ��(.��— City: �.l(� v v�-C1� ZIP: 5.S 3�`, �
Email and/or Fax —� `a°;
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PROJECT INFORMATION: ��
Type of Project: Any earth movement may require �
❑ oor(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 tt
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 �
www.minnehahacreek.orq ''
❑Window(s) '
�r:
Overall Project Description: :�':
Estimated Construction Valuation of Project(excluding land) $ � ��� �
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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
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A: 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 to su I the information,the a lication ma not be issued. ''<
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Applicant's Signature: Date: ll� -{9-�I
Last Updated: 08-09-2011 �
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DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. o�0«"bl a'�4�5- COMPLEfED !$-/
ADDR l o'Z�'� s��c P Id!
OWNER TELEPHONE NO.
CONTRACTOR Cli.^;c��a.�S' ,1��tG -
� DESCRIPTION ��— ��� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ,�FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT
� � DEMO-SITE 0 SEPTIC MAINT.
J�FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUIVDATION/REMOVAL
2 OVYNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� ❑WORK SATiSFACTORY:PROCEED �JECT COMPLEfE
� ❑CARRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECTYUORK,CALL FOR REINSPECTtON TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETUFN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor on site:
Inspector��..�-✓ �
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White Copyllnspectors File Cenary CopylSks Notfce
GG��� ATE TIME "
CITY OF ORONO CALLED IN �� �
INSPECTION N TICE SCHEDULED /
PERMIT NO.���-�l'��`� co ETED
ADDRESS o� /"
OWNER � TELEPHONE NO. ��' y�7
CONTRACTOR
�; DESCRIPTION � ��
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CAIL FOR REiNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call torthe next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on sit :
inspector. �i \
White Copyllnspector's File Canary CopylSite Notice