HomeMy WebLinkAbout2011-00968 - roofing CITY OF ORONO PERMIT NO.: 2011-00968
, , -,, 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE 1SS[1ED: 08/3U2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1260 SPRUCE PL
PIN : 08-117-23-32-0012
LEGAL DESC : SAGA HILL REVISED
: LOT 001 BLOCK O10
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 9,500.00
NOTE: VALUATION OF PERMIT: $9,500.00
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 191.75
W.F. SMITH CONSTRUCTION STATE SURCHARGE(VALUATION) 4.75
6585 SO. SAUNDERS LAKE DR. TOTAL 196.50
MINNETRISTA, MN 55364-
(952)472-6539
Minnesota State License#: 5309
OWNER
TRUSTEES, E ANDERSON
1260 SPRUCE PL
MOUND, 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 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 responsible for assuring all required inspections are
requested in conformance with[he State Building Code.This permit may be `U/
revoke at any time for due cause,
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Applica 'P mitee Sig� ure Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. �:
City of Orono 3
� � Building Permit Application for Maintenance / Renovation c�t��
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
04.,�,j�O PO Box 66
Crystal Bay, MN 55323-0066 Date received:
.�,
a �T y s, Street Address: Received by:
��n '� ti�' 2750+�elle Parkwa �
� Y Y Plan review fee:
t9kESH04'� 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: �
s.';
Job Site Address: ��.T ���� S l�r ' t <'_ �, /� � _� < c� �„
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No ,�.:
If yes,a special event permif is required with Police Department and City Counci!approva/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 INFOR ATION: '�
� �,�
Name: - .�l�} � �F)-��, �
State License# ; 3 -�,�� Expiration Date: ;�����,�� 2 -�!
Lead Certification Number: Expirafion Date:
(for work on homes that were constructed prior to 1978 ;
Phone: l `�>�. ��S � (office) C�- � � - �� h ��7 - 3 I l
(cell)
Mailing Address: �,� " �' `� c'/+ =- iz � l � �,� City: �L�,�r�w�¢,; f 1 ZIP: S S3C- �
Contact Person: � `.0 Applicant is: ontractor / Homeowner (Circle ne)
Email and/or Fax:
PROPERTY OWNER INFORMATIO�: � �`
Name: �����p�; y- -��� �.� c�e Z � �> l .
Phone (day):
,
Address: City: ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require �
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: i
Minnehaha Creek Watershed District(MCWD) �
Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ��-
❑ Re-roof, other s eci Phone: 952-471-Q590
( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description:
Estimated Construction Valuation of Project (excluding land) $ �' ,��� -� �
t `�;
APPLICANT ACKNOWLEDGEMENT: -`�
• Agrees to provide all informafion 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 s
purpose and intended use of this i ormation is to annually update our records and records of other governmental agencies
re uired b law. If ou refu o su the informafion, the a licafion ma not be issued.
4 y • � �
ApplicanYs Signature: � � ,`—� Date: � �� 1 ' � 1
Last Updated: 08-09-2011 '�
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CITY OF ORONO
INSPECTION NOTICE _ `,���C�SCHEDULED � 3 � 1 ( �"�
PERMIT N0. ��c^,I ( bCOMPLETED
ADDRESS � �� � �1�f'�t �--� ��
OWNER TELEPHONENO. �'�a��'��-3� � �
CONTRACTOR ��`--' �� c�lLYl ►`���
'>; DESCRIPTION �� ��
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEP FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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GW`�SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL fiEfURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-460�
OwnerlContractor on ite:
Inspector_ �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME 1 /
CITY OF ORONO CALLED IN V
INSPECTION NOTICE SCHEDULED
PERMIT NO. �o,�l �o�d96�l COMPLEfED L�/�-/y
ADDRESS /�G o SB�ccc� I��.
OWNER TELEPHONE NO.
CONTRACTOR w- F- s•�.-��i �a.cS� .
�: DESCRIP170N /<<- i''Gd�
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
O ❑ FHAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� NAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT.
�FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTON TO MEET YOU:_YES_NO
y COMMENTS:
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� ❑VIbRK SATISFACTORY:PROCEED �BAAdE6T COMPLEfE
w ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT YVORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (952) 249-4600
OwnerfContractor on site:
Inspector.� �
Whits Copyflnspectors File Cenary CopyfSite Notice