HomeMy WebLinkAbout2011-01318 - roofing � ^ CITY OF ORONO PERMIT NO.: 2011-01318
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 10/25/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 355 STUBBS BAY RD N
PIN : 32-118-23-31-0003
LEGAL DESC : UNPLATTED 32 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 72,800.00
NOTE: VALUATION OF PERMIT:$72800.00 HOUSE&GARAGE
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 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 854.25
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 36.40
5145 INDUSTRIAL ST TOTAL 890.65
SUITE 103
MAPLE PLAIN,MN 55359
(763)479-8700
Minnesota State License#:20631574
OWNER
KRIEGER,FREDRICK&JULIE
355 STUBBS BAY RD N
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved ptans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
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 specif►ed hereia This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issua►�ce,or if construction is
suspended for a period of 180 days at any time aRer 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
revo ' e for d cause.
��, Zr-, �� /� i p�i //
ermitee Signature Date Iss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
3
' � � City of Orono ` `�y
Building Permit Application for Maintenance I Renovation
(windows, doors, siding, re-roof, etc.) �:
�O� Mailing Address: Permit number: ��1�d� �
PO Box 66
Q Q Crystal Bay, MN 55323-0066 Date received: /Q � /� a
°� ��. #Y
�� •�-�� s, Sfreef Address: Received by:
�
� ; ' ' � 2750 Kelle Parkwa t'
'�'.� � o Y Y Plan review fee: �
9'kESH�4� Orono, MN 55356 n �,
Total Fee: �{��, � �
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us v ��.
�
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: ��� � tv�g j ��., 2,� ��
Will this be a Parade of Homes, Remodelers Showcase Ho e or other Display Home? ❑ Yes ❑ No ��
�� I f y e s,a specia l even t permi t rs require d wit h Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be ;�
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil/not be allowed.
Y�
� CONTRACTOR/APPLICANT INFORMA�ON: ,�
�•� Name: . C.�s ���.�{-�2 ��,JS T2cr c' °�
�`'` State License # �
�v{o3 i�7� Expiration Date: � 3 - i� ;
�
�x` Lead Certification Number. Expiration Date: �
(for work on homes fhaf were constructed prior to 1978 �
�: Phone: ��,�-c./'j�_ �"1 c l, (office) (cell) �
Mailing Address: ,$'i c(,� �'�n�S�<� �4-- City: e1�p(`- W ZIP• S 3�� �
` ` Contact Person: Sd E-�� Applicant is: Contrac r / Homeowner (Circle One) �'
Email and/or Fax:
� ' ��
PROPERTY OWNER INFORMATION: �
Name: n , �
f�-+ �C�-L� ;�
;;�
Phone (day): ,�;
Address: ��d U B�S l�r., �-� City:�,pk,r e� �ia-yF�,�' ZIP• �
Email and/or Fax '.�
�
PROJECT INFORMATION: ��
, `
Type of Project: Any earth movement may require
❑ Door s ❑ Fire Damage MCWD review& ermits:
( ) ❑ Remodel Minnehaha Creek Watersh d District(MCWD)
�Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 =
❑ Re-roof, other(specify) ❑ Sidin Phone: 952-471-0590 �
g ❑ Other: (specify) Fax: 952-471-0682 ��.
❑Window(s) www.minnehahacreek.orq K�
•.i
Overall Project Description: (_��, ��=�- � �' �g- „� ��_�� �
�
Estimated Construction Valuation of Project(excluding fand) $ --7� g� �- '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. Confidenfial 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 t su the information, the a fication ma not be issued. ;•,
ApplicanYs Signature: � Date: J��Z�f // ..�
Last Updated: 08-09-2011 �
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b[y �- �� - ��'f��h�en
/ DATE E���
CITY OF ORONO ca�};�'�j� G b
INSPECTION NQ� �l�� p sc�i�'6rr�oj f �
PERMIT NOo�LJ 0 COM LETED
ADDRESS
OWNER TELEPHONE N �.��7��0 7�
CONTRACTOR
>; DESCRIPTION J�ah
�
� ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL ❑ 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
� ❑ 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
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
Owner/Contractor on si :
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION��GEQ�3/� SCHEDULED / — " ��
PERMIT NO. L COMPLETED
ADDRESS �Ss uS��S ���
OWNER TELEPHONE NO. �1� Z� �3��
CONTRACTOR ���s���
�: DESCRIPTION
�l��zG ��D-�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICA�RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Z
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 FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
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� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED C IS E CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on ite:
Inspector__�,�, /"7' I i\
White Copyllnspector's File Canary CopylSite Notice