HomeMy WebLinkAbout2011-00684 - roofing .`
' CITY OF ORONO PERMIT NO.: 2011-00684
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/20/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 480 STUBBS BAY RD N
PIN : 32-118-23-13-0003
LEGAL DESC : LJNPLATTED 32 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 19,000.00
NOTE: 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.
THIS PERMIT INCLUDES WINDOW REPLACEMENT AND TEAR OFF REROOF
APPLICANT pERMIT FEE SCHEDULE 324.50
MINNESOTA EXTERIORS INC. STATE SURCHARGE(VALUATION) 9.50
8600 JEFFERSON HIGHWAY
OSSEO,MN 55369 MAIL-IN FEE 2.00
(763)391-5508 TOTAL 336.00
Minnesota State License#:2877 PAID WITH CC# 2730
OWNER
GAUSE,TODD&DONNA
480 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 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
( ' 7, .20 ,i� -� � ao� �
Applicant Permitee Signat Date ssue ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Ju1, 20. 2011 8; 56AM 1634938980 MN EXTERIORS INC. No, 1932 P, �/2
,
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City of Orono
Building Permit Application for Internal Work
(windows, doors, sidin , re-roof, etc.
Q'O� MeilinPgo 6ox 66 • Pe��t number: O�D - 8'
Y
Q Q Crystal Bay,MN b6323-0066 Date received: 7 ,Z,D
� StreetAddress: Received by: (�
�t �� 2750 Kelley Parkway Plan review fee
dg �g Orono,MN 55356
Total Fee: � 3 �, �
Main: 952-249-4600 �ax: 952-248-+3616 . '.o o.
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: �}
Will thls be a Parade of Homes,Remodelers Showca�e Home or vther Dlsplay Home? Yes No
If yes,a spaclel event permit is required wT�h Police bepadment end City Couqcil approval 60 days pnor to the event, Shultle bua service wiU be
►equired unless epplica�demonsfrdfes suillcient on-sile parking/s availQ6le. Non-perrru?ted e�rents will not be allowed.
CONTRAC70R/APpLiCANT INFORMATION:
Name: MI n R�� �12lO(�,�"TA.0 .
State License# �Z� Expiration Date: _ 3-31�O��
�ead Certification Number: �xpiration Dafie;
(for work on homes thaE xrere constructed prior to 1978
Phone: -���-$�lj U (office) (cell)
Mailing Address: City: Z�p� ' `
Contact Person:
Email and/or Fax: �s�� ��� � ` Applicant is: Contractor / Homeowner �c�►��o�e�
c!� �' v�:� m+� , o ,-� _ �
PROPERTY OWNER INFORMATION:
Name: �o�N K�.�"Tbi�D �A<<.l� �
Phone(day): 5a_ s'(�--�� � ' • '
Address: � S"�lA�F3S �-�( QU Arl� City: LG1J6�(.g�(�' ZIP• S��Zo
Email and/or Fax '
PROJEC7 INFORMATION:
Type of Project: Any earth movamerrt may require
❑Door(s) ❑Remodel ❑Water Damage �GWD review 8�permits:
'�Window(s) ❑Repair []Storm Damage Minnehaha 8202 Minneetonka Bllvd��MCWD)
❑Siding ❑Resto'ration [�Other:(specify) Deephaven,MN 55391
'�[Re-roof Phone: 952-471-0590
❑Fire Damage Fax; 952-471•0662
h e
Overall Project Descri tion: � � S �N �
Estlmated Construction Valuation of Project(excluding land) $ _�p p ,a o r
APPLICANT ACKNOWLEDGEMENT:
• Agrees t�provide all ir�formation required or requested by the Buildin�Department;
• Certifles that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes thst they
are solely responsibls�or submimng a complete application being awere that upon failure to do so,the staff has no altemative
but to reject ifi 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
confldential. Private data is inforrnatlon which generally cannot be given to the publie but can be given to the subject of the
date, Contidential data is information which generally cannot be siven to elther the public or the subject of the data. Our
purpose and intended uae of this information is to annually update our records and reco�ds oF other governmental agencies
re uired b law. If u refi,se to su I the information the a lication ma not be issued.
Applicant's Signature: Date: ��e�C.�—a(j � �
Last Updated 03-01-2011
✓
S_��E TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE ' / SCHEDULED 'z — ��
PERMIT N0.�19�/—DD��7 COMPLETED
ADDRESS 7�`0 ��'�i�%�-� �t(J�,t�/�
OWNER TELEPHONE NO.��.3 �I -5�/Z
CONTRACTOR /�/1�.�i(l J��IOYS
a DESCRIPTION �C��C �
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y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
O � FAAMING ❑ 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 FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W.�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
Owner/Contractor on site:
Inspector. �.. r`Z "
White Copyllnspector's File Canary CopylSite Notice
/ DATE TIME ✓
CITY OF ORONO CALLED IN �L����
INSPECTION NOT/I E �(' SCHEDULED _1���
PERMITNO.aOL����u �COMPLETED
ADDRESS
OWNER TELEPH NE NO. ��Z �� ��d�
CONTRACTOR �fV ���/�7'�GS eS T�C.
>: DESCRIPTION /`--� / G�
�
� ❑ FOOTING ❑ PLUMBING FINA� ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C/ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR '� CITATION ISSUED
� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (J52) 249-46��
OwnerlContractor on
Inspector.
White Copyllnspector's File Canary Copy/Site Notice