HomeMy WebLinkAbout2011-00667/00843 - roofing CITY OF ORONO PERMIT NO.: 2011-00667
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/18/2011
952 249-4600 FAX: 952 249-4616
� REPRINTED ON 8/9/2011 r
AllDRESS : 40 STUBBS BAY RD S n \��
PIN : OS-117-23-12-0009 �,=-.,�. ` \�
LEGAL DESC : AUDITOR'S SUBD.NO. 203 � ;\ �
: LOT 043 BLOCK 000 �-� '��
PERMIT TYPE : MINOR ALTERATIONS �
PROPERTY TYPE : RESIDENTIAL '`r�'
CONSTRUCTION TYPE : ROOFING-ASPHALT �
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 7,200.00
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.
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APPLICANT pERMIT FEE SCHEDULE 16225
WEATHER-TITE EXTERIORS STATE SURCHARGE(VALUATION) 3.60
1984 QUINBALEE RD
DEPERE, WI 54115- TOTAL 165.85
(704) 577-5901 PAID WITH CC# 5779
Minnesota State License#: 20638654
OWNER
ETAL, WELDON DUNN
40 STUBBS BAY RD S
MAPLE PLAIN,MN 55359
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
uot grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming[his rype 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 afrer 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.
/ / / /
Applicant Permitee Signature � Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF ORONO PERMIT NO.: 2011-00843
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuED: 08/1U2011
952 249-4600 FAX: 952 249-4616
REPRINTED ON 8/15/20ll
,
ADDRESS : 40 STUBBS BAY RD S
PIN : OS-117-23-12-0009
LEGAL DESC : AUDITOR'S SUBD.NO.203
: LOT 043 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS-ADDITIONAL FEES
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MINOR ALTERATIONS-ADDITIONAL FEES
VALUATION : $ 22,000.00
NOTE: VALUATION OF PERMIT:$22,000.00
THIS PERMIT IS TIED TO PERMIT#2011-00667,WHERE THE COMPANY UNDER ESTIMATED THE PERMIT VALUATION. THEY WILL
ONLY BE PAYING THE DIFFERENCE.
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 206.50
WEATHER-TITE EXTERIORS STATE SURCHARGE(VALUATION) 7.40
1984 QUINBALEE RD
DEPERE, WI 54115- TOTAL 213.90
(704)577-5901 PAID WITH CC# 5779
Minnesota State License#: 20638654
OWNER
ETAL, WELDON DLJNN
40 STUBBS BAY RD S
MAPLE PLAIN,MN 55359
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 whe[her or not specified herein.This permit will �-�
expire and become null and void ifconstruction authorized is not � �(1..�� �'
commenced within 180 days of the date of issuance,or if constmction 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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Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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R � City of Orono � �
Building Permit Appl�cation far internal V�Vork
(windows, doors, siding, re-roof, etc,)
Mailing Address: Permit number.
��O�,�.\ PO Box 66
O�,`� Crystal Bay, MN 55323-0066 Date received:
'� ��'` ' �I� Received by:
i;j�, �� -�,�,,, �, ; Street Address:
,� �� "-. ti``'�� 275D Kelle Parkwa
Y Y Plan review fee:
��.�E$�o�� Orono, MN 55356
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�-�-�� l�c r rn i 1 2��1-- c���� ,Y-, � / t g l i �
il in P rmi A licafon for Maintenance / Renovation
Bu d g e t pp
(windows, doors, siding, re-roof, etc.) �k
Mailing Address: � �
�,0,�. PO Box 66 Permit number. ��V � — '�C��y �
Crystal Bay, MN 55323-0066 Date received: �
O a' � O Received by: {�
,� � �y� << �, Street Address: °Y
�',�, t �'�� Gti 2750 Kelley Parkway Plan review fee: '
t'�kEs J� Orono, MN 55356
— Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �t:
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please prinf) �
GENERAL INFORMATION: ��
Job Site Address: � � �V / "` �'�y �;�
Will this be a Parade of Homes, emodelers Showcase Home or other Display Home? ❑ Yes �-Wo ;��
/f yes, a specia/event permit is required with Po/ice Deparfinent and City Council approva/60 days prior to the event. Shuttle bu service wil/be '�
required unless applicant demonstrates sufficienf on-site parking is available. Non-permitted events will not be allowed. �;�
CONTRACTOR/APPLICANT INFORMATION: *�
�._ . �
� Name: � —�� � I � �. .-,�/�c: � ,�
� State License# � ��6��� Expiration Date: �'.
� ��
;�, Lead Certification Number: Expiration Date: ;;
,�:
�- (for work on homes thaf were constructed prior to 1978
� Phone: 75�. —S�,/'cr_ ���C� (office) �'�a - ��� ��� (cell) �
` Mailing Address: ��3 I�✓ `1�S '.0 S i. ,$� /"7C City:l�����.��,r ZIP: y�"�3 �� �
Contact Person: ���o `,.� Applicant is: Contractor Homeowner (Circle One) �
�3�-��'' �
Email and/or Fax: ��ju/S�C,�L(�oh„Q G,-„�,'� ,C�%>, ;�
�
PROPERTY OWNER INFORMATION: �
��°:: Name: �it/��0�:� /����-r
�� Phone (day): �
�
Address: s�y ��,.,e City: ZIP: �
Email and/or Fax ';�
�
PROJECT INFORMATION: ��
� Type of Project: Any earth movement may require ;�
MCWD review&permits: `�
❑ Door(s) ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) �
❑ Re-roof, asphalt ❑ Repair torm Damage 18202 Minnetonka Blvd �
Deephaven, MN 55391 `�
e-roof, cedar estoration ❑Water Damage ';��
� Phone: 952-471-0590 �
� ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
�`' ❑Window(s) www.minnehahacreek.orq '
� Overall Project Description: �.�,�`yr �,� ,.—� "" '�� t'.
, i 9
�'i Estimated Construction Valuation of Project(excluding land) $ � ''��~
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APPLICANT ACKNOWLEDGEMENT: ��<< � �". �r �
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�"' • 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. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our °'y
purpose and intended use of this information is tq,.an ally update our records and records of other governmental agencies `'`�
re uired b law. If ou refuse to sli he information,the lication ma not be issued.
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Applicant's Signature: _ Date: �
Last Updated: OS-09-2011 =
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CITY OF ORONO CALLED IN �
INSPECTION N4�1����// 7 SCHEDULED .�f�`� �
PERMIT NO. �``O COMPLETED
ADDRESS G� �S
OWNER TELEPHONE NO. f�l� " a/-����
CONTRACTOR —���
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>; DESCRIPTION ���
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEP FIN ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES�NO
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V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP OROER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. �� �
White Copyllnspector's File Canary CopylSite Notice
� � TIME
CITY F ORONO CALLED IN l�
INSPECTION I��I — �/)//_�7SCHEDULED �
PERMIT N�`�� ���`���/ COMPLETED
ADDRESS -
OWNER T H N .
CONTRACTOR I�J.��. �� -
� DESCRIPTION � '
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Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C�IERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
{NSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
inspector.
White Copyllnspector's Fiie Canary CopylSite Notice
DATE TIME ✓
`���°���ROR�C� CALLED IN
8�����'T��I� NO�IC�� SCHEDULED
����A���. ab�/ ����? COMPLETED S-6•�
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� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
❑ RADON SLAB ❑ WATER HOOI(-UP ❑ PROGRESS
�.a. ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP
� ❑ DEMO-FIMAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBIMG RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL ,
� f3WNER/CONTRlACTOR TO WAEEi'YOU:_YE;_NO �
� CORAI�ENTS. vw �eni-a� �ns,v�ct'�.. ►'ecc5 rcL'�.Q
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� ❑WORPCSATISFACTORY:PROCEED �p�ECTCOMPIEfE
� ❑CARRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
o D CORRECT WORK,CALL FOR REINSPECTIOfV TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIM HOURS. p pHOTOTAKEN
lMSPECTOR WILL RETURN
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�IhdSPECTIOIV REQUIRED.CALL TO ARRANGE ACCESS.
c�a�for tn��e�t��S�so�a�no�,�o����a�,�. (952, 249m4600
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�ns��tor: '
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