HomeMy WebLinkAbout2011-00857 - roofing CITY OF ORONO PERMIT NO.: 2011-00857
_ - � ♦ � 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 0�15/2011
952 249-4600 FAX: 952 249-4616
ADDRESS / : 2005 SUGARWOOD DR
PIN : 34-118-23-21-0011
LEGAL DESC : SUGAR WOODS
: LOT 003 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 16,000.00
NOTE: VALUATION OF PERMIT:$16000.00
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 280.25
MIDWEST SIDING ROOFING&WINDOWS STATE SURCHARGE(VALUATION) 8.00
6451 SYCAMORE CT N
MAPLE GROVE,MN 55369- TOTAL 288.25
Minnesota State License#:20010277
OWNER
BIGLEY,BILL
2005 SUGARWOOD DR
LONG LAKE,MN 55391
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 dces '
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 aze
requested in conformance with the State Building Code.This permit may be
revoked at iy tim r due cause.
�, 1.�, �� �,�5 ,�
App icant Permitee Signature Date Is d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono � ���.�
. � Y • B�;�Iding Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.) ;�
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Mailing Address: _�8�'j �
4►„�,�. PO Box 66 Permit number: ;-� fi
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� � Crystal Bay, MN 55323-0066 Date received: // �
a, � �� �, Street Address: Received by: �„
�' �;�= ti 2750 Kelle Parkwa
� � Y Y Plan review fee:
t9kE xo4"� Orono, MN 55356 �,.� �
S Total Fee: ��'" ���j �
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ��'X� ��
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: ��� ��G/(�,,,�j� �/o
� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
If yes, a special event permit is required with Po/ice Department and City Council approva/60 days prior to fhe event. Shuttle bus service wil/be '
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. ,.�, ;
CONTRACTOR/APPLICANT INFORMATION:
Name: �'"t�G(G,l�� �_L�pF�
State License# a p���� 7 � Expiration Date: p�-3/_ � �
�,� Lead Certification Number: Expiration Date: "
(for work on homes that were constructed prior to 1978 �/� � ( � �
3 X'
Phone: (office) �l� ' �� (cell)
: ,� Mailing Address: �p L��j� <�i�.-,,� City:/�l�/L ,�ijD�ZIP: S �6
Contact Person: �,� Applicant is: ntract / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER FORMATION:
Name: ��(( ,�JC. (C l
Phone (day): ���3 a,�`-�
Address: � p�j�!' ,S(� ��,{ �� City: `�� ��� ZIP:
Email and/or Fax
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PROJECT INFORMATION:
{,:' Type of Project: Any earth movement may require
❑ Door(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
❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description: y'G�' oF� ���oo C c�' .5��l�-�S' �
Estimated Construction Valuation of Project(excluding land) $ /� QOC� % � F
APPLICANT ACKNOWLEDGEMENT:
� � �/G-// �.
• 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 �
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 refus to su I the ' formation,the a lication ma not be issued. "`'
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ApplicanYs Signature: Date:
�T-�S- �/
Last Updated: 08-09-2011 ':r3
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DATE TIME ✓I
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � :
PERMITNO. ���� �$�7 COMPLETED
ADDRESS_ 0�0�5 5 ti•, �eic✓�o�Q �r=
OWNER TELEPHONE NO. _ ;
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� DESCRIPTION ��-�''�fi C C�4� � I
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� � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG i
y ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORENVETLANDS �
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL i
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION I
r ❑ RADON SLAB ❑ WATER HOOK-UP �,
❑ PROGRESS
NAL ❑ SEWER HOOK-UP ❑ COMPLAINT !
❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP I
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: , _ ;
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� ❑WORKSATiSFACTORY:PROCEED �T COMPLEfE
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� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN '
INSPECTOR WILL RETURN i
❑CITATION ISSUED I
�STOP ORDEH POSTED.CALL INSPECTOR i
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46�� I
OwnerlCoMractor on site:
Inspector. ^^' �
White CopyAnspector's Ffle Canary CopylSfte Notiee
�r� D TIME �
CITY OF ORONO CALLED IN / I /
INSPECTION f�LOT��E��� �SCHEDULED
PERMIT NO.p� COMPLETED
ADDRESS �
OWNER ' PHONE N� 3 ���3a�—
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CONTRACTOR �
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�; DESCRIPTION � �-L�-
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
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 ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CO RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS._,. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
Owner/Contractor on site:
Inspector.
White Copyllnspeclor's File Canary CopylSite Notice