HomeMy WebLinkAbout2011-00243 - roofing CITY OF ORONO PERMIT NO.: 2011-00243
,,. 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 04/25/2011
( �� 952 249-4600 FAX: 952 249-4616
ADDRESS : 2007 SUGARWOOD DR
PIN : 34-118-23-21-0012
LEGAL DESC : SUGAR WOODS
` : LOT 004 BLOCK 002
� PERMIT TYPE : MINOR ALTERATIONS �
PROPERTY TYPE : RESIDENTIAL
� CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 40,000.00
�
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APPLICANT pERMIT FEE SCHEDULE 574.25
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 20.00
5145 INDUSTRIAL ST
SUITE 103 TOTAL 59425
MAPLE PLAIN,MN 55359
(763)479-8700
Minnesota State License#:20631575
OWNER
� PINTENS,MR&MRS FRANK
� 2007 SUGARWOOD DR
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 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 the State Building Code.This permit may be
revoked at an ' e f r dye cause.
��� / / / /
Applica ite Signat e Date Issued By S' ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOV .
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_ �
: �
City of Orono � �
..: '+y 1'.4 �i
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- Building Permit Application for Internal Work = ��4 ; �
. (windows, doors, siding, re-roof, etc.)
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Mailing Address: Permit number: '
�v 0,� PO Box 66 �
Q � � Crystal Bay, MN 55323-0066 Date received: �'
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,,��;�- Received b "�
a �� �',�, ..� a. Street Address: Y�
�'� ���" �� 2750 Kelley Parkway Plan review fee: ,;�
t�kESH��`'� Orono, MN 55356 ��
Total Fee: }�'
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
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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: ��� � � � , ���y, .�,�� ��
Will this be a Parade of Homes, Remodelers Showca e Home or other Display Home? ❑ Yes �No �
If yes, a special event permit is required with Police Department and City Council approval 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/APPLIC T INFORMATION: ;��
Name:
State License# �� � 5 Expiration Date: 3 �Z �
Lead Certification Number. � f- Ex iration Date: �
���f � ��/ P �,�
(for work on homes that were constructed prior to 19 8 ��
` �' Phone: - � -�c� - ��7C�; (office) (..��2 �-���-�� �3� (cell) ��
�� Mailing Address: �, �,,_.�`£% �,�. City: � � ,,,�ZIP: �
�, Contact Person: Applicant is: Contract r / Homeowner (Cirde One) �
� Email and/or Fax: ��
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` PROPERTY OWNER INFORMATION: ,
Name: j' ��-�`�� �i� �-c v`S �
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Phone (day): �'�,5��._ - y.2(o - �D`tZ / �
F ' Address: �c��'1 b�ti���..�,,-b2 �� CitY: ���' l� � .�
Email and/or Fax � ZIP: fj��� �
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` ' PROJECT INFORMATION: �
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� � Type of Project: Any earth movement may require f�
� '; �
q•` ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: �
� Minnehaha Creek Watershed District (MCWD) '�
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd '
❑ S' ing ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 �
Phone: 952-471-0590
3-' Re-roof �� ❑ Fire Damage Fax: 952-471-0682 }"
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www.minnehahacreek.orq
Overall Project Description: �
, Estimated Construction Valuation of Project(excluding land) $ �� �i
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�.; 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; f„
ca
�. • 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 }a
data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our A;
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 to su information, the a lication ma not be issued.
ApplicanYs Signature: %C.-- Date: 7 ZS �
i`:,
Last Updated: 03-01-2011 �
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DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION�00�1��v� � SCHEDULED - - ��
PERMIT NO. `� COMPLETED
ADDRESS �OD7 t,Su�4.�-UJ'�dd ��
OWNER TELEPHONE NO. 763 ��9 -g7�
CONTRACTOR A"��S�a'L.
� DESCRIPTION ���-e � / �� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnedContractor on site:
Inspector. � � (
White Copyllnspector's File Canary CopylSite Notice
�^� T TIME �
CITY OF ORONO CALLED IN
INSPECTION NQTICE J�f� C� SCHEDULED
PERMIT NO. ���—Vv� `�COMPLETED
ADDRESS � 0 �
OWNER T ONE N � ����
CONTRACTOR �
� DESCRIPTION /�
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� ❑ FOOTING ❑ PLUMBING FI ❑ 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
� ❑ 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 ROJECT COMPLETE
W ❑CORRECT WORK 8�PROCEED � IS UE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
Owner/Contractor on site:
Inspector. � �
White Copyllnspector's File Canary Copy/Site Notice