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HomeMy WebLinkAbout2011-01192 - roofing � f '1 CITY OF ORONO PERMIT NO.: 2011-01192 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/05/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2107 SUGARWOOD DR PIN : 34-118-23-21-0016 LEGAL DESC : SUGAR WOODS : LOT 002 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 38,000.00 NOTE: VALUATION OF PERMIT:$38000.00 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 552.75 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 19.00 5145 INDUSTRIAL ST SUITE 103 TOTAL 571.75 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#: 20631574 OWNER SMITH,MR&MRS THOMAS 2107 SUGARWOOD DR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 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 r at any time fo ue cause. l� l � l �� `Q�l / Ap li ermitee Signature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i ..;�'��'^"k�"= ��TMa�'„R'�`�'�� �7 � ; a .. ,C= m f a:.} : :� ; .. , t ' � �� �# ".�' s C i ty of O ro n o �� '� �. :�� -��.�� ���; Building Permit Application for Maintenance / Renovation :_ �,; (windows, doors, siding, re-roof, etc.) �; �`� Mailing Address: _ �� Permit number. �; �� PO Box 66 �; y Crystal Bay, MN 55323-0066 Date received: Id 5 �,�� �� a , � �f �, � Streef Address: Received by: ���� � � �'�� ti� 2750 Kelle Parkwa �� ��L , � p Y Y Plan review fee: i \kEs�og/ Orono, MN 55356 � � � . Total Fee: ����, �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) = GENERAL INFORMATION: � �' Job Site Address: c�l0 7 �(.G��2r.�,�o�p 1.�� ;� �t' 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 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 avaifable. Non-permitted events will not be allowed. �' •,. . ___,� t��� �ON_TRA�/APPLICANT INFORMATION: E. -�- � Name: �GC$T;�` ���cJS�uctz-o— � State License# �p�3 is 7 SL Expiration Date: 3 3i ��- '� ; Lead Certification Number: � ���� Expiration Date: � ?� 7��r,t'� � �" �' (for work on homes thaf were constructed prior to 1978 �,� E�' Phone: 7��- c-��'-/-S7oo (office) (cell) � $ ' Mailin Address: �3;� � �: 9 l S �it.A-r�s' �itz S City: (� ��,�/ ZIP: .� �k Contact Person: ��y� Applicant is: ontra or / Homeowner �c���ie o�e� � `�`` Email and/or Fax: {� �, , � 9 � ��' PROPERTY OWNER INF RMATION: 5,;. Name: l-ti�w rC.w.r � �v�,r �-6� ;� � Phone (day): (�y- g��- °g2�o�y '� �� Address: � (o-� �uS,r.nu,��� 'I�,� City: op2oa.,' r� ZIP: � �� � Email and/or Fax �� �.; � �; �� �; 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 s: '�` Deephaven, MN 55391 ��i �, � Re-roof, cedar ❑ Restoration ❑Water Damage Phone: 952-471-0590 �� ❑ Re-roof, other(specify) ❑ Siding ( p fy) � , ❑ Other: s eci Fax: 952-471-0682 � www.minnehahacreek.orq � �"�� ❑Window(s) �;` Overall Project Description: �: �� Estimated Construction Valuation of Project(excluding land) $ .��,pp� ,-` �`� � 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 F;� � 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 refuse I the information, the a lication ma not be issued. ,:�3 .;: � ApplicanYs Signature: � Date: �� J'� / I ' �� �- �.� Last Updated: 08-09-2011 a., �; ATE TIME ✓ CITY OF ORONO CALLED IN /� � INSPECTION NOTICE SCHEDULED / PERMIT N0�20!/-U�/�'f o� COMPLETED ADDRESS ���� ���- � OWNER TELEPHONE N0.7��-�7�7-��� CONTRACTOR ��- �" >; DESCRIPTION J�'�%��- - � l� ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ 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 � OWNER/CONTHACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � '� � , �u' �(n � c�c./-.� � 0 � W � Q � Z W � W � j GW ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTHIN HOURS. ❑ pHOTO TAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR !�CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor o site: Inspector.�,Jt .rl� _ _- __ White Copylinspector's File Canary Copy/Site Notice „ -�” TE TIME ' / � � �� l0z' / V CITY OF ORONO CALLED W �� INSPECTION NOTICE SCHEDULED f U � l � �' �` PERMIT NO. dv I 1 ���l I ZCOMPLETED ADDRESS _� � � �� ���,��f��l,l.?D�r'I� f � OWNER TELEPHONE N ���� �I7���GG CONTRACTOR � � � ��'�' ����'� � DESCRIPTION � ' r�� �C�"�f= � 4� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � Q ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � �k'�Y�'�CJ2_ �'��r�j� � COMMENTS: �,��,�Z � I D/�� � I W a � J O � � O � W � Q ti Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46�� OwnerlContractor on site: Inspector. w l � \ White Copyllnspector's File Canary CopylSite Notice