HomeMy WebLinkAbout2011-01483 - roofing CITY OF ORONO PERMIT 1v0.: 2011-01483
� � 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssuEn: 1U29/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 460 SUSSEX LA
PIN : 04-117-23-31-0012
LEGAL DESC : FOX BEND
: LOT 001 BLOCK 003
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATI01�1 : $ 22,823.00
NOTE: VALUAT[ON OF PERMI"I': $22,823.00
ROOFING PLRMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECT[ONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK E3EING 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 MUS"I�BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 383.50
S[MON CONSTRUCTION STATE SURCHARGE(VALUATION) 11.41
12366 RIVER R[DGE ROAD
BURNSVILLE, MN 55337- TOTAL 394.91
(612)861-7000 PAID WITH CC# 1521
Minnesota State License#: 20593656
OWNER
MEYER, DARON& KERRY
460 SUSSEX LA
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEME1vT
The work for which this permi[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 l80 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. �� � jj'�`�
�C�,� � �'L. �� �-���`� ` �/_:�;�' -�/
Applicant Permitec Signature Date Issued y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NOV-28-2011 13:45 From: 6785736615 To:9522494616 Pa9e:1�1
���o`� Pa`'� \�� .
� ��� �' C�ty of Orono
Building Permit Application for Maintenance / R�novation
(windows, doors, siding, re-roof, etc.)
MailingAddress: Permk number: � 0��83
O�O�O : Crystal 8 y, MN 55323-0066 Date reoeived: ��'Z�— ��
,�� � Shest Add�ess: Received by: B
2750 Kelle y Parkwa y P l a n r e v i e w f e e:
�� �� Orono, MN 55356
Total Fee: 3�+J c�l� �'� f' � o0
Main: 9 5 2-2 4 9-4 6 0 0 � F a x: 8 5 2-2 a 9-4 B 1 6 w w w.c i.o r o n o,m n.u s � �
This application form�nust be completed in full and all �equired information must be submitted. `�
tncomplete applications will be returned. (Please print) U
GENERAL INFORMAT90N:
Job Site Address: I�.S S � -
Will this be a Parade of Homes, Remodelers Showcase Home o�other Display Home? ❑Yes ❑No
liyss,a specia/evsntpermilis required,wi�lt Police Department and CityCouncil approval BO days priorto the event Shutde bas sen+iee will be
iequired un/ess applicant demonsbates s�aent on-sf�e paiJcing is available. Non�ennitted events wlp no!be al/owed
CONTRACTOR/APPLlCANT INFORMATION: �
Name: `?�,ao� �a•n� .� �
State License# � �C �q3(,1—(� Expiration Date: Z
Lead Certification Numb�r: Expiration Date:
(for r►rork on homes that were con�tructed prior tv 1978
Phone: (,ly��� oo,� (o�ice) (celq
Mailing Address: �-� ' � : ,��r ciry: ,g ns�� Z1P: S`�-�3
Contact Person: ���,,,,� Applicant is: tra / Homeowner (Circle One)
Email and/or Fax: 1�,��C,,,,o,�C��s�✓vz..� . {;� �---�
PROPERTY OWNER�INFORMATION;
Name: ��� /�/(�y� -
Phone(day): t �-�4� y� /� j S'��
Address: (� � S�� (�.t. City' �,�,.. ZIP: ���
Email and/or Fax
PROJECT INFORMATION:
Type of Project: � Any earth movement may require
❑Door(s) ❑Remodel ❑Fire Damage MCWD review 8 peRnits:
Minneheha Creek Wate�shed District(MCVW)
❑R�ro�f,asphalt �Repair [�JStorm Damage 18202 Minnetonka Blvd
Daaphaven, MN 55391
Re-roof,cedar ❑Restorstion ❑Water Damage Phone: 952-471-0590
❑Re-roof,vthe�(specity� ❑ Siding []Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.om
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ �� i 9 23 .
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by ths Building Departmont;
• Certifies that the infermation supplied is true and correct to the best of his/her knowledge. The applicaM recognizes that they
are solely responsible for submitting a cemplete applicstion being aware thet upon failure to do so, the staff has no altamative
but to rejed it until it is complete;
• Some or all of the ir�formation that you are asked to provide an this �pplication is classified by State law es ekher private or -
confidential. Privete 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 gene�ally 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 reovrds and recards of other governmental agencies
�e uired law. If ou refuse to su the information the a lication ma not be isaued.
•--��---•,_ ••�___�..__. � �� n.,�... �l� �l� 11�1
MAR/26/2012/MON 08:39 AM FAX No, P, 002
� � � � ��":��/ ,,? ** IN`V'OYCL **
GT���A�C��,� SUPPLY-MIN1�EApOY.YS,IVZN S�.
900 GLEN�VVOOD A'V� �".;�;� ..�°; ..< .:x>�,��;��"�u�� :;: .. ..
1VXZ�TNEAPOLIS, MN' S5405-1494
612-374-3444 Fa� 612-374-8550 11/2 3/11 s 4���.a.a s . o o�
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Remit to:
GULFEAGLE SUPPLY
P. 0. BOX 116466 1
ATLANTA, GA 30368-64bb
81LL T0: SHIP T0:
SIMON CONSTRUCTZON CO.MN HOLDYNG SIMON CONSTR/M�YER,DARON
12366 RTVER RYDGE BLVD �460 SUSSEX I�AI�TE
BURNSVILLE NII�T 55337-1665 LONG LAKE, NII�I 55356-8200
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CSSS 24" MEDIUM C$DA12 SHAKE NON s[j ,:. �; 20D
TREATED SBU/SQ �'� ` .
CSSB 16" 5X CEDAR SHINGLE NON bu ' 6
TREATED 4BU/SQ (30LF/BU AS STI�RTER)
CSSB 24" TAPERSAWN CEDAR SHAKE H&R bu 19
NON TREATED 16L�/SU'
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F�i,a ir-tcsb9 3`Jtr �6 11�QN—JL
A`TLAS/TARCO/TAMKO �
ATLAS WEATHERMASTER ICE ea '- 8
& W7ITERSHIELD UNDERLAYM�N''�' 25Q/RL � ``
TAMF�O 18" JUM�30 SHAKE FELT 1. 5 6 7 r1 � ' 4 0
SQ/RL 120'x18" � -
J,?UO-FAST SO1QC 5/16" STA�LES 5M/BX BX � �� `�,',� 3
#4291 �'i,
SENCO 7/16" CROWN X 2" GALV STAPLES bx ` - 3
�.OM/BOX SM25 �
GEOCEL #2300 CL�AR TRIPOLYMER tu 3
SEALANT 10. 3 OZ/TU #661Q0
ROOFERS CHOICE W'WOOD R�7ST RESIST ea 3
ENAM PAIN'T {##WEATHEREDWOOD) C&R MFG
NEVERLEAK GB-31 GREY GALV. ea 1
PLUM 24�� W VP,LLEY T-TONE ea 17
�r�.ox' Deposit on 01/27/12
** Reprint ** Reprint ** Reprint **
Subtotal
Sales Ta�c
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THE TERMS AND CONDITIONS ON THE R�VER�E SIDE ARE PART OF THtS SALE
T TIME ✓
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CITY O�,ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �i�
PERMIT N0.aDl/—D�`��� COMPLEfED
ADDRESS �nO S��'�' �
OWNER TELEPHONE NO.g5 2' Z� S 3 gsZ—
CONTRACTOR S��'��
� DESCRIPTION ��n� �B D f ,(=�c�4.c._//10 �t.1_ B�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
Q OWNERICONTRACTOR TO MEEi YOU:_YES_NO
y COMMENTS: U 1� ��� � • � ' �� �� ' � t ^���
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W ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECT UNSAFE CANDITION WITNIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. C
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME ` /
CITY OF ORONO caLLED IN ��
INSPECTION NOTICE SCHEDULED
PERMIT NO. �������1� COMPLETED � ._
ADDRESS �G� s�S S�x G,,� .
OWNER TELEPHONE NO. _
CONTRACTOR S��n.s� �'o•,,tt
� DESCRIPTION �C— r6 O'� �G e�Q4�
� -
� ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL � TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS
��FINAL ❑ SEWER HOOK-UP ❑ COMPWNT
Q ❑ DEMO-51TE ❑ SEPTIC MAINT. }$�FOLLOW-UP
W ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNbATIOWREMOVAL
2 OWNERlCONTppC'TOR TO MEET YOU:_.YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORIF PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCI'
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTIONREWIRED.CALLTOARRANCiEACCESS.
Cal1 forthe next inspection 24 hours in advance. (g52) 249-460Q
OwneNContractor on site:
Inspecto _
White Copyllnapector's Fflo Canary CopylSite Notfce