HomeMy WebLinkAbout2011-01588 - roofing � � CITY OF ORONO PERMIT NO.: 2011-o�sss
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 12/29/2011
952 249-4600 FAX: 952 249-4616
ADDRE S : 3190 SUSSEX RD
PIN : 04-117-23-32-0007
LEGAL ESC : FOX BEND
: LOT 001 BLOCK 001
PERMI TYPE : MINOR ALTERATIONS
PROPE TY TYPE : RESIDENTIAL
CONST UCTION TYPE : ROOFING-CEDAR
ACTIVI Y : O/S BUILDING-UNDEFINED
VALUA ION : $ 30,000.00
NOTE: V UATION OF PERMIT:$30000.00
ROOFING ERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BE G STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS- VERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE W RK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 466.75
ALLSTAR ONSTRUCTION STATE SURCHARGE(VALUATION) 15.00
5145 INDU TRIAL ST
SUITE 103 MISC FEE 0.00
MAPLE PL IN,MN 55359 TOTAL 481 JS
(763)479-8 00
Minnesota ate License#:20631574
OWNER
KENNEY,J HN&MARY
3190 SUSS X RD
LONG LA ,MN 55356-
AGR EMENT AND SWORN STATEMENT
The work for ich this permit is issued shall be performed according to
the approved pl s and specifications,applicable City approvals,and the
State Building ode. This permit is for only the work described and does
not grant permi sion for additional or related work which requices separate
permits. All pr visions of Iaws and ordinances governing this type of work
shall be compie with whether or not specified herein.This permit will
expire and beco e null and void if construction authorized is not
commenced wi in 180 days of the date of issuance,or if construction is
suspended for a eriod of 180 days at any time aRer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in co ormance with the State Building Code.This permit may be
revok Can for ca se.
Ziz i � �� /2i Z9i �/
Applicant Pe itee ' a re Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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Buiiding Permit ,�ppiica�io� for IVEainter�ance / F�eno�sa�ion
(windows, doors, siding, re-roof, etc.) ��
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Mailing Address: a
o,� PO Box 66 Permit number: �D//- U�� a
� Crystal Bay, MN 55323-0066 Date received: � � 7 / °''
(O °'�:a� O S!
a � ' ,��, s, � Sfreet Address: Received by:
�.,�; �j �;:
�� ;,„�,_ �ti 2750 Kelley Parkway Pian review fee: �!
_. t'� ESH�g'�/ Orono, MN 55356 �;
��`! p Total Fee: ��� 7� �
Main: 52-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �,�
This appfication form must be completed in full and all required information must be submitted. �
Incomplete appficatiorts will be returned. (Please print) "'
GENE AL INFORMATION:� 0 � , ��� K
Job Sit Address: � ��
Will thi be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No ``
If yes a special event permit rs required with Police Department and City Council approva/60 days prior to the evenf. Shu(tle bus service wil/be
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required unless applrcant demonstrates sutficient on-site parking is available. Non-permitted events will not be allowed. r�.����,
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CONTR CTOR/APPLICANT INFORMATION: '` _
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Name: ��S_T�12 �r=1S�1�.k..c`jp� �
State Li ense# ZD6'3 S Expiration Qate: :;z
" Lead C rtification Number: � � ��� �`�.- � Expiration Date: "➢
(for rk on homes thaf were consfructed prior to 1978 �
Phone: �6 . �(7 - vv (office) • (cell) ;�
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Maifing ddress � S �,J ,�,� � O City: � ZIP: �
, Contact erson: �(„�.`�"� Appiicant is: ontrac r Homeowner (Cirde One) �
" Email an /or Fax: -
�PROPE TY OWN�FORMATI N: � �+
Name: �l �t I�� �
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,, Phone (d y): /2 - -- 1 O c"� ��,
�' Address:
�- J City:C7�'�c� ZIP: s �6 �
p ' Email an /or Fax �
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PROJE T INFORM,4TION: ,�
Type of P ject: Any earth movement may require =;
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review& permits: �g
Minnehaha Creek Watershed District(MCWD)
❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Bivd �
�Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ' �
❑ Re-roof, other s eci Phone: 952-471-0590 �,:�
( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 �°
�,.
❑Window(s) www.minnehahacreek.orq i=�
Overal! Pr ject Description: — Lc�'� �+
Estirriated Construction Valuation of Project (excfuciing land) $ � ��J ,— f'�
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APPLICA T A�KNOWLEDGEMENT:
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• Agr es to provide all information required or requested by the Building Department; �
• Ce ifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they �;;
are olely responsibfe for submitfing a complete appfication being aware that upon failure to do so, the staff has no alternafive `�
but roject it until it is complete; �
• So e or all of the information that you are asked to provide on this application is ciassified by State law as either private or
con dential. Private data is information which generally cannot be given to the pubfic but can be given to the subject of the
data Confidenfial da:a is information which generally cannot be given to either the pubiic or the subject of the data. Our
purp se and intended use of this information is to annualty update our records and records of other governmental agencies
re u red b law. If vou refuse p e infor ation,the a lication mav not be issued.
A ficanYs i nature: o. �
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Last Updated: 8-09-2011 �
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� � ATE TIME ✓
CITY O�O CALLEDIN � 2 �
INSPECTION OTICE SCHEDULED /
PERMIT NO. �Cl-l�lJ�$� MPLETED
ADDRESS �
OWNER _ _._TE HONE NO. �3 ' - 7�
CONTRACTOR �
� DESCRIPTION ���-�� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADI LING
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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTAIL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTiiACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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��Q(ORK SATISFACTORY:PROCEED �PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE C�/ERING PERMANENT
❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor o site•-'
spector.
White Copyllnspector's File Canary CopylSite Notice
�� D TIME ` �/
CITY OF ORONO CALLED IN I�� v
INSPECTION NQ �.C���.�{/� SCHEDULED I_!�-/v P
PERMIT NO � � �/�/ COMPLETED
ADDRESS �l�� ��'c'��' �
OWNER ��^ TELEPHONE NO. �D�a� D �I�Slo
C�NTRACT�R �S`�'���
�; DESCRIPTION ��n-�- ����
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ 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
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED ��PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED I '-'� ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR -�CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 24J-46��
Owner/Contractor on site-
nspector. /- �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME ` /
C OF ORONO CALLED IN ��
INS ECTION NOTICE SCHEDULED
PER IT NO�a�r-61�8 8 COMPLETED ����
AD RESS 3/10 SG S��x ed1- .
OW ER TELEPHONE NO.
CO RACTOR �'��st�r L�j�,�L�• L�TF-
� DE RIPTION �e-�� �e��4'�,)
� ❑ F TING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ P URED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ F AMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ IN ULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ R DON SLAB ❑ WATER HOOK-UP � PROGRESS
� �I AL � SEWER HOOK-UP O COMPLAINT
J ❑ D MO-SITE ❑ SEPTIC MAINT.
�FOLLOW-UP
_ ❑ D MO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
J � P UMBING RI ❑ SEPTIC FINAL ❑ FOUNbA710N/REMOVAL
2 OWN NTRACTOR TO MEET YOU:_YES_NO
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� ❑ RK SATISFACTORY:PROCEED �RQJECT COMPLEfE
� ❑ RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V EFORE C01/ERING PERMANENT
❑ ORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑ TOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
� SPECTION REW IflED.CALL TO ARRANGE ACCESS.
Cail br the next inspection 2a hours in advance. (952) 249-4600
O nerlContractor on site:
In pector. � _
White Copyllnspector's File Canary CopylSfte Notke