HomeMy WebLinkAbout2011-00861 - roofing CITY OF ORONO PERMIT NO.: 2011-00861
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08115/2011
952 249-4600 FAX: 952 249-4616
ADDRESS 230 TONKA AVE
PIN 05-117-23-14-0029
LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK
: LOT 000 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 6,000.00
NOTE: VALUATION OF PERMIT:$6,000
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 132.75
STORM PRO EXTERIORS STATE SURCHARGE(VALUATION) 3.00
600 TWELVE OAKS CENTER DRIVE
SUITE 648D TOTAL 135.75
WAYZATA,MN 55391-
(952)513-8667
Minnesota State License#:20634454
OWNER
BUTTERFIELD,HANNAH&CHRIS
230 TONKA AVE
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 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 w' the State Building Code.This permit maybe
rev d at ause.
j
AdhlicaifPermitee Signature Date
I_ T Issued By ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing
�i Address: Permit number:
/�,O�V� PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address: Received by:
2750 Kelley Parkway Plan review fee:
L9kES_ 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. (Please print)
GENERAL INFORMATION:
Job Site Address: � /30 7—P yc_
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 available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: -S'/U►r/1'i../,rd �_L /_-
State
State License # 2 06 ,5'5/ Expiration Date: 3 •,3/. O/."
Lead Certification Number: Expiration Date:
i (for work on homes that were construp.,ted prior to 1978
Phone: �S'2 • 51J . U 7 (office) �/Z po 478/ (cell)
Mailing Address: pt. 36y 219- City: n Z ZIP: S S'J6
Contact Person: j qso,7 Be,.5 Applicant is: on ract / Homeowner (circle One)
Email and/or Fax:
PROPERTY OWNER INIF RMATION: /
Name: Ci/I i /5 907 -lil/e/
Phone (day): 9s2 7J- 9_s'3s
Address: 2 30 Z4_ AVe _ City: 6 reqn p ZIP: S5,3S6
i Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Do r s MCWD review& permits:
( ) El ❑ Fire Damage Minnehaha Creek Watershed District(MCWD)
Re-roof, asphalt �epair 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.org
Overall Project Description:
Estimated Construction Valuation of Project (excluding land) $ 000.
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
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
required by law. If you refuse to supply the information,the application may not be issued. p
Applicant's Signature: Date: Q - —z01/
Last Updated: 08-09-2011
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. a6//Toa $L/ COMPLETED /y
ADDRESS Q 3o To ike 1¢ve .
OWNER TELEPHONE NO.
CONTRACTOR 510f .+, A-0 45x dit
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
11.1
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El POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT CK FOLLOW-UP
T ❑ DEMO-FINAL ElSEPTIC INSTALL ElHARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
R COMMENTS:
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C1 BEFORE COVERING - PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
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. (952) 249-4600
Owner/Contractor on site:
Inspector:
White CopylInspector's File Canary Copy/Silo Notice
CA E TIME
CITY OF ORONO CALLED IN 8--1
INSPECTION NOTICE SCHEDULED
PERMIT NO�D11- 01)96/ COMPLETED
ADDRESS X30 � 741 --
OWNER TELEPHONE N0.I0/R S10 q7& 1
CONTRACTOR 574%rY m "_\- 6 X
>: DESCRIPTION71fQ vfiF7
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on/site:
Inspector. L.c/
White Copy/inspector's File Canary Copy/Site Notice