HomeMy WebLinkAbout2011-00807 - roofing J CITY OF ORONO PERMIT NO.: 2011-00807
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 08/04/2011
952 249-4600 FAX: 952 249-4616
ADDRESS 280 TONKA AVE
PIN ; 05-117-23-14-0061
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 $ 22,000.00
NOTE: 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 368.75
STORM PRO EXTERIORS STATE SURCHARGE(VALUATION) 11.00
600 TWELVE OAKS CENTER DRIVE
SUITE 648D MISC FEE 0.00
WAYZATA,MN 55391- TOTAL 379.75
(952)513-8667
Minnesota State License#:20634454
OWNER
SKOOG,PHILLIP&KAREN
280 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 with the State B ode:This permit hiay'be
revoked at any time for d cause.
Ap t t Permitee Sig re Date Issued By ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A
k
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
0 PO Box 66
Crystal Bay, MN 55323-0066 Date received:
A Street Address:
Received by:
2750 Kelley Parkway
Plan review fee:
t�kESHo4� 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: �Q T,ti�cz fye
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ®'No
/f 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: Ars
State License # J0(o JV Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: 15:- _- - _ (office) Ce 4-1 --tr Ifl-17 S'/ (cell)
Mailing Address: PD �o>c � City: M""'d ZIP:/yl ri—i�/
Contact Person: p ,_ ' Applicant is: �'j / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: 9 "/
.S7�6o9_
Phone (day):
Address: City: ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Water Damage MCWD review& permits:
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ,Storm Damage 18202 Minnetonka Blvd
ZSiding ;<Restoration ❑ Other: (specify) Deephaven, MN 55391
Phone: 952-471-0590
�Re-roof ❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.org
Overall Project Description:
Estimated Construction Valuation of Project (excluding land) $
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 taw 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, thea plication may not be issued.
Applicants Signature: Date:
Last Updated: 03-01-2011
A E /1M V
CITY OF ORONO CALLED IN
INSPECTION NQTI E SCHEDULED
PERMIT NO. U COMPLETE
ADDRESS ��LL� a �Qi
OWNER TELEPHONE NO.&(Z ?TzP/J
CONTRACTOR t azo_ 1'1 /
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL
O El 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 INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v0, COMMENTS:
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WW A96QRK SATISFACTORY:PROCEED ElPROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORECOVERING 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 Copyllnspector's File Canary Copy/Site Notice
C �vo q DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.•)41t el-��� � COMPLETED
ADDRESS ��� 7�-Lke (�-f-�0--
OWNER �
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CONTRACTOR _Y
3Z DESCRIPTION
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
W ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
Q ❑ FRAMING El MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
FINAL ❑ SEWER HOOK-UP El COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v E] PLUMBING RI ❑ SEPTIC FINAL ElFOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED !PROJECT COMPLETE
Uj
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION.WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 1-1 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. A �1
White Copy/Inspector's File Canary Copy/Site Notice