HomeMy WebLinkAbout2011-01392 - roofing CITY OF ORONO PERMIT NO.: 2011-01392
} 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 1 VO312011
952 249-4600 FAX: 952 249-4616
ADDRESS : 4629 TONKAVIEW LA
PIN : 07-117-23-32-0026
LEGAL DESC : REG.LAND SURVEY NO. 1036
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 14,000.00
NOTE: VALUATION OF PERMIT:$14000.00
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 250.75
SPOTLESS& SEAMLESS EXTERIORS STATE SURCHARGE(VALUATION) 7.00
17137 76TH PLACE N
MAPLE GROVE,MN 55311 MISC FEE 0.00
(612)237-5209 TOTAL 257.75
Minnesota State License#:20629907
OWNER
ABRAHAMSON,JAMES&DAWN
4629 TONKAVIEW LA
MOUND,MN 55364-
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 responskble for assuring all required inspections are
requested in co forman with a State Building Code.This permit may be
rev ed a any e for ca
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Applicant Permitee Signature Date Issue"y Signature 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 Address: Permit number:
'Qv 0.�0 PO Box 66
O _
Crystal Bay, MN 55323-0066 Date received:
A 0., a, Street Address: Received by:
2750 Kelley Parkway y Plan review fee:
Orono, MN 55356
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Total Fee: c9_5 7
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.
GENERAL INFORMATION:
Incomplete applications will be returned. (Please print)
Job Site Address: 4(o19 �too4 V tem f�
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 INFO MATION: r,
Name: �Yto'�Is ���5 e�►O�� .1-Y
State License# k g C)baC�(; Expiration Date: 03 ap 12-
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: rl (013 42?) kLyk (office) (0\2. )'�l- saoc� (cell)
MailingAddress: �( ^^ S�� � City: 0Sep ZIP: SS''���
Contact Person: \�,X Applicant is: Contractor Homeowner (circle one)
Email and/or Fax:
PROPERTY OWNEINFORMAT ON•
Name:
IQAZ IJ � ��"A
Phone (day): qSD_ 41Z 45y+d
Address: City: 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
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ 1-0590
Re-roof, other(specify) [I Siding Phone: 952-47
g ❑ Other: (specify) Fax: 952-471-00682682
❑Window(s) www.min nehahacreek.orq
Overall Project Description: AQ
Estimated Construction Valuation of Project(excluding land) $ 01010
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 nerally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this informaI i to annually update our records and records of other governmental agencies
required b law. If you refu su I the in moation,the application mav not be issued.
Applicant's Signature: Date:
Last Updated: 08-09-2011
D E TIME V
CITY OF ORONO �?CAILLEDIN
INSPECTION NOTICE SCHEDULED
PERMIT NO. .2�/'O�✓/� COMPLETED
ADDRESS-
98
DDRESS '�G ✓Z � -
OWNER ELEPH NE NO. 3 �1 /
CONTRACTOR
DESCRIPTION G
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q El 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 ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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El WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V 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 Copy/Inspector's File Canary Copy/Site Notice