HomeMy WebLinkAbout2011-00827 - roofing f CITY OF ORONO PERMIT NO.t 2011-00827
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 08/10/2011
952 249-4600 FAX: 952 249-4616
ADDRESS 4765 TONKAVIEW LA
PIN 07-117-23-23-0027
LEGAL DESC BERGQUIST&WICKLUNDS PARK
LOT 000 BLOCK 002
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ROOFING-ASPHALT
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 5,000.00
NOTE: VALUATION OF PERMIT:$5,000.00
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 118.00
MIDWEST SIDING ROOFING&WINDOWS STATE SURCHARGE(VALUATION) 2.50
6451 SYCAMORE CT N TOTAL 120.50
MAPLE GROVE,MN 55369-
Minnesota State License#:20010277
OWNER
AFFELDT,DWIGHT&PATRICIA
4765 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 responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked atLany time for due cause.
i- / a / 1l
Applicaff Pennitee Signature ate Issu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
4 4.01 City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
0 PO Box 66 (�
O O Crystal Bay, MN 55323-0066 Date received: O
4
Street Address: Received by:
��ct " Gtic4 2750 Kelley Parkway Plan review fee:
�kES1404� Orono, MN 55356
Total Fee: LI)
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: `f LO� C�► V,�!-✓ L�
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 INFORMATI N: /
Name:
State License # � �u� �-z Expiration -5
Lead Certification Number: 3 0 5-_ 1 Expiration Date: /Lj,�j,S
(for work on homes that were nstructed prior to 1978
Phone: :Z6 3- 9Z7 — q06 (office) t �(� -T Z ! z (cell)
Mailing Address: �� r, �j City: d✓2q le 67ty,ZIP: 4_�_
Contact Person: C Applicant is: Cor ac or / Homeowner (circle One)
Email and/or Fax: ��;�w+
PROPERTY OWNER INFORMATION: l
Name:
Phone (day): (il�_Z2 FO
Address: (#? � I '1 «,4_ L-7 City: 011�5e_j 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
❑
Deephaven, MN 55391
Re-roof, cedar El El Damage
Phone: 952-471-0590 irk
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orp
Overall Project Description: r
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 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. (�
Applicant's Signature: �`�G /�/ ___---Date:
Last Updated: 08-09-2011
9�E { TIME
CITY OF ORVNO CALLED IN `
INSPECTION IC�ODBa- SCHEDULED
PERMIT NO. o� COMPLETED
ADDRESS U/�
OWNER TEL ONE NO.
CONTRACTOR —
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI El
h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL 1:1SEWER HOOK-UP El COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑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 El 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 Copyllnspectoes File Canary CopylSite Notice
/
CITY F ORONO CALLED IN DATE TIME
V
INSPECTION NOTICE SCHEDULED
PERMIT NO. "([-00'9 a 7 COMPLETED
ADDRESS 7G a4kavt�rJ Gn,.
OWNER TELEPHONE NO.
CONTRACTOR 00412 SIX 5.�.,rr d r •
DESCRIPTION
W ❑ FOOTING ElPLUMBING FfNAL ❑ EXCAV/GRADING/FILLING
k ❑ POURED WALL ❑ MECHANICAL AlQ ❑ LAKESHORETLANDS
❑ FRAMING ❑ MECHANICAL FINAL [I TREE REMO AL
Q ❑ INSULATION El WOOD BURNER/FIREPLACE ❑ SITE INSPE TION
_ ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PRO�RESS
{� INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS-
lit)
OMMENTS-YLU 'Ulm.,-04T t _/1 lQ.v r cGE3/�C3/
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WQ ❑WORK SATISFACTORY PROCEED �P OdECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑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.
Cali for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
R
Inspector: LE-of ti✓
White Copy/Inspector's File Canary Copy/Site Notice