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HomeMy WebLinkAbout2011-01105 - roofing CITY OF ORONO PERMIT NO.: 2011-01105 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/23/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 473 TONKAWA RD PIN ^ 06-117-23-41-0092. LEGAL MSC MINNETONKA SUMMIT PARK LOT 000 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 10,000.00 NOTE: VALUATION OF PERMIT:$10,000.00 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. STORM PRO LLC APPLICANT PERMIT FEE SCHEDULE 191.75 P.O.BOX 218 STATE SURCHARGE(VALUATION) 5.00 MOUND,MN 55364- TOTAL 196.75 (952)513-8667 Minnesota State License#:20634454 OWNER FRITZ,DAVID 473 TONKAWA RD 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 f r assuring all required inspections are requ ed in conformance ' the State Building Code.This permit may be r ok ause. li Permitee Signature Date Issued By 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: O�,01►�,0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: �' NStreet Address: Received by: Gti`4 2750 Kelley Parkway Plan review fee: 9kES140 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: � 7 3 "� // %i7 1< << <;, c/Y 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: State License # 2 ©d 3Lp7t 5 y Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �'s y 5�/3 _ J'6 6.Z (office) 6 J'Z 3'!0 c 7Y1 (cell) Mailing Address: Cit ZIP: o V _-, 'T-3 b Contact Person: Sz >rtiApplicant is: tracto / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: � v i'el ���� f j Phone (day): -S Z 2. 17 3 31-'S Address: y73 City: re-,V7"-) zip: .�3 Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Dgef(s) El Remodel E] Fire Damage MCWD review &permits: L^✓1./RMinnehaha Creek Watershed District(MCWD) e-roof, asphalt ❑ Repair [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.minnehah2creek.org Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ /Q 0 p 0, C­ 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: Date: Last Updated: 08-09-2011 0� � DATV TIME CITY OF ORONO V CALLED IN / INSPECTION NOTICE SCHEDULED PERMIT NO. 2011 1!91105 COMPLETED ADDRESS 73 /i U,41- P OWNER LEPHON O CONTRACTOR 94 ✓L� a DESCRIPTION tU ❑ FOOTING ❑ PLUMBING FINAL El EXCAV/GPADING/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 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO vOi COMMENTS: W a J O a cc O W cc Q 2 W z W rt W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING 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. r-3 White Copyllnspector's File Canary Copy/Site Notice / CITY OF ORONO CALLED IN DATE TIME VVV INSPECTION NOTICE SCHEDULED PERMIT NO. 2611- b IICL5 COMPLETED ADDRESS 423 /ogklzwa /& OWNER TELEPHONE NO. _ CONTRACTOR 57bf"- DESCRIPTION ��' woof IA ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS v �CFINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT W FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUIVDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO Zt COMMENTS: — 4 !� _r re i?D �.Kq L ��'lSBec�ee.c r o _ cc vi I oQC — uj Q �!rt gear 1A_b iwt�sz�- hI�f/IYJC� Z W mor �Cee-J coot,l��e Uj ❑WORK SATISFACTORY:PROCEED ��ROJECT 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 ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. iCall for the next inspection 24 hours in advance. (952) 249-4600 O ner r on site: Inspecto White Copylinspector's File Canary Copy/Site Notice