HomeMy WebLinkAbout2011-01263 - roofing CITY OF ORONO PERMIT NO.: 2011-01263
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 10/19/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 499 TONKAWA RD
PIN : 06-117-23-41-0097
LEGAL DESC : MINNETONKA SUMMIT PARK
: LOT 000 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 8,000.00
NOTE: VALUATION OF PERMIT:$8000.00
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 162.25
ENHANCED HOME IMPROVEMENTS INC STATE SURCHARGE(VALUATION) 4.00
1691 OAKBROOKE WAY
EAGAN,MN 55122- MAIL-IN FEE 2.00
(651)452-9001 TOTAL 168.25
Minnesota State License#:638146 PAID WITH CC# 8228
OWNER
DOMBECK,MICHAEL&ROWANNE
499 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 for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date In#By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Octr" 1'`1'1 1 �08: 57a Enhanced Home Improvement 651 -528-6361 p. 1
City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: /�-U/
og,O,jOO Cr Box t36
Crystal Bay, MN 55323-0066 Date received:
Street Address: Received by:
2750 Kelley Parkway Plan review fee:
Orono, MN 55356 _
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www_ci.orono.mn.us If
This application form must be completed in full and all required information must be submitted. o O
Incomplete applications will be nAurned. (Please print)
GENERAL INFORMATION: 4� �N iivf�w
Job Site Address: ,Y A
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Homed Yes No
If yes,a special event permit is required with Police Department and City Council approval W 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 I
llowed_CONTRACTORI APPLICANT INFORMATION:
Name: E1411HWC err ffDM�' div, Ro VEMt•t rs .�^+G
State License# 79 L 1,3 0 ¢ Expiration Date: 3- S J^ 20712-
Lead
712Lead Certification Number: Expiration Date: /f-
(for work on horses Brat were constructed prior to 1878
Phone: (057- 45 7.- 9,0.0/ (office) ZP12 - S79 9- .5-&5�9_ (cell)
Mailing Address: 110flf W/rBY City: 45A ZIP= S/2Z
Contact Person: yfEPHE/tf 1 OtiS Applicant is: ontrac or / Homeowner (erra.om)
Email and/or Fax: 5ZIY -
PROPERTY OWNER INFORMATION:
Name: /Y1 j I<E f .0wA.44-16-e L)D M
Phone(day): Jra - 4 71---
Address: p,r.ff#qWA b City: Rb"O zip: 5S3 S46
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)
V(Re-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: 9521471-0682
❑Window(s) www-minnehahacreek.oro
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ G►Od . '00
APPLICANT ACKNOWLEDGEMENT: V15a _d* &F S-13
• 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 nerally cannot be given to the public but can be given to the subject of the
data. Confidential data is inform 'on hic nerally can be given to either the public or the subject of the data. Our
purpose and intended use of thi i ati s to nuel date our records and records of other governmental agencies
required b law. If you refuse to th rm ' n l:cation may not be issued.
Applicant's Signature: Date:
Last Updated: 08-09-2011
ATE TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE ,,/ SCHEDULED /
PERMIT NO. �F�6 _&�J COMPLETED
ADDRESS �Cf
OWNER TELEP NE NO.
CON TRACTO
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI (kLAKESHORE/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
❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
a
J
O
O
U_
W
cc
Q
Z
W
W
Wft�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE 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 11 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on sit
Inspector.- I�''/'1�4 ET-j
White CopylInspector's File Canary Copy/Site Notice
DDATE TIME
CITY OF RONO CALLED IN / 45, 114,
INSPECTION NOTICE SCHEDULED ZZI
PERMIT NO. ��� -�� CONED
ADDRESS
OWNER TFLEPHO NO.— 5a 071
CONTRACTOR �Q
3; DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/G ADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
ElFINAL ElSEWER HOOK-UP E) COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
cc
W
C
O
cc
O
LL
W
Cr
Q
Z
W
z
W
CC
GW ❑WORK SATISFACTORY:PROCEEDROJECT COMPLETE
QC PITW
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR 11 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. 6; S
White CopylInspector's File Canary Copy/Site Notice