HomeMy WebLinkAbout2011-01167 - roofing CITY OF ORONO PERMIT NO.: 2011-01167
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 10/06/2011
952 249-4600 FAX: 952 249-4616
REPRINTED ON 10/6/2011
ADDRESS 660 TONKAWA RD
PIN 05-117-23-33-0016
LEGAL DESC PARTENS POINT 1 ST DIV
LOT 003 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 13,500.00
NOTE: VALUATION OF PERMIT:$13,500 DOUBLE FEE APPLIED-WORK STARTED WITHOUT A PERMIT
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
PROPERTY CLAIM SOLUTIONS LLC STATE SURCHARGE(VALUATION) 6.75
2005 PIN OAK DR
EAGAN,MN 55122- MISC FEE 250.75
(651)255-0604 MAIL-IN FEE 2.00
Minnesota State License#:20593158 TOTAL 510.25
OWNER
LADD&CAROL STAINBROOK,MICHEAL
660 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.
�G) /0 4;,l
Applicant Pennitee Signaftffe Date
Issued8y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. �,-30. 2011 3: 24PM Property Claim Solutions No. 6733 P. 1/1
City of Orono
Building Permit Application for Maintenance / Renovation
windows, doors, siding, re-roof, etc.
MaNngAddresa: Permit number: oZ U 1 O l
Q�
0
PO Box 66
0 Crystal Bay,MN 55323-0066 Date received:
SfreetAddress: Received by:
c 2750 Kelley Parkway Plan review fee:
Orono,MN 55356 �o ?
Main: 852-2494600 Fax: 952-249-416 www.d.orono.mn.us
Total Fee: 5®vP, 2j
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be retumed. (Please pdnq
GENERAL INFORMATION:
Job Site Address:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes U N6
if M a special event perrrdt Is►equhed wain PoNee Depwbnent and Cly Council approval 60 days prior b Elie event 3hutlk bussemWwx be
required unless appUcent demonstrates suAteient on-Me parlor is avedabb. Non-pwm ed events wit not be allowed.
CONTRACTOR/AP LICANT INFORMATION:
Name:
State License# Expiration Date: 3126212, I
Lead Certification Number: Expiration Date:
(for work on homes Drat were consbacted or to 1878
Phone: (office) Ur7l OU (cell)
Mailing Address: City: ZIP;LEUX
Contact Person: Applicant is: ntractor d/ Homeowner 0"ons)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Profect Any earth movement may require
❑Door(e) ❑ MCVVD review&permits:
Remodel Fire Damage Minnehahe Creek Watershed District(MCWD)
❑Re-roof,asphalt 00pair ( m Damage 16202 Minnetonka Blvd
❑ ,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391
Phone: 952-471-0590
roof,other(spa ) ❑Siding ❑Other.(specify) Faic 852.471-0662
— QNB
Window(s) www.minnehahacreek.org
Overall Project Description:
Estimated Constructlon Valuation of Proect(excluding land) S
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 hMer 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 elther private or
confidential. Private data is ink madon which generally cannot be given to the public but can be given to the subject of the
data. Confldential data is Information generally cannot be given to either the pubic or the subject of the data. Our
purpose and intended use of this' is to annually update our records and records of other governmental agendas
wired 01 law. If you refuse to information th "Plication may not be issued.
City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
0,�0 PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address: Received by:
2750 Kelley Parkway Plan review fee:
Z9kESRO 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:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes
If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se ice will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/AP LICANT INFORMATION:
Name:
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed r"or to 1978
Phone: (office) U51 qaa (cell)
Mailing Address: City: ZIP:
Contact Person: Applicant is: ontractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: MV, �nym 11)1)d
Phone (day):
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 Oepair tem Damage 18202 Minnetonka Blvd
El Re-roof, cedar E] Restoration T❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
04roof,L3h
(speci ) ElSiding ElOther: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.org
Overall Project Description: 77 V
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 i generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this i fo a' n is to annually update our records and records of other governmental agencies
required b law. If you refuse to t information,thq application may not be issued.
Applicant's Signature:
Last Updated: 08-09-2011
C5 DATE TIME �V/
CITY OF ORONO CALLE IE N
INSPECTION INOTICE SCHEDULED
PERMIT NO. / `01167 COMPLETED
ADDRESS 660 / Zr�' .��
OWNER TELEPHONE NO1572 Zy'Z 79z'k
CONTRACTOR
3: DESCRIPTION
4 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/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 El COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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LU El WORK SATISFACTORY:PROCEEDcc Aif4OJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. U 4�l�'Lr
White CopylInspector's File Canary Copy/Site Notice