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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: cc W a cc cc ,A 3.e „�� SM a 1 ° ►.1 W cc W Z W CC 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