HomeMy WebLinkAbout2011-01249 - roofing CITY OF ORONO PERMIT NO.: 2011-01249
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 10/17/2011
952 249-4600 FAX: 952 249-4616
ADDRESS 678 TONKAWA RD
PIN 05-117-23-33-0008
LEGAL DESC PARTENS POINT 1 ST DIV
LOT 004 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 5,400.00
NOTE: VALUATION OF PERMIT:$5400.00
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 132.75
INCLINE EXTERIORS INC STATE SURCHARGE(VALUATION) 2.70
26175 BIRCH BLUFF RD
SHOREWOOD,MN 55331 MISC FEE 0.00
(612)471-9065 TOTAL 135.45
Minnesota State License#:20168831
OWNER
LEIPOLD,DAREL&LEVERNA
678 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
Noked
n conform a with t ate Building Code.This permit may be
any ti e fdue ca
Pe ee ig Date Issi#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: -)6) 6�
O�,O, � PO Box 66
Permit number:
Crystal Bay, MN 55323-0066 Date received: /L')
a , Street Address: Received by:
2750 Kelley Parkway Plan_review fee:
�9kESIU40 Orono, MN 55356
3 5,
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us I
Total Fee:
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: / ,,nn
Job Site Address: li, 7� 6kt k,-,(/VA- 0`1 V �
Will this be a Parade of HomegRemodelers 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 JNFORMATIO�Name: V`G I kk.
State License# 2-0 f t1p��Z Expiration Date: 3 7-6/z..-
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: ' Z_ -7 -- 0 6 Office) (0 /2-- 7/ , 470 (cell)
Mailing Address: (7 I►_e, 4lv City: ;6,-y eV,"0ZIP: 3
Contact Person: ) Applicant is: ontracto Homeowner (Circle One)
Email and/or Fax: t in c , J�e ef, ca wi a,l . C_C.,w'
�r
PROPERTY OWNER INFORMATION: Q
Name: -y-� L•t C-
Phone (day): Lr 47 — X99
Address: r'•,�ti Gdu�..Gc City: cit-CA-6; 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)
XRe-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.minnehahacreek.org
Overall Project Description:
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 usp of this information is to annually update our records and records of other governmental agencies
required by law. If you re u e to 9upply supplythe inJormationL the application may not be issued.
Applicant's Signature: Date: /6 -17- 2-011
Last Updated: 08-09-2011
DAT TIME
CITY OORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 2 6//-���� COMPLETED a
ADDRESS �P7� �O'1�(.t�Ct wa_ /C C
OWNER EPHONE NO.(�/a� 47/-10h5
CONTRACTO � -
a DESCRIPTION �h
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❑ FOOTING El PLUMBING FINAL ElEXCAV/GRADING/FILLING
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El POURED WALL ❑ MECHANICAL RI ElLAKESHORE/WETLANDS
ti ❑ FRAMING ❑ MECHANICAL FINAL
O 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑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.CALLTO ARRANGE ACCESS.
Call for the next ins on 24 hours in advance. (952) 249-4600
Owner/Contractor
Inspector
to Copyllnspector's File Canary Copy/Site Notice
- /
CITY OF ORONO CALLED IN DATE TIME ���///
INSPECTION k0TICE SCHEDULED
PERMIT NO. l- COMPLETED
ADDRESS &7? 7'bA k t-u 4 &P
OWNER TELEPHONE NO.
CONTRACTOR .14Chlye Cx�er�r
DESCRIPTION "
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
O ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
P'FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
v,>CEINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
i ❑ DEMO-SITE ❑ SEPTIC MAINT Or FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES`NO
COMMENTS: f�vuSP D��X
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W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
inspectorC:�J.—y~
White Copylinspector's File Canary Copy/Site Notice