HomeMy WebLinkAbout2011-00854 - roofing N�
CITY OF ORONO PERMIT NO.: 2011-00854
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 08/15/2011
952 249-4600 FAX: 952 249-4616
ADDRESS 801 TONKAWA RD
PIN 08-117-23-21-0001
LEGAL DESC AUDITOR'S SUBD.NO.217
LOT 001 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 75,000.00
NOTE: VALUATION OF PERMIT:$75000.00
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.
REMOVE CEDAR SHAKES AND REPLACE WITH LAMERITE COMPOSITE
APPLICANT PERMIT FEE SCHEDULE 869.25
ROBERT LINDEN CONSTRUCTION STATE SURCHARGE(VALUATION) 37.50
4356 5TH STREET NW TOTAL 906.75
COLUMBIA HEIGHTS,MN 55421-
(612)396-8773
Minnesota State License#:20630763
OWNER
KROLL,MARK&LORI
801 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 equired inspections are
requested in conformance with the State lding Code.This permit may be
revoke time for ause. Q' J
Applicant Permi ature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
0PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address: Received by:
2750 Kelley Parkway Plan review f
l• .0 Orono, MN 55356
Total Fee: 7 � U+'�
Main: 952-249-4600 Fax: 952-249-4616www.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: n /
Job Site Address: �Q / �Qlil1C.fr✓ /�w c
Will this be a Parade of Homes Aemodelers Showcase Home or other Display Home? El Yes No
H 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 INFORMATI N: 11
Name: o L! r%�J .1c7! n
State License# 201307�3 Expiration Date: - Zo/
Lead Certification Number: j__r �83/�� /d_ ///� Expiration Date: <Z_ �z_ 20/S-
(for work on homes that were constructed prior to 1978
Phone: 6/Z.7e -Y1W (office) �� (cell)
Mailing Address: ,S f city:(,- s /yrS Zip: .S-r(17 /
Contact Person: ��' Applicant is: Contrac o / Homeowner (circie one)
Email and/or Fax: )ZLi%la>'
PROPERTY OWNER JNF9RMATION:
Name: pr +-L o,- K Y o l
Phone(day): gps'= c/ZR- I
Address: g0/ fidhl w1 City: 01'0A10 ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑Remodel ❑Water Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd
❑ Siding ❑ Restoration ❑Other: (specify) Deephaven, MN 55391
Phone: 952-471-0590
Re-roof ❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.or
Overall Project Description: /Zcti►pvt- r., 5'4., c,S / c car+ o,s�
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 nnot be given to either the public or the subject of the data. Our
purpose and intended use of this inf ation is to a ally upd o records and records of other governmental agencies
required b law. If you refuse to s the inform thea ti ma not be issued.
Applicant's Signature: Date:
Last Updated: 03-01-2011
D TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULE
PERMIT NO.aO/l-,6095,V- OMPLETED
ADDRESS
OWNER LEPHONE NO. /a 9773
CONTRACTOR
a DESCRIPTION 7vuh 4�pe'
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
% 0 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
❑ 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
Z
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
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W
O
O
O
W
W
Q
Z
W
W
W
W( c:aoRKSATISFACTORY-PROCEED ❑ PROJECT COMPLETE
ccW
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING 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 sit
Inspector. 7- ', _'/ Js.
White Copyllnspectoes File Canary Copy/Site Notice
CITY OF ORONO CALLED IN DATE TIME
INSPECTION �'I E SCHEDULED i
PERMIT NO. COMP ETED
ADDRESS g0�
OWNER T LEPHON O.
r
CONTRACTOR
'. DESCRIPTION
16-
W ❑ FOOTING ED PLUMBING FI ❑ EXCAV/GRADING/FILLING
❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
® ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
❑ ON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
pa, FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
1y ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNIDATION/REMOVAL
5 OWNERICONTRACTOR TO MEET YOU:_YES_NO
® COMMENTS-
CC
14
*OLD PERMIT - NO FINAL INSPECTION REQUESTEI
O ti
3w _Pj
cc ZIN-m$
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tic ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
Uj ❑CORRECT WORK&PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY
® ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O 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.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector:
White CopylInspector's File Canary CopyfSite Notice
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