HomeMy WebLinkAbout2011-01452 - roofing * CITY OF ORONO PERMIT NO.: 2011-01452
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 11/21/2011
952 249-4600 FAX: 952 249-4616
ADDRESS 960 TONKAWA RD
PIN 08-117-23-12-0003
LEGAL DESC AUDITOR'S SUBD.NO.217
LOT 000 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 46,400.00
NOTE: VALUATION OF PERMIT:$46400.00
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 649.50
WEATHER-TITE EXTERIORS STATE SURCHARGE(VALUATION) 23.20
1984 QUINBALEE RD TOTAL 672.70
DEPERE, WI 54115-
(704)577-5901 PAID WITH CC# 5779
Minnesota State License#:20638654
OWNER
LIEFSCHULTZ, STEVEN&DEANN
960 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 co r ice wi to Building Code.This permit may be
revo i for,
( / �
Ap erm'ee Signature Date IsiufyBy Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application for Maintenance 1 Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address.
O PO Box 66 Permit number. —
�I/ Crystal Bay, MN 55323-0066 Date received:
Street Address_ Received by:
2750 Kelley Parkway
� o Orono,MN 55356 Plan review fee:
Main: 952-249-4600 Fax: 952-249-4616 `roww.ci.orono.mn.us Total Fee: ,
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned.
GENERAL INFORMATION: (Please print)
Job Site Address: �j7 �!(' ,
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? L1 Yes
ff yes,a special event permit is required VWth Police Department and City Council approval 60 days
prior to the ettle bus
required unless apprcant demonstrates sufficient on-site par ting is available_ Non-permed eventsvWiiHtnot be allowed.service will be
CONTRACTOR/APPLICANT INFORMATION:
Name: -.� •,, -
State License# Expiration Date:
Lead Certification Number. �� ... 7- %
(for work on homes brat were constlruc pdor to 1978 Expiration Date:
Phone: _ .- (office) _
- 26_s c. (cell)
Mailing Address: � City:
Contact Person: / ZIP:
Email and/or Fax: - ..
Applicant is: Contractor / Homeowner (Cirdeonei
- 3
PROPERTY OWNER INFORMATION:
Name:
Phone(day):
Address:
Email and/or Fax Cid ZIP:
PROJECT INFORMATION:
Type of Project:
Any earth movement may require
❑Door(s) ❑Remodel Q Fire Damage MCWD review&permits:
air Minnehaha Creek Watershed District(MCWD)
❑Re-roof,asphalt ❑ Re
p Q Storm Damage 18202 Minnetonka Blvd
e-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑Re-roof,other(specity) ❑Siding ❑Other. (specify) Phone.9552 471-0 20
Fax:❑Window(s) www.minnehahacreek ora
Overall Project Description: -- j -0
Estimated Construction Valuation of Project(excluding land) $ y
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 use of this information.is.to annually update our records and records of other governmental agencies
re uired law. If ou refuse to supplythe inforrrail6h the application may not be issued.
Applicant's Signature: p
Last updated: Oe-OsL2ol I ate: Z/
/ ATE / TIM
CITY OF ORONO CALLED IN
INSPECTION NOTICESCHEDULED l
PERMIT NO ' _ D/��� MPLETED
ADDRESS 2�'
OWNER TEL NE NO. � —7 3
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
Q
El FRAMING El 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
? E-1DEMO-FINAL El SEPTIC INSTALL El HARD COVER REMOVAL
v ElPLUMBING RI ElSEPTIC FINAL E-1 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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RK 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 site,
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DA/ TIME
CITY OF O ONO CALLED IN / /
INSPECTI N NOTICESCHEDULED / / "�
PERMIT NO. ���s0`Conn ETED
ADDRESS
OWNER TEL HONE NO. 1—S 7�
CONTRACTOR
>; DESCRIPTION �G 6
W ❑ FOOTING ❑ PLUMBING FINAL EXCAWGRADING/FILLING
-1 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
O
El FRAMING El MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ 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:
C
W
a
� a
O
cc
O
W
cc
Q
Z
W
z
W
CC
d
Wrc ElWORK SATISFACTORY:PROCEED AqROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 11 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 e:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice