HomeMy WebLinkAbout2012-00795 - roofing CITY OF ORONO
* 2012 - 00795 *
ft.. 2750 KELLEY PARKWAY DATE ISSUED: 08/14/2012
ORONO, MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS 1030 TONKAWA RD
PIN 08-117-23-13-0015
LEGAL DESC REG.LAND SURVEY NO.0617
: LOT 000 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ROOFING-ASPHALT
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 25,000.00
NOTE: VALUATION OF PERMIT:$25000.00
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 413.00
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 12.50
5145 INDUSTRIAL ST
SUITE 103 TOTAL 425.50
MAPLE PLAIN,MN 55359
(763)479-8700
Minnesota State License#: BC631574
OWNER
BREMER,DENNIS&CYNTHIA
1030 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
re sted in conformance with the State Building Code.This permit may be
re ke a for due cause.
scant Permitee Signature Date Issued B ign a ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER TfhkN DESCRIBED ABOVE.
City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
.,oPO Box 66
Crystal Bay, MN 55323-0066 Date received:
a, Street Address: Received by:
2750 Kelley Parkway Plan review fee:
kEsxo4` Orono, MN 55356
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 ww\Al.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
GENERAL INFORMATION: Incomplete applications will be returned. (Please print)
Job Site Address: C
l (rte-c��
Will this be a Parade of Homes, Remodelers 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.
CRA--CCA/APPLICANT INFORMATION:
me
State License # C 5�,3 1Y_7 Expiration Date: 3
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: -761 47 1- f 7 z v (office) (cell)
Mailing Address: Shu yr ,bus v�,�j` S� City:/yJ �E7 „", ZIP: s�3 S
Contact Person: '12 y Applicant is: ntr / Homeowner (Circle One)
Email and/or Fax.-
PROPERTY
ax:PROPERTY OWNER INFORMATION:
Name: JE A:1, ff26_,41 C7�
Phone(day):
Address: fie, � -Fo,,it,4,J t - C0 City: ZIP'
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
ED MCWD review& ermits:Door(s) ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD)
Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
El Re-roof, other(specify) Phone: 952-471-0590
( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑ Window(s) www.minnehahacreek.org
Overall Project Description: '� eq-'_r — &1�s ,-
Estimated Construction Valuation of Project (excluding land) $ c:;?� ie2py�
APPLICANT ACKNOWLE7DGEMENT:
• 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
required by law. If you refuse to sq lv the information,the application may not be issued.
Applicant's Signature: Date: /Z-
Last Updated: 08-09-2011
of Q_D�T TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE (� SCHEDULED 9-l k� 12-
PERMIT NO.490f 1—D07T/S COMPLETED 00
ADDRESS_103o / dYLkCLGc-;4
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ 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
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: T1 cf�l
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W
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2
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W ❑WORK SATISFACTORY.PROCEED ❑ PROJECT COMPLETE
QZ ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copylinspector's File Canary Copy/Site Notice
/ D9TE TIME
LLED IN
CITY OF ORONO C ` �e 2---
INSPECTION
jINSPECTION NOTI SCHEDULED 10 —/Z
PERMIT NO.oZD 7QS COMPLETED
ADDRESS 16,30 T �
OWNER TELEPHONE NO. &17—
CONTRACTOR
ZCONTRACTOR Ll 262�
DESCRIPTION �� 0��K
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ 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
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
a
0
a
0
W
Cc
Q
z
W
Z
W
rr-
W ❑WORK SATISFACTORY:PROCEED '❑TROJECT COMPLETE
Cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
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 ❑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. r
White CopylInspector's File Canary Copy/Site Notice