HomeMy WebLinkAbout2011-00751 - roofing CITY OF ORONO PERMIT NO.: 2011-00751
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/28/2011
952 249-4600 FAX: 952 249-4616
ADDRESS 1355 VINE PL
PIN 07-117-23-31-0035
LEGAL DESC REG. LAND SURVEY NO.0488
LOT 000 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL r
CONSTRUCTION TYPE ROOFING-ASPHALT
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 12,000.00
NOTE: 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 221.25
AMEK CUSTOM BUILDERS STATE SURCHARGE(VALUATION) 6.00
9340 JAMES AVE S TOTAL 227.25
BLOOMINGTON,MN 55431-
(952)888-1200
Minnesota State License#:20164402 ' 0
OWNER • ,
JR,DANIEL VENTRES
1355 VINE PL
MOUND,MN 55364
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 a for due cause.
Applicant Permitee Signature Dae ssue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Ju1 . 21 . 2011 1 : 32PM AMEK CONSTRUCTION INC. No. 9306 P. 2
City of Orono �#\6
$5
Building Permit Application for Internal Work
windows, doors, siding., re-roof, etc.)
Mailing Addreae :;>•.....: ..�;:,;..>.:::• :.::;r ,::,:::• .. ;�:::;;,•
O PO Box 66 : f?.81it111t;r�ur ('•;:;:;'':::' . ::;i� ::` '.
0 Crystal Bay,MN 55323-0088 'PAt :;tiaCeircl ;: ••'•:'':``::'.:':`' ?:•::'`:: ::< '.. ;
StreetAddroes:
2750 Kelley Parkway :.4,.;•.,. ,
Orono,MN 55356
Mein: 952 249.4600 Fax: 952 249-4816 l,cf.orono.mn.us
This appllcation form must be completed in i and all required information must be eubmine .
GENERAL INFORMATION: Incomplete applications will be retumed. (Phase print)
Job Site Address: 1355 YIK-Ne-
Will this be a Parade of Hones,Ramodelers Showomw Home or other Display Home? Yes AUNo
Nye*a spedaf event pem*is ngdred%Wh Polka Depsibrwnt and C ityCoundl approW So doe prtor to the Mni. shuffle but"Mee Vd#be
mgrdr d urdess eppbasnt damonahstee&Akd&*mmo parking h am?aue. Mon-pemrtted everts M#not be allowed.
CONTRACTOR/AP CAI INF RMATION:
Name: .I lAges L
State Llcense# 201 Expiration Date:
Lead Certification Number: Expiration Date:
(for Work on home" conatrerofvd LO 1978
Phone: M 2^ —2 -n!�! (office) (cell)
Malling Address: Q g— 5 ]ZIP., ,glv/
Contact Person: ApplIs: Contracto omeowner Icirde one)
Ismail and/or Fax: C7,%T 2 62&KY
PROPERTY OWNER,1 FORMATION:
Name:
Phone(day):
Address: City: ZIP.,
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑Door(s) ❑Remodel ❑WOW Damage MCWD review&pemdb:
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑Repair ❑Storm Damage 16202 Minnetonka Blvd
[ISiding ❑Restoration [3 Ober(specify) Deephaven,MN 55391
Phone: 952-471-0580
'5e-roof ❑Fre Damage Fax 952-471-082
bom.minnehahacreek.oro
Overall Project Descrl ion:
Estimated Construction Valuation of Project(excluding land $ d oO
APPUCANT ACKNOWLEDGEMENT:
• Agrees to provide all Information required or requested by the BuNding 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 applicakion being aware that upon failure to do so,the staff has no altemative
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 Infos tion is to armudly update our records and records of other governmental agencies
required b . I efluae on 1h application may not be lowed.
Applicant's Signature: Date:
Lest Updated: 0301,2011
D E TIME
CITY OF ORONO CALLED IN —
INSPECTION NOT[ E ��7 - SCHEDULED K-0 — Lif
PERMIT NOP2 / COMPLET D
ADDRESS 13 SS V1 h f larnz
OWNER TELEPHONE NO. 9,72- EST
CONTRACTOR CAJct_� /Z!-
a DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
cc
W
a
J
O
a
cc
O
W
W
cc
Q
12
2
W
Z
W
cc
j
O
Wcc ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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 inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on si
Inspector. Lz_,�
White Copylinspectoes File Canary Copy/Site Notice