HomeMy WebLinkAbout2011-00481 - roofing CITY OF ORONO PERMIT NO.: 2011-00481
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 06/16/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2145 WATERTOWN RD
PIN : 03-117-23-21-0003
LEGAL DESC : UNPLATTED 03 117 23
LOT 000 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ROOFING-ASPHALT
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 7,180.00
APPLICANT PERMIT FEE SCHEDULE 162.25
MUONIO CONSTRUCTION CO. STATE SURCHARGE(VALUATION) 3.59
1835 COUNTY RD 127
DELANO,MN 55328 MISC FEE 0.00
(952)955-3060 TOTAL 165.84
Minnesota State License#: 6001 PAID WITH CC# 1851
OWNER
CORNELL,MR.&MRS.
2145 WATERTOWN 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 wi 'n 180 days of the date of issuance,or if construction is
suspended f 'a pe od of 180 days at any time after work has commenced.
The applicap 'is re pons a for assuring all required inspections are
requested in con rman a ith the State Building Code.This permit may be
revoked at time ford cause.
Ap licant'Perm' a Signature Date Issued By Si ure Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER MAN DESCRIBED A E.`
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
�- Mailing Address:
Permit number:
Lulhrct
PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address: Received by:
2750 Kelley Parkway Plan review fee:
Orono, MN 55356
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.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:
Job Site Address: l�/FJ G����hfiOCc!/y 2c�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
/f 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 INFORMATION:
Name: fvl UG lu to CC NSA C D
State License# (0C-)C) Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: �,ia-,3- go _0(O C1 I (office) (cell)
Mailing Address: ���c� �. I1Ji�(1y N2, City: De Pr>j ZIP: 'MQ .��s3J
Contact Person: R(; p fL 1�(rl,c� t.` >Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: —��M u (M 10 140 f vnac:( .C 4r v-)
PROPERTY OWNER INFORMATION:
Name: Tvyv\
Phone (day): 9S3 -- q,�3 —�3�Z
Address: Z i q. L)djl:�- {-0 L;J rr City:pf�oj�J J 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 El Other'. (specify) Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof ❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.org
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ -71 go Lti
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 'nf)ttsup4v
mation which generally cannot be given to either the public or the subject of the data. Our
purpose and intended us ofis inf tion is to annually update our records and records of other governmental agencies
required b law. If you ref e thb information, the application may not be issued.
Applicant's Signature: - Date: t5
Last Updated: 03-01-2011
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. RD!//AO)W COMPLETED
ADDRESS a l'`S
OWNER TELEPHONE NO.q 2855 30&0
CONTRACTOR M u DYt_.CO --
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DESCRIPTION T—� -
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
% ❑ POURED 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
ElFINAL ElSEWER HOOK-UP El COMPLAINT
v ❑ 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
COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
rc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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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.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copyllnspectoes File Canary CopylSite Notice
DAT TIME
CITY OF ORONO CALLED IN 72
INSPECTION IJOTI E SCHEDULED -T ll
PERMIT NO. OL�-OD �� COMPLETED
ADDRESS 021415
OWNER TELEPHONE NO.
CONTRACTOR MIZA1710
>: DESCRIPTION
El 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
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W ❑CORRECT WORK&PROCEED '❑ II SUE CERTIFICATE OF OCCUPANCY
❑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.
White Copylinspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO IC SCHEDULED
PERMIT NO. 0 ' a COMPLETED
ADDRESS L✓A
OWNERTEL PHONE NO.
CONTRACTOR r �.
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
QN SLAB ElWATER HOOK-UP ❑ PROGRESS
i NAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
41 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNEWCONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
a *OLD PERMIT - NO FINAL INSPECTION REQUESTED.
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❑CORRECT WORK&PROCEED ❑I SUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ci 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) 49-4600
Owner/Contractor on site:
Inspector.
White CopyllnspectoPs File Canary Copy/Site Notice