HomeMy WebLinkAbout2001-01450 - roofing CITY OF ORONO PERMIT NO.: 2011-01450
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 11/30/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3685 WATERTOWN RD
PIN : 32-118-23-34-0011
LEGAL DESC : UNPLATTED 32 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 17,000.00
NOTE: VALUATION OF PERMIT:$17,000.00
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.
SHATZER, WADE APPLICANT PERMIT FEE SCHEDULE 295.00
3685 WATERTOWN RD STATE SURCHARGE(VALUATION) 8.50
MAPLE PLAIN,MN 55359- TOTAL 303.50
PAID WITH CC# 2033
OWNER
SHATZER,WADE
3685 WATERTOWN RD
MAPLE PLAIN,MN 55359-
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 con with the State Building Code.This permit may be
revoked at tim or d cause.
(Alt&
Applicant Mennitee Signature Date Issued y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Nov, 17. 2011 5:09PM No. 07 P. 1
r
City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
O A' MadiPO Box Pemri!number: a e//— 17Jr0
66 e `VO Crystal Bay,MN 55323-0066 Date mceived: //—IS—
Street
.S—Street Address: Received.by:
a' 2750 Kelley Parkway
Plan reviewI
Orono,MN 55356
-Total Feed
Main: 952-2494600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted,
Inp9mplete applications will be returned. (Please pdnq j
GENERAL INFORIAATION- 3
Job Site Address: f0�, S!US 9
Will this be a Parade of Homm,Remodelem Showcase Home or other Display Home? 0 yes UNO j
Nees,a spsdal sventperrnlr/a required with Ponce Department and Cny Council eppravel 60 days pdar to the event. Shuffiebusserftem4fibe i
requked unless gpplioant dernariatratas suRldent on�e►te parrdny is available Non parr Wed event,will not be allowed.
CONTRACTOR/"APPLI A TINIFQTIO�Nt� r I' -
Name: /'!^�ty� owy",r, i
State license# Expiration Date:
I
Lead Certification Number: Expiration Date:
(for wale on homes that were consbucted polar to 1878
Phone: ,Sd -&G-/-<Y/ (office) fSa -07,00 -f.2.2-2- (cell)
Mailing Address: 3WIL 4 City: 0 zip: Ss
Contact Person: Applicant is: Contractor (cimisono)
Email and/or Fax:
i
PROPERTY OWNEINFOIYATION:
Name: 'k a(
Phone(day): fS.2 -A 00- 9s a 2-
Address- slo o City: oy1v" ZIP: XSS3.5 °l
--Email and/or Fax
PROJECT INFORMATION:
Type of Project Any earth movement may require
❑Door(s) ❑Remodel ❑Fire Damage MCWD review A permits:
Minnehaha Creek Watershed District(MM) f
Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd
❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391
Phone: 952-471.0590
❑Re-roof,other(specify) [J Siding Q Other.(specify) Fax: 952-471-01382 '
❑Window(s) www.minnehahacreek.cra I
Overall Project Description: ?Us-ofba"n
Estimated Construction Valuation of Project(excluding land) $ / 7, Oop
APPLICANT ACKNOWLEDGEMENT:
Agrees to provide all information required or requested by the Building Department; I.
• Certifies that the Information supplied is true and correct to the best of his/her knowledge,edge. The applicant reoognlzes that they I
are solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no alternative
but to reject 4 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 agendes
wired by law. If you refuse to the i ation,ft application maX not be issued.
Applicant's Signature: Date: P-12.11
Last updated: 05-W2011
6pe,r\_,, DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE // SCHEDULED
PERMIT NO.014 11 ��7 S� COMPLETED
ADDRESS
OWNER aid- S���-TELEPHONE NO.'?5Z Z!O 755;77
CONTRACTOR
> DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING
Q
-1 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q [j 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
cc
W
C
cc
J
UL eJ_
O
a
W
CC
Q
Z
W
Z
W
CC
O �/O11O 1�1RK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Oj 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 sl :
Inspector. rte, A � �
White CopylInspector's File Canary Copy/Site Notice
V
CITY OF ORONO CALLED IN DATE TIME
INSPECTION NOTICE SCHEDULED
PERMIT NO. //-4/�S� COMPLETED _3
ADDRESS-3(.Y6' N/at¢r &e,
OWNER __90i Q4etZ ,- TELEPHONE NO.
CONTRACTOR
DESCRIPTION -acro
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
0 ❑ POURED WALL 11 MECHANICAL RI LAKESHORE/WETLANDS
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
PaINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT.
jff4OLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUN'DATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS- e- 2u`�Gllp s
e - r10 !IGslt/ ns�ect a:, r��rtr¢sT-�
j
0
l�U ewor -o f'r 1 1Jcc rico r c�sQ '
tot.
j
a '
W� ❑WORK SATISFACTORY PROCEED -ARP$OJECTCOMPLETE
Lu ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCN
OO ❑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
OwnedContractor on she:
Inspector.
White Copy/Inspectoes File Canary CopylSite Notice