HomeMy WebLinkAbout2011-00634 - roofing CITY OF ORONO PERMIT NO.: 2011-00634
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/13/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4345 WATERTOWN RD
PIN : 31-118-23-13-0003
LEGAL DESC : UNPLATTED 31 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 4,400.00
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.
TEAR OFF REROOF HOUSE AND GARAGE
APPLICANT
PERMIT FEE SCHEDULE 118.00
ABELARD CONSTRUCTION STATE SURCHARGE(VALUATION) 2.20
6200 SHINGLE CREEK PARKWAY TOTAL 120.20
BROOKLYN CENTER,MN 55430
(763)503-6610 PAID WITH CC# 9082
Minnesota State License#:20351322
OWNER
PEARSON, DONALD K
4345 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 conformance with the State Building Code.This permit may be
revoked at any time for ue cause.
7/ 43 / // _ bVl/Letk 7/ /3/ 1/
Applicant Permite Ignature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: oQ
� /f - .q"0(0.-3 y
O P O Box 66
/v Crystal Bay, MN 55323-0066 Date received: 7//-3///
L „, :‘._-z- a. ! Street Address: Received by: .7L7Z
\'$4, )I`,., 1- G..I 2750 Kelley Parkway Plan review fee:
t g3Ho"1O;S Orono, MN 55356 E�
<U /a D, �U
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.cLorono 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: /3y5 Gtlq rcj ,GAJ /1',/
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 se ice will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed
CONTRACTOR I APPLICANT INFORMATION: ,
Name: A- L rci-j 0.0 r1. .NJ a L,c_. --/.
State License # (9 O T j '--Sa a Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: —2 --C.A-- -7.1 cc ( )7(,3-Lsr7-716') (cell)
Mailing Address: Sc ' (, ,;,,r , _ • City;3i _,,,j p i ZIP. k/
Contact Person: 5' }4,( Applicant is: ..r -c ., Homeowner (circle one)
Email and/or Fax: 7 '3— ( '7r).G 7 '7 t) - ,.. p€,, - 6 rite i
PROPERTY OWNER I�OR�MATION:
UC_-
Name: A- 13 ip- ..la-a.S'r:"'ti
Phone (day): 5-3/ �'�, _ ,. (� c�
Address: L/34,/ c 'moi 2'l' ti cJ City: QQ ha 0 ZIP: 51-3 ..c qI
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review&permits:
❑ Door(s) ❑ Remodel El Water Damage Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
� ) Deephaven, MN 55391
❑ Siding 0 Restoration r] (specify)
Other: s ci Phone: 952-471-0590
-Ike-roof ❑ Fire Damage Fax: 952-471-0682
www.mmnehahacreek ore
Overall Project Description: ( ., c;c- oc �\:5 0 .e .. l� S~�''ri�r'
Estimated Construction Valuation of Project(excluding land) $ �L 0 . `L)
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 th's information is to annually update our records and records of other governmental agencies
required by law. If you refuse t upply the information,in / the application may not be issued.
Applicant's Signature: !'� Date: -7— / )-
Last Updated: 03-01-2011
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Cj\J ' DATTIME V
CITY OF ORONO CALLED IN
INSPECTIOIXOT)CE/11 / SCHEDULED %l
PERMIT NO./! - // OMPLETED
ADDRESS 4�
OWNER //��� TELEPHONE NO703 J 7-,7/746
CONTRACTOR t/L'�1,�i�C 1 Ci S N
DESCRIPTION 42Z3 -1(
44 ❑ FOOTING El PLUMBING ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
• ❑ 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
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES NO
o COMMENTS:
W
CC
O
CC
O
U-
W
CC
W
W
IQ ❑WORK SATISFACTORY:PROCEED 'PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
LI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 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 Copyllnspector's File Canary Copy/Site Notice
17 DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 2 oil- cog COMPLETED ¶? —f?/r
ADDRESS £/.3 1/5- k14tt„f.d K, 47.
OWNER TELEPHONE NO.
CONTRACTOR f16e/',-‘ e,0-4-S"
. DESCRIPTION 1 'fee"F
0 FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILUNG
Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS
ti 0 FRAMING 0 MECHANICAL FINAL
0 TREE REMOVAL
Z
0 INSULATION
0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS
k .VEINAL 0 SEWER HOOK-UP 0 COMPLAINT
v 0 DEMO-SITE 0 SEPTIC MAINT.
OLLOW-UP
4.1 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL
, 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
c/ COMMENTS: /1
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0 •
0 40 Mete— b pc /45,oce i K, recorgleQ
4.W
CC
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IQ ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY
0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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/ ontractor on site: Y )Yt /' -
spector. l i,-.., ' --
White Copy/Inspector's File Canary Copy!Site Notice