HomeMy WebLinkAbout2011 - 00911 - reroofing CITY OF ORONO PERMIT NO.: 2011-00911
* 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 08/22/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2900 WEAR CIR
PIN : 33-118-23-34-0007
LEGAL DESC : ROLLING MEADOWS 2ND ADDN
: LOT 001 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 15,000.00
NOTE: VALUATION OF PERMIT:$15000.00
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 265.50
THREE PINES CONSTRUCTION STATE SURCHARGE(VALUATION) 7.50
2876 MIDDLE STREET
ST PAUL,MN 55109- MISC FEE 0.00
(763)244-9199 TOTAL 273.00
Minnesota State License#: 20598207
OWNER
KALMAN,TODD&ELISSA
2900 WEAR CIR
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 be o -null and void if construction authorized is not
commenced in 180 days of the date of issuance,or if construction is
uspended fo gip; od of 180 days at any time after work has commenced.
h=applicani .onsib e'Tor. :."ring all required inspections are
iq s d in u 't • . c:i' •• i e State Building Code.This permit may be
v.'e;lat ' i d
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p' .nt Pe 1.4 igna' re Date Issued By ',nature '''11(00 Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO fa .
City of Orono
` Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: o�Gi, o d
0
�� Cr Box 66
_ Crystal Bay, MN 55323-0066 Date received:
7/s. (•'A�'‘;� s, Street Address:
Received by:
�, �� ,� ', Gtiti 2750 Kelley Parkway Plan:review'fee:
t 1- Orono, MN 55356
9ifESH04
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: Z9 t'D W c— Co- , C ',1 , 11 i0 SS-
3 .5-4,Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes i51, 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.
CONTRACTOR/APPLICANT INFORMATION:
Name: --c-1.,--,...,.. c
te-,S Yc f—t1-0 1-1 r/n
t vt.k S r •
State License # Zc7Sdlg 2-V-7 Expiration Date: 2 C/ L.
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: /S1- 30S i c/ 1 (office) 4a 2 6 -763,-3,-Zq`f�!
/1/S5(cell)
Mailing Address: , City: L, -d_ IP: // 7
Contact Person: ,,,r.1L �. �,,.-- ' Applicant is: 4. •ntract / Homeowner (Circle One)
Email and/or Fax: v ids/ 3qy r c.N Z
PROPERTY OWNER INFORMATION:
Name: 'T;Ack .A 1"+16,-
Phone (day): CIS 1- 353- 417qi .
Address: 4-`f te wee v' r" City: Otto h 0 ZIP: J S'SS e
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ElRemodel I=1Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
CI Re-roof, cedar illRestoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑ Window(s) wuwv.minnehahacreek.orq
Overall Project Description: 1 Tc,v-- ,C.� - c k Q Q\G C ,c
Estimated Construction Valuation of Project (excluding land) $ I 5; t) "2-
APPLICANT
=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 genpraity cannot be given to either the public or the subject of the data. Our
purpose and intended use of this informati. to annually update our records and records of other governmental agencies
required by law. If you refus t supply the • 'tion the application may not be issued.
Applicant's Signature: ,V I0,,,,,,44 Date: T--22.-'Z 01 t
Last Updated: 08-09-2011
CITY OF ORONO CALLED IN E TIME
INSPECTION NOTICE SCHEDULED — 1/ q)l—v1
PERMIT NO.i20/ — [/t/ // COMPLETED
ADDRESS 02q00w
OWNER TELEPHONE NO. '5" 3dr /' (1
CONTRACTOR 3 et---fr<--aJ
DESCRIPTION -7-74"'� — 1€'5"
tu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
El TREE REMOVAL
• 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION
• 0 RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS
❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT
0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
CCOCfARRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on s' e:
Inspector:
White Copy/Inspector's File Canary Copy/Site Notice
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/ � 1DATE TIME V
ORONO `� CALLED IN /
INSPECTION NOTICE SCHEDULED P-
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PERMIT NOJf—G/, // COMPLETED/ P
ADDRESS a 7 t (�(/,I— eiA Gee-
OWNER ____TELEPHONE[NO. P5/-36,49//
CONTRACTOR? r/ i l-S G s- - - C.._
DESCRIPTION - -Q/e- "r
W ❑ FOOTING C1 PLUMBFINAL CAV/GRADING/FILLING
cr LL. ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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Q CI FRAMING CI MECHANICAL FINAL ❑ TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
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W
CC
0
CC
0
LLW
CC
Q
W
Z
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CC
C/
4.1 ' WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
OO ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
Ili CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:P : r
Inspector_ •
` \�� r�
White Copy/Inspector's File Canary Copy/Site Notice