HomeMy WebLinkAbout2011 - 01116 - roofing e CITY OF ORONO PERMIT NO.: 2011-01116
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/26/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 55 WEAR LA N
PIN : 33-118-23-34-0006
LEGAL DESC : ROLLING MEADOWS 2ND ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 18,000.00
NOTE: VALUATION OF PERMIT:$18000.00
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 309.75
TIMBERLINE EXTERIORS,INC. STATE SURCHARGE(VALUATION) 9.00
7026E FISH LAKE ROAD TOTAL 318.75
MAPLE GROVE,MN 55311-
(651)329-6916
Minnesota State License#:20633887
OWNER
GROSS,DIANA J
55 WEAR LA N
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 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 r assuri :all required inspections are
requested in confo nce ith the • e Building Code.This permit may be
revoked ata m ,for cause.
9 /moo/ �/ l/
Appli t er iie ignature Date 9/ 20
Issu By Signature Date
SEP TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
MI. City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address: 'Pen,iit number.
7/0 11r PO Box 66
Crystal Bay, MN 55323-0066Date.received:
1,, Received,by:
a i N „'- a, Street Address:
'0�ih �ti� 2750 Kelley Parkway Plan reviewfee:
tykES • .4, Orono, MN 55356 .�I
Total fee: *lb t
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: 55c,s— -6-1 (..)1,- ,/i_c_-:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yeso
If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus s ervice will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION: / ,
Name: //-0-(1)... ----e-- G .4 —,6 t'3
State License# „476&,335g--7 Expiration Date: 315, 11
Lead Certification Number: J.41T', 1pL/376 ( Expiration Date: 5/,..Q --b 5
(for work on homes that were constructed prior to 1978
Phone: 61--- 353- 'BL/0- (office) (cell)
Mailing Address: --76,;26 E K61-1 ( City: 1,.." 6, 696 v,�ZIP: ( 55"3/ /
Contact Person: 6Y4,11
(vl.tL Applicant is: Contrac or / Homeowner (Circle One)
Email and/or Fax: 7't.) .. A___//L, _ -78.-
PROPERTY OWNER INFORMATION:
Name: it/(G.
`G4� J..4,,,%(-Il/La M'1
Phone (day): (.�i of-4F1-0/ - 9-
�v3
Address: 55 1rt) 4--- "--i1 City:bk-aviz, ZIP: 55350
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fire Damage
MCWD review& permits:
Minnehaha Creek Watershed District(MCWD)
1e-roof, asphalt ❑ Repair I/torm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof, other(specify) ❑ Siding E Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description: - ,3,f-- pied-GG� 4
Estimated Construction Valuation of Project(ex ng land) $ t.)
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 this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to su ply 'e Inf rmation,the application may not be issued.
Applicant's Signature:PP g l.�i`� � Datergeop(G2-6)/
Last Updated: 08-09-2011
C97 ` DATE TIME \/
.. CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED AO-n-1 j
PERMIT NO.0264—0/ COMPLETED9
t
ADDRESS S5 e u a-t- o iL
OWNER TELEPHONE NO. 105/ 353 8 4/Z
CONTRACTOR 7 m b
DESCRIPTION /'/i/a-e �o�f
Lij ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
ID TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
0 FINAL ❑ SEWER HOOK-UP Cl COMPLAINT
v 0 DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP
14-1 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
CC
W
CC
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CC
0
W
CC
Q
z
W
W
CC
0
Lu ❑WORK SATISFACTORY:PROCEED J<ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
• 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
0 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 onL.-C_/
e: ��`J R/'�
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice