HomeMy WebLinkAbout2011 - 01421 - roofing CITY OF ORONO PERMIT NO.: 2011-01421
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 11/14/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2735 WHITE OAK CIR
PIN : 04-117-23-42-0024
LEGAL DESC : WHITE OAK OVERLOOK
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 6,200.00
NOTE: VALUATION OF PERMIT:$6200.00
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 147.50
TRINITY EXTERIORS, INC. STATE SURCHARGE(VALUATION) 3.10
4204 PARK GLEN RD
ST LOUIS PARK, MN 55416- TOTAL 150.60
(763)473-8200
Minnesota State License#:20629997
OWNER
MURRAY,JOHN&LYDIA
2735 WHITE OAK 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 become null and void if con/ ction authorized is not
commenced within 180 days of the da: of issuance,or if construction is
suspended for a period of 180 days a i y time after work has commenced.
The applicant is res.onsibl.1 or ass ing all -.ir red inspections are
requested'. •. o•• . ce r th th .to- : .ung Code.This permit may be
revoked a ua.
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Issued
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Issued By Si ture / Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB'y
' .1.4_, \--1 C.-./:..2., I) — it 6-C'' S'r:;-C
. City of Orono
. Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
--,, Mailing Address: Permit number:
/g,(:).1 PO Box 66
420 ON Crystal Bay, MN 55323-0066 Date received:
A �. Street Address:
Received by:
�� o~J 2750 Kelley Parkway Plan review fee:
�l9 g')/ Orono, MN 55356
kEsso �
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 INFORMATIO :
Job Site Address: , 3 \ill (_LkY_('_,W CIC,
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑YesJ No
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus servi a will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/AP-P4CANT INFORMATIPN:
Name: IV-\r-\k -V3 Xtt'.V \Lv`3 Inc•
State License# UGtR Expiration Date: 3J 2( 1 2LA 2..
Lead Certification Number: 4 - U.-ET-ICJ-- Expiration Date: if Fi I Z(-`r---I
(for work on homes that were constructed prior to 1978
Phone: 9.- -( j,; (office) (cell)
Mailing Address: J-q.9(4 P( k, bion c) City:5f. --)0,1 j64JI(1,
(.,(,11� L ZIP: < ,
Contact Person: `T) Ce( Lc3C'f Applicant is: C / Homeowner (Circle One)
Email and/or Fax: ),-C70 -CI(y//
PROPERTY OWNER INFORMATION:
Name: -k:,\A‘c\.1. 1 y X 1'1\i.Ai G _\
Phone(day): (ft).- aolc--- lcs)«
Address: 9:12-F3 \.1:.A\Ve C)G\L (._.'_\-X C\Q_ City:LSC0-,(, ZIP:C-634:3(<-)
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ D s ❑ Remodel MCWD review&permits:
( ) ❑F're Damage Minnehaha Creek Watershed District(MCWD)
Re-roof,asphalt Repair Storm Damage 18202 Minnetonka Blvd
❑Re-roof,cedar 111Restoration ElWater Damage Deephaven,MN 55391
Phone: 952-471-0590
❑ Re-roof,other(specify) ❑ Siding ❑Other: (specify) Fax: 952-471-0682
❑Window(s)
www.minnehahacreek.org
Overall Project Description: FCoc OC(- -•,- \t'--V C::{
Estimated Construction Valuation of Project(excluding land) $ (f1 LC C",`.c_<--;
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 ly the in rmation,the application may not be issued.
Applicant's Signature: zi .,„,, -- Date: \\ / /D0 I
Last Updated: 08-09-2011
DATE TIME ,
CITY OF ORONO CALLED IN V
INSPECTION NOTICE*teed/ SCHEDULED
PERMIT NO. pPU// COMPLETED 7-.2y-/ -ADDRESS a 73$ 1..)he e Oat C,%- _
OWNERTELEPHONE NO.
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0 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 site:
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CITY OF ORONO ALLED IN ,%� TIME
INSPECTION NOTICE /SCHEDULED SCHEDULED /NNW __
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OWNER TELEPHONE NO. 2 126 F-CJ
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y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS
❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT
v 0 DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP
• ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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 ite:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
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CITY OF ORONO / CALLED IN
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PERMIT NO. D1
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• ❑ 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
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❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
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INSPECTOR WILL RETURN
0 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:
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Inspector. G�'-t/�f "
White Copyllnspector's File Canary Copy/Site Notice