HomeMy WebLinkAbout2012 - 00447 - roofing CITY OF ORONO 11111111140111111111111111111111111111111
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2750 KELLEY PARKWAY DATE ISSUED: 05/23/2012
4 ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 870 WILLOW VIEW DR
PIN : 28-118-23-44-0015
LEGAL DESC : WILLOW VIEW
: LOT 004 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 16,500.00
NOTE: VALUATION OF PERMIT:$16,500.00
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 295.00
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 8.25
5145 INDUSTRIAL ST
SUITE 103 TOTAL 303.25
MAPLE PLAIN,MN 55359
(763)479-8700
Minnesota State License#: BC631574
OWNER
WITHOFF,PETER&JANET -- -
870 WILLOW VIEW DR
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 applic t is responsible for assuring all required inspections are
request in onformance with the State Building Code.This permit may be
revoke at y time for due cause.
Applicant Permitee Si ature Date / /
Issued By Sig t re Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB.0,1a.
City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address: •'Permit number:
V.047.O,� PO Box 66
O
Crystal Bay, MN 55323-0066 Date-received:
A
'a a,. -Received by:
a I ' ` , s, Street Address:
14, \i ,4;/., i O~ 2750 Kelley Parkway Plan.re�ilewfee
L �� Orono, MN 55356
9kESH0�
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: '/I:s Com -//7l c.v i �;6:.e_i ,Oji
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 service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: /2G 5-`7".;"9 , .moov' 5:i*PU c.,ZG"niv
State License # zee:- 6 0 /5 7',ri Expiration Date: Oj i y -
Lead Certification Number:r/./,- 74(;;8'27g --/ Expiration Date: jam.�j�
(for work on homes that were constructed prior to 1978
Phone: 7' ;'5 — 4/77.-77 (office) �yi>i,-' (cell)
Mailing Address: !/y:.6"--1 L/,U J / !/ City jAie .,(r ZIP: .5::"--_ _ -;.<,--%,
Contact Person: �,��fl: 719 /'./4-1 Applicant is: Contractor / Homeowner (Circle One>
Email and/or Fax:
PROPERTY OWNER INFORMATION: ,,�� /�
Name: .r-=',- ./k7 e V�f`tir'�^ &2, '% p
Phone(day):
Address: '7 ���X e.;‘...) v, .c'GCJ�� City: e.)/1-a ZIPj T 3 -
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
CIDoor(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
halt �yf{ Minnehaha Creek Watershed District(MCWD)
®'Re roof, as
p 5 v E Repair ❑ Storm Damage 18202 Minnetonka Blvd
I: Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ Re roof, other(specify) Phone: 952-471-0590
❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑ Window(s) www.minnehahacreek.orq
Overall Project Description: /Fe--=4;4'12/
Estimated Construction Valuation of Project (excluding land) $ /6 , '-'-‘,.•9e:), 4:9�
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 II
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 refus supply the information,the application may not be issued.
Signature: /� r
Applicant's Si
g 4,®/�,1_" ,i Date: 57,?//^2__
Last Updated: 08-09-2011
DATE TIME k4/
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 060517 COMPLETED v%7rl f/
ADDRESS '5?o lar deg) yteeij O r
OWNER TELEPHONE NO.
CONTRACTOR f4/i 5t✓ A at f '
DESCRIPTION Re-rco f
LU CIFOOTING ❑ PLUMBING FINAL l=1EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
' ❑ FRAMING ❑ MECHANICAL FINAL
Q 1=I TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
1, ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP
41 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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WQ IDWORK SATISFACTORY:PROCEED RCLLECT COMPLETE
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CI CORRECT WORK&PROCEED / i ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
G CITATION ISSUED
El 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:
Inspector. 9.1
IZ--.
White Copy/Inspector's File Canary Copy/Site Notice