HomeMy WebLinkAbout2011 - 01174 - roofing CITY OF ORONO PERMIT NO.: 2011-01174
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 10/03/2011
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 865 WINDJAMMER LA
PIN : 07-117-23-12-0028
LEGAL DESC : PIRATES COVE
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 12,000.00
NOTE: VALUATION OF PERMIT:$12,000.00 -REROOF,REPLACE(6)WINDOWS AND(1)PATIO DOOR
$8,000 FOR THE ROOF-$4,000 FOR WINDOWS
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 221.25
FIRST CHOICE CONSTRUCTION STATE SURCHARGE(VALUATION) 6.00
2143 DIAMOND LANE TOTAL 227.25
MOUND,MN 55364-
(763)242-9049
Minnesota State License#:20639165
OWNER
GILLIS&JULIA NELSON,KEVIN
865 WINDJAMMER LA
MOUND,MN 55364-
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 he State Building Code.This permit may be
,.•s ed at any tirr due c. se.
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'plicant Pe itee attire Date Iss fi By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
t 4 P City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.) /
O Mailing Address:
66 Permit-number: 02- ✓�"a/(/?c�
Crystal Bay, MN 55323-0066 Date.received: ✓L1/3//i
,� 1�c . >4 Street Address: Received-by:
��, I ,i^�M� ' o~ 2750 Kelley Parkway Plan reviewfe (
�9kESKo4`4 Orono, MN 55356 ^�
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;,.. 1 \
Job Site Address: cs6S W rJ'PMmec LK e/'p/t° /7 1I) cc3 6 L/
Will this be a Parade of Homes, Remodelefs 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: ,iC_ c. e Covis+rucilly‘ UQ
State License# I- 2-06g9/45 Expiration Date:
Lead Certification Number: 0 , c _ 3 03s _,o —vii-04 8 Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: ()6?)ZyZ-Ypy y (office) (-26 i) 2_142,-% iy Ci (cell)
Mailing Address: Ztiis -zly d I" City: niovelj ZIP: "WU ,ccrh fJ
Contact Person: "(NAN, rn ---H u-f Applicant is: Contractor/ / Homeowner (Circle one)
Email and/or Fax: ( 61 c L-(�L' (-50 grarkjoi-O 5-( Cho,--(R eoriS`—r ict r t A eCCJYY'
PROPERTY OWNER INFORMATION:
Name: &_„0-0A6Z( IIS
Phone (day):
Address: �ns /(.,jarr\rne.r Cityftc)O ZIP: sT1 LI
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel EIFire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
Re-roof, asphalt ❑ Repair Storm Damage 18202 Minnetonka Blvd
El Re-roof, cedar ,-Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description: -. ►"cpk t_ ( (,.,)c JO,ws 7 '( 't1 Acy-
Estimated Construction Valuation of Project (excluding land) $ e/e -1.r�Q - ak Ls)ivvioLaS 1a)�
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 u.date our records and records of other governmental agencies
required by law. If you refus, to supply the information,the ap! ication ma not be issued.
Applicant's Signature: ( 44'lci.l Date: / 3
Last Updated: 08-09-2011
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D/ TIME i/
CITY OF ORONO LED IN A�
INSPECTION NOTICE y/ SCHEDULED / KW Ar.'4/ /d
PERMIT NO. 02-0//-12//7G/ COMPL TED
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OWNER P ONE O. 73-
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>; DESCRIPTION /--Y ,a}l_ 4,
• ❑ FOOTING ❑ PLUMBING FINAL/' ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
(1) 1=1 FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT
v 0 DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP
_ 0 DEMO-FINAL CISEPTIC INSTALL ❑ HARD COVER REMOVAL
v CIPLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
10 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
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White Copyllnspector's File Canary Copy/Site Notice
/ DA E TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE tCHEDULED / 7 —
PERMIT NO. O/ 1- t �� OMPLETED
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OWNER TELA NE NOl /3_
CONTRACTOR / /e )a �
DESCRIPTION L�CQQ / j fVaed -S
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cr ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
• ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP
_ 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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WCC ElWORK SATISFACTORY:PROCEED XF_'ROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 17 PHOTO TAKEN
INSPECTOR WILL RETURN
71 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
OwnerlContractor on site: , f
Inspector. C.�C/
White Copy/Inspector's File Canary Copy/Site Notice