HomeMy WebLinkAbout2011-00690 (re-roof) ' CITY OF ORONO PERMIT NO.: 2011-00690
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISsuED: 07/2U2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3510 BAYSIDE RD
PIN : OS-117-23-13-0016
LEGAL DESC : AUDITOR'S SUBD.NO.203
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 20,960.00
NOTE: 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 T[ME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
TEAR OFF REROOF HOUSE AND GARAGE
APPLICANT
PERMIT FEE SCHEDULE 354.00
LAKEWOODS REMODELING INC. STATE SURCHARGE(VALUATION) 10.48
9001 E. BLOOMINGTON FREEWAY ST
BLOOMINGTON, MN 55420- MAIL-IN FEE 2.00
(952)888-5550 TOTAL 366.48
Minnesota State License#: 20443066 PAID WITH CC# 5647
OW1vER
LARSEN, GREGG & STEPHANIE
3510 BAYSIDE RD
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 specitications,applicable City approvals,and the
State[3uilding 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 specitied 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 the State Building Code.This permit may be
rev ed at any time for du cause.
� � 7i al i // �� ;� C�-tr� �7i a �i !
Applicant Permitee Signature Date Issu By Signature Date �
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
67126/2'011 15:03 9528885554 PAGE 01
,
Gifiy of Orona
Building Perm�t Applicat�on for Internal INork
(windows, doors, siding, re-roof, etc.)
/Q Mailing Address: Permit number: � � ' � � �
� .�\ PQ Box 66
� � Crystal 6ay,MN 55323-0068 tiate received: �
� � 5lreet Address: Received by:
�+ ' � 2750 Kelley Parkway Plan review fee:
���Ko4'�' Orono, MN 55356 � �' ��
Total�ee: �
Main; 952-249�600 Fax� 952-249-�616 www,ti.orono.mn.i��
This appllcation form must bo completed in full and all required information musf be submitted.
Incomplete appfications w(II be raturned. (P/ease print)
GEN�RAL INFORMATION:
Job Site Addr�ss; ��Q
Will this be a Parade of Homes, Remodalers Showcase Wome or other Display Hvme? Yes No
If yas,a special event permit is required wMh Polrca Depariment and Crty Council approval BO days pnor tn the event. Shuffle bus seror�wj►!bct
required unless sppf;cant demonsfrafes suffrcient on-slle parkinq is evailable, Non parmr'tfied evenfs wN!not bo alfowad.
�ONTRACTOR!APPUCANT INFORMATION;
Name: � �
State License# ' p " Expiration Date: ,3/_
Lead Certification Number: �Q ������ Expiration Date: �_ ���
(for work on homes that were consfructed p�ior to 9978
Phone: S - — (office) ��`/ /� 3�a�..�� (cell)
Mailing Address: po� ,� �, r�f�ity: . ,�, ZIP: s-
Contact Pe�son; �}e J � Wl� 1��,�^ A plicant is: Contracto ! Homeowner �ci��i.o�a�
Email and/o�Fax; LW
PROPERTY OVWNER INFORMATION: � ��� ���' ��l � ���
Name: �r �.�r�e.�,,, _ � C— �/1
Phone(day): ! a, / `�.��L��
Address: _�'�� City ZIP:
Email andlor Fax
PRQdECT INFORMATION:
Type of Project: Any earth movement may requlre
❑ Door(s) ❑ Remodel ❑Water Damege MCWD revlew&permlts:
Minnehaha Creek Watershed District(MCWD)
�Window(s) ❑ Repair ❑Storm Damage 18202 Minnotonka elvd
Dee haven.MN 55391
❑Siding ❑ Restoration []Other; (speCify) Ph ne; 952-071-0590
�Re-roof ❑ Fire Damage Fax: 952-471-0687.
www.minnehahacreek.ora
Overall Project Description: 'T p
Estimated Construction Valuati n of Project� uding land) $ � 9�p , a c�
APPLICANT ACKNOWLEDGEMENT;
. Agrees 10 provido all information required or requested by the 8uilding Department;
• Certifias that the information supplled is true and correct to the best of hlslher knowledge_ The appllcant recognizes that they
ara solely responsible for submitting a complete application being aware that upon fa;lure to do so, the staff has no al�ernative
but to reject it untll!t IS complete;
• Sorne or all of the informatlon that you aro asked to provide on this applicetion is alasslfied by Stete law as oither private or
confidentlal. Prlvate dala is informatlon whleh genEraffy cannot be given to the public but can be glven to the subject of the
data. Confidentlal data is informatlon which genarally cannot be given to either the pwblic or the subJec! of the data. Our
purpose and intended use of thls information is to annually updato our records and records oF other governmantal agencies
re uired b law. ►f ou refuse to su I the lnformation the a 1lcation ma not be Issued,
Applicant's Signafure; Date:
Las[Updated: 03-01-7.011
D 9T TIME �
CITY OF ORONO CALLED IN �/�
INSPECTION NOTICE Q SCHEDULED � �
PERMIT NO. �D��—OD(07�COMPLETED
ADDRESS �5/D ���.��-[� �
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Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46QQ
Owner/Contractor on site:
Inspector.
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DATE TIPAE v
CITIo OF ORONO CALLED IfV
INSPECTIOIV IdOTICE SCFiEDULED
PERMIT NO. abj�-ao6 go COMPLEfED l7'—��`��
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� ❑ FRAMING ❑ iUECHANICAL FINAL
� ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC 9VIAINT �OLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FIfVAL ❑ FOUNbATION/REMOVAL
� OWNER/CONTRACTOR TO AAEE6'YOU:_YES_fV0
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❑STOP ORDEfl POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.C,ytL TO ARRANGE ACCESS.
Ca11 for the next inspection 2�hou�in advance. (952� 24J-460o
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Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPL4INT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REOUIRED.CAII TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-460�
OwnerlContractor on site:
Inspector_
White Copyllnspector's File Canary CopylSite Notice
DATE TIME �%
CITY OF OR O CALLED IN
INSPECTION NOTICE G, SCHEDULED
PERMIT N0. �Q(�—��� /v COMPLETED
ADDRESS � �
OWNER TEL Fj.QNE NO. `
CONTRACTOR ��Q�
�: DESCRIPTION
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O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE�NSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
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V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDIT�ONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on e:
inspector. l
White Copylinspector's File Canary CopylSite Notice