HomeMy WebLinkAbout2011-01104 - roofing CITY OF ORONO PERMIT 1Y0.: 2011-01104
2750 KELLEY PARKWAY
. ORONO, MN 55356- �ATE �SSUED: 09/23/2011
` 952 249-4600 FAX: 952 249-4616
ADDRESS : 3843 CHERRY AVE
PIN : 08-117-23-33-0040
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 000 BLOCK 007
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 8,500.00
NOTE: VALUATION OF PERMIT:$8,500.00
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 TI1E SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 177.00
STORM PRO LLC STATE SURCHARGE(VALUATION) 4.25
P.O. BOX 218
MOUND, MN 55364- TOTAL 181.25
(952)513-8667
Minnesota State License#: 20634454
OWNER
WILLIAMS,NICHOLAS&ANNA
3843 CHERRY AVE
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
7'he work for which this pennit is issued shall be performed according to
the approved plans and specitica[ions,applicablc City approvals,and the
State Building Code. This permit is for only the work described and does
no[grant permission for additional or related work which reyuires separatc
permits. All provisions of laws and ordinances governing this type ot�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 da[e of issuance,or if construction is
suspended for a period of 180 days at any time after wark has commenced.
The applicant is responsible for assuring all required inspections are
reque ed in conforman with the State Building Code.This permit may be �
rev d at an t' ue cause. �
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A lica t Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application for Maintenance / Renovation
' (windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
O�,�,�.0 PO Box 66
Crystal Bay, MN 55323-0066 Date received:
.�., ��
,a � �, � Street Address: Received by:
�' ���"�� titi 2750 Kelley Parkway
�r r � Plan review fee:
9kESH0�� 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.
I�cqr��te applications will be returned. (Please print) �
GENERAL INFORMATION:�'��Y / �°J
Job Site Address: C` �,�' � f7 V'_
Will this be a Parade of Homes, Remodelers Showca e 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 INFTO�RMATION:
Name: S��jj"�yl /'�"c L. �- �.
State License# Z,�+(�, _`�r��lS"'�j Expiration Date: j�,j 3
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: ��.52- S/3 �E�� 7 (office) �(;fl�. �'j� . `�7�''j (cell)
Mailing Address: /?� ;� c h� 2/� City: ZIP:
Contact Person: ��_,�,,l ,(�� ;,� Applicant is: rac� / Homeowner (Cirde One)
Email and/or Fax: ---
PROPERTY OWNER INF��jRMATION:
Name: /Ui� ./� l�rJ,l/� a .y/s
Phone (day): �' --y 5/j � �t�� �
Address: ' '' fr� � City: D�"p�v ZIP: S 5— j�;� "
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fir Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
Re-roof, asphalt ❑ Repair Storm Damage 18202 Minnetonka Blvd
❑ 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: �� — ��,�, •�
Estimated Construction Valuation of Project (excluding land) $ po `9`
i
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
re uired b law. If ou refuse to su I the informa ' n,the a lication ma not be issued.
ApplicanYs Signature: ti Date: �� � � ��'//
LastUpdated: 08-09-2011
C �, ,�� l "���/� TIME v
CITY OF ORONO ��,�CALLED IN '�"'� �
INSPECTION NOTICE SCHEDULED � �
PERMIT NO:�L��I"" O� COMPLETED
ADDRESS � "�-'� �
OWNER TELEPHONE N�. ' � � ����-�
CONTRACTOR S�Jr�2'Lj�/I%�,/t
>; DESCRIPTION - � -
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Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q p TREE REMOVAL
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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL�/ ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES��NO
� COMMENTS: ��
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� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION W�THIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-46��
OwnerlContractor on site:
Inspector. � �� ��
White Copyllnspector's File Canary CopylSite Notice
����� DA TIME V
CITY OF ORONO CALLED IN //� �
INSPECTION NOTI/CE C� SCHEDULED �- ' � �
PERMIT NO. �Q�` � �,I D L COMPLETED �
ADDRESS 3��3 ��
OWNER TELEPHONE NO. �L Z. �I O nj 7�l
CONTRACTOR S�m P/��
� DESCRIPTION �1h-�
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� 249-46�Q
Owner/ConVactor on site-
Inspector.
White Copyllnspector's File Canary CopylSite Notice