HomeMy WebLinkAbout2011-00796 - roofing : . � CITY OF ORONO PERMIT NO.: 2oii-oo�96
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssUEn: 08/04/20ll
952 249-4600 FAX: 952 249-4616
ADDRESS : 3860 CHERRY AVE
PIN : 08-117-23-33-0008
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 014 BLOCK 003
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
COI�TSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 7,000.00
NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGII NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR
TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A F[NAL 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
NMC EXTERIORS STATE SURCHARGE(VALUATION) 3.50
P O BOX 694
BUFFALO,MN 55313- TOTAL 151.00
(612)490-4846
Minnesota State License#:20639088
OWNER
TRUSTEES, RR ENGLUND ET AL
9700 PORTLAND AVE S#324
BLOOM[NGTON, MN 55420-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approvcd 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
shali be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within I80 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 licant is responsible for assuring all required inspections are
req�est d in formance with the State[3uilding Code.This permit may be
revoke at , ime for due cause.
D / I / I �
/ /
p,pli a ermit ature Date Iss y Signature Dat
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. .
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
�_ —� MailingAddress: Permitnumber: O��l!—�
��.,�,�� PO Box 66
;, Q �, Crystal Bay, MN 55323-0066 Date received:
'� � y `I
� �a � s,�� Street Address: Received by:
�'��������*v�ti�' 2750 Kelley Parkway Plan review fee:
�\kESHo�`� 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: �/
Job Site Address: .3��0 G��rr'�J �I�e �'f'f0l�fTa /17/V ,f�s.��p y
Will this be a Parade of Homes, Remodelers Showc se Home r other Displ y Home? ❑ Yes No
If yes,a special event permit is required wdh Police Department and City Council approval 60 days prior to the event. Shutt/e 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: /5//YfC �1C]'Grio/LS
State License# a p� j��� Expiration Date: 3 - Z�-/�.
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (�/ - y .. � (office) �jt.f� (cell)
Mailing Address: .�, �� City: p ZIP: 5'�"„3 3
ContactPerson: ��M lytuhsre�iqt�' Applicantis: Contractor / Homeowner (CircleOne)
Email and/or Fax: � j�� �MC £�c7'��IDR-S . �D til. Gt- 7 3 ^ �{7q-�"js'8'Sr
PROPERTY OWNER INFORMATION:
Name: `(,��,.yh ,/�,11/dvf y� Du4�l1J �l'iA�u�t�
Phone(day): ���, - �J7/ - 9Sa-G /
Address: 3 �(PD Gf,tBY�•y �✓g City: �(J�Gy�6 ZIP: rj�5 3(v �/
Email and/or Fax , e u � w N►ti� .GoM
� -
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391
Phone: 952-471-0590
�Re-roof ❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.orq
Overall Project Description: j�e�-
Estimated Construction Valuation of Project(excluding land) $ 00�.
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 inf ation w ch generally cannot be given to either the public or the subject of the data. Our
purpose and intended use o th info tion is to annually update our records and records of other governmental agencies
re uired b law. If ou refus to u e information, the a lication ma not be issued.
_.
ApplicanYs Signature: , Date: �� �
:
Last Updated: 03-01-2011 �
G-1 � A�
AT �IME � '
CITY OF ORONO CALLED IN �
INSPECTION OTICE SCHEDULED �
PERMIT NO. ���`���� co PLETED
ADDRESS ��
OWNER TEL�PHONE NO.
CONTRACTOR �O� "��D �
>; DESCRIPTION /`���-
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Z
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
x
W
a
� �� � S�� �-�� � ��i� ��
0
a
�
0
�
W
�
Q
�
z
w
�
W
�
�
W� �VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on 'te:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �
PERMIT NO. a'�al/• 607�L COMPLEfED � ��
ADDRESS 3�Go Cli.2�r4 ��i� .
OWNER TELEPHONE NO.
CONTRACTOR ,�SL�NC Eyc-�-er�►s
�; DESCRIPTION �e��acs.�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LqKESHORE/WEfLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
��:F1NAL ❑ SEWER HOOK-UP ❑ COMPLAIiYT
� ❑ DEMO-SITE ❑ SEPTIC MAINT.
�FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTFIACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� �
� l°�l� ,1��►�tr� �' i�10 ?'KqL �vlSBec_Zee.�. �@ t�'LL45�
�
�
O _
� n� �-�� _ d�� 1,�,�Q���w ,�� ��
0
W ��[ / ,
Q I�"�l AG �/'�/LP� ,� ��.�. /.J/�O(/ /J
�
Z
W
� �O� "�'� ��,/�t��5 L°�md��Z��
� ��µ� ���
d �
W� ❑WORK SATISFACTORY:PROCEED �HpJ�ET COMPLEfE
w ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL flETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOFi
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. _ �►�-�
White Copyllnspector's File Cenary CopylSite Notice