HomeMy WebLinkAbout2011-01384 (asphalt roof) CITY OF ORONO PERMIT NO.: 2011-01384
� 2750 KELLEY PARKWAY
' � ORONO, MN 55356- DATE IssuEn: 1 UO2/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 4485 BAYSIDE RD
PIN : 06-117-23-21-0003
LEGAL DESC : LTNPLATTED 06 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHAC,T
ACTIVITY : O/S GENERAL
VALUATION : $ 14,000.00
NO'TE: VALUATION OF PERMIT: $14000.00
ROOFING PGRMITS 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 THG SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 250.75
INCLINE EXTERIORS INC STATE SURCHARGE(VALUATION) 7.00
26175 BIRCH BLUFF RD TOTAL 257.75
SHOREWOOD, MN 55331
(612)471-9065
Minnesota State License#: 20168831
OWNER
HAUS,JOSEPH J
4485 BAYSIDE RD
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which diis permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
Sta[e Building Code. This permit is for only the work described and does
no[grant permission for additional or related work which requires separate
permits. AII provisions of laws and ordinances goveming 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 wi[hin 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 applican[is responsible for assuring all required inspec[ions are
requested in confonnance with the State Buiiding Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Pcrmitee Signature Date Issued By S' ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED .
City of Orono
. � � Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
.¢,0,�. PO Box 66
�O �� O Crystal Bay, MN 55323-0�66 Date received:
�"�`a��-�1 Received by:
;,� ��rt�,;�_._y, �, Street Address:
\'�,�, �� ;�%z�{��^'� Gtiti 2750 Kelley Parkway Plan review fee:
l.q��l�og,w 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 ret rned. (Please prinf)
GENERAL INFORMATION: , ,p r
Job Site Address: U�� � `�'� S� � /\`
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If yes,a specia!event permit is required with Police Department and City Council approval 60 days prior to the evenf. Shuttfe bus service wil!be
required unless appficant demonstrates s�cient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: :=L nc�i n.� �✓��+-r l��S�-.S �",rt C
State License# �"� ' Expiration Date: J3
e�G I ��-��
Lead Certification Number: N /�-r 1I -�1�C�-l Expiration Date: �'-��
(for work on homes that were constructed prior to 1978
Phone: `��� �f 7f- �;��� (office) (cell)
Mailing Address: ,� - �� ,y� � j� at- f� City: :S S��i1�� ZIP: ,,,�r✓' _�T33/
Contact Person: �j�l) Applicant is: Co tractor / Homeowner (Circle One)
Email and/or Fax: �S',,Z_ y��, - /7��;/
PROPERTY OWNER INFORMATION:
Name: ���- �� �
Phone (day):
Address: City: ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
� MCWD review&permits:
❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑ Siding ❑ Restorafion ❑ Other: (specify) Phone: 952-471-0590
'�Re-roof ❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.orq
Overall Project Description: �j-���'t�-c ' � �1- �'�- b`� �
Estimated Construction Valuation of Project(excluding land) $ j y�GbG — _
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
i
• 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 inf rmation is o annually pdate our records and records of other governmental agencies
re uired b law. If ou refuse to su the infor ation,the a lication a not be issued.
Applicant's Signature: Date: � - �1�
Last Updated: �3-01-2011
S� DA/TE TIME �
CITY OF ORONO CALLED IN �r/�` / � ry�
INSPECTION NOTICE 7p CHEDULED /�
PERMIT NO.���/'O�Jo �COMPLETED
ADDRESS ���� �
OWNER TEL PHONE NO. ��o� ��� LT 77
CONTRACTOR �d��h
>; DESCRIPTION �`�� ��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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 ❑ PLUMBI RI ❑ SEP NAL ❑ FOUNDATION/REMOVAL
� OWNER/C NTRACTOR TO MEEf YOU: YES NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHiN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-4600
OwnedContractor on site:
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice
D 1 � DATE TIME
CITY OF ORONO CALLED IN ��- 3
INSPECTION NOTICE SCHEDULED !!- - //
PERMIT N0. ���l b I'��� COMPLETED
ADDRESS �`�'�S �
OWNER TELEPHONE NO.
CONTRACTOR 1��=�-� �;�"� •
�: DESCRIPTION ����
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT�ON/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� �110 et�ra— d �� �
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑ CORRECT WORK,CALI FOR RE�NSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-460�
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice