HomeMy WebLinkAbout2011-00599 - roofing . �-
CITY OF ORONO PERMIT NO.: 2011-00599
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/08/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3505 CHRISTINE DR
PIN : OS-117-23-12-0020
LEGAL DESC : BETZ ADDN
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPI�ALT
ACTIV[TY : O/S BUILDING-LTNDEFINED
VALUATION : $ 17,399.60
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"I'IME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 309.75
SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 8.70
12366 R[VER RIDGE ROAD
BURNSVILLE, MN 55337- TOTAL 318.45
(612) 861-7000 PAID WITH CC# 3038
Minnesota State License#: 20593656
OWNER
ETAL, SUSAN MANIKOWSKI
3505 CHRISTINE DR
MAPLE PLAIN, MN 55359
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 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 within 180 days of the date of issuance,or if construction is
suspended for a penod 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 S[ate Building Code.This permit may be
revoked at any time for duc c use.
�7/ �i / � � �� /
Applicant Permitee Signa ure Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
JUL=87-20�1 12:29 From: To: 19522494616 Page:2�2
City of Orono
6uilding Permit Appiication for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number. � -
O���O PO Box 66
Cryslal 8ay,MN 55323-0066 Date received:
a � SNset Address: Received by:
� 2750 Kelley Parkway Plan retiew fee:
�t�� � Orono,MN 55356
Total Fee: ��� � L�s
Mein: 952-248-4600 Fax: 952-249-4616 www.ci-arono.mn_us
This application form rnust be completed in full and all required information must be submitted.
Incomplete applEcations will be returned. (Please print)
GENERAL INFORMATION:
Job Slte Add�ss: ��i P�L�'//'✓ /�/�
Will this be a Parade of Homes�Remade ers Showcase Home o�o e�Display Home? Yes No
Nyes,e specia/event permrY is►equiied with Police Department and City CounCil approval 60 days pnw to the evenL Shuttle Ous s �vfce will be
raqui��l un/ess epplieant demonstrat�s sutScieni on-site parking is aveilab/e_ Non peimitted evenfs w10 nof be allowad.
CONTRACTOR I APPLICANT INFORMATION:
Name, ��✓
State License t� �� Expiratfon Date: �� /�
Lead CertiFication Number. Expiration Oate:
(for work on homes that were consbucted p�or ro l878
Phon�: � . � (office) (cell)
Mailing Address: / �/ �j�. City: f�j+ �,/�y�ZIP:
Contact Person: �g,��`yy�. �j,� Applicant is: tractor / Homeowner cci�c�one�
Email and/or Fax: �p/,�• ��-�. �p�!
PROPERTY OWNER INFORMATION:
N�me: J"D� �l�diiP///'CG��L'/
Phone(day): �G1� . l,(�j�• �(�
Address: ���' L%Ff�JG.1ll/V�� �� C�tY'�/11A�1��L.d�P�I P:�'���
�
Email and/or Fax
PRO.IECT INFORMATION:
Type of Pro]ect: Any earth movement may requfre
❑Door(s) ❑Remodel ❑Water Damage MCW�revlew S permlt�:
Minnehaha Creek Watershed Distric!(MCWD)
❑Window(s) ❑Repair ❑Stortn Damage 1820Z Minnetonka Blvd
❑Siding ❑Restoration ❑Other.(spedfy) Deephaven,MN 55391
Phone: 952�71-0590
Re-roof ❑Fire Damage Fex: 952�71-0682
www.minnehahacreek_or4
Overall ProJect Desc�iptlon: —
Estlrx►ated Construction Valuation of Pro'ect excludin land $
APPLICANT ACKNOWLEDGEMENl':
• Agrees to provlde all infortnation required or requesled by lhe 6uilding Department;
. Certifies Ihal the informaGon supplied is Uue and correct to the best o/hls/her k�owledge. The epplicant recogniaes that they
are solely responsible for submitiing a complete application being aware that upon fallure to do sa, the staff hes no altemative
Dut to reJeci it until It is complete;
. Some or all of the informatfon that you are asked to provide on Ihis applicatlo� Is classlFled by 8tate law a� either private or
oonfldentlal. P�lvate data Is Informatlan whlcfi generally cannot be glven to the publie but can be given to the subJect of the
data. Confidendal data is Informallon which generally canno! be given to eilher Ihe public or Ihe subJect oi the data. Our
purpose and intended use of this irtionnation ia annuelly update our records and records oi other go�emmental agencies
re uirred b law. If ou refuse s 1 the in a' th a lication ma not be issued.
ApplicanYs Signature; Oate; ����
JUL-�?-2�"411 12:29 From: To:19522494616 Pa9e:1�2
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wwwS(monConstnictlon.com
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5� DATE TIME v
CITY OF ORONO CALLED IN �'
INSPECTION NOTICE SCHEDULED a-/ -/� 3:00
PERMITNO. aa��- °DS99 COMPLETED
ADDRESS 3S0 5 G� '��
OWNER TELEPHONE NO.Q52 �'�S 3q S 2
CONTRACTOR S��n �-�
�: DESCRIPTION ���� '���
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ 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
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: C 1�' ��� ��
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0�ECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Catl for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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CITY OF ORONO c� � `l�
INSPECTION NOTI E 9 SCHEDULED 7-2!�-l J
PERMIT NO a���� D��" �COMPLETED
ADDRESS �S�S � `� v
OWNER TELEPHONE NO. �la C�7�D
CONTRACTOR
>; DESCRIPTION / P� `"' '
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� O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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
� COMMENTS:
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WO\CORRECT WORK&PROCEED �, ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. /`- LS /�,�
White Copyllnspector's File Canary CopylSite Notice