HomeMy WebLinkAbout2011-00688 - roofing CITY OF ORONO PERMIT NO.: 2011-00688
2750 KELLEY PARKWAY
f ORONO, MN 55356- �ATE [SSUE�: 07/20/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 235 CRESTVIEW AVE
PIN : OS-117-23-14-0019
LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK
: LOT 000 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 4,250.00
NOTG: ROOF[NG 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 COMPLF,"I'ED'I�HE SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 1 18.00
TODAYS EXTERIORS INC. STATE SURCHARGE(VALUATION) 2.13
11308 70TH PLACE N
MAPLE GROVE, MN 55369- TOTAL 120.13
(763)425-0803
Minnesota State License#: 20387451
OWNER
QUADERER, BRYAN
235 CRESTVIEW AVE
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
thc approved plans and specifications,applicable City approvals,and the
State Building Code. 7'his permit is for only the work described and does
not gran[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 I 80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspec ns are
requested in c a e with the State Buildin is permit may be
revoke any time � r due cause.
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App icant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
, . Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: �D f —bQ �
O�v D,�O PO Box 66
�,
Crystal Bay, MN 55323-0066 Date received: b I
��'� �- Received b
a � •`��a� s, Street Address: y�
� �� �ti�' 2750 Kelley Parkway Plan review fee:
��9kESH�4� Orono, MN 55356
Total Fee: � p2 d,/3
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: �I'�S 7r/r E� �E
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �o
If yes,a special event permit is required with Police Department and City Council approval 6�days prior to the event. Shuttle bus se i/vi ce wil!be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INF�RMATION: 3
Name: ��4 .S' �rr'�rs ��
State License# a p 3 � `��{ �( Expiration Date: �,3 3� z o�3
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to f 978
Phone: (office) (cell)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: ��;A� �.l q �F�.F�
Phone (day): (o� Z '�Y� - 7cj S
Address: City: ZIP:
Email and/or Fax
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: o�
Estimated Construction Valuation of Project(excluding land) $ !�Z k,�
,
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 inform ' o nnually update our r and records of other governmental agencies
re uired b law. If ou refuse to s the inf ation, the a licatio a be issued.
ApplicanYs Signature: Date: 7 �v Z�l f
LastUpdated: 03-01-2011
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DATE TIPJIE
�0��F ORONI� CALLED IN
�PVS���.'�I�RI�Id1�`���� C) SCkEDULED
���IIII����,e�[7I�'0�3��T a COMPLETED __�5/
AD�RE� .2�'S L'restvie�J /�ye _
�1FdBNER TELEPhIONE NO.
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ti ❑ FOOTING ❑ PLUMBING FINAL � EXGAV/GRADING/FILLING
� O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ fViECHANICAL FIPJAL
� ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
� ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COPAPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT �O�.LOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REPhOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REPAOVAL
� tllMIdERICOIdYRe4CTOR TO AAEET'YOU:_.YES_NO
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4 *OLD PERMIT — NO FINAL IN5PECTION REQUESTED
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� ❑WORKSATISFACTORY:PROCEED �OJECT COPAPLETE
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� ❑COflRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
o ❑CORRECTFNORK,CALL FOR REIfdSPECTIOPd TEPJIPORARY
V BEFORE COVERIPIG PERPvIANENT
❑CORRECT UPdSAFE CONDITIOIJ WITHIfV HOURS. � pHOTO TAKEN
IPlSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL IIVSPECTOR �CITATIOiV ISSUED
O INSPECTION REQUIRED.CALLTO ARRAtdGE,4CCESS.
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�Pdhite Copyllnspec4or's File Canary CopylSi4e�lo4ice
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DATE TIME
CITY OF ORONO CALLED IN 7 � l
INSPECTION NOTICE SCHEDULED
PERMIT NO. - � � COMPLETED
ADDRESS_Q��S � ��/
OWNER � T H NE NO��"��-����1
CONTRACTOR
�: DESCRIPTION �
�
� ❑ FOOTING ❑ PLUMBING FIN � EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL I ❑ 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� `W�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CZ)RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
�NSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 2a hours in advance. (J52) 249-4600
OwnerlContractor on site:
Inspector. ,,�';�
White Copyllnspector's File Canary Copy/Site Notice