HomeMy WebLinkAbout2011-01057 - roofing CITY OF ORONO PERMIT NO.: 2011-01057
M
2750 KELLEY PARKWAY
. ORONO, MN 55356- DATE ►ssuEn: 09/14/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 240 CRESTVIEW AVE
PIN : 05-117-23-14-0055
LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK
: LOT 000 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BU[LDING -UNDEFINED
VALUATION : $ 12,700.00
NOTE: VALUA7'ION OF PERMI"I': $12700.00
ROOFING PERMITS ISSUED WITHOUT ENOUGFI NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURGS OR A PINAL[NSPECTION MAY NOT BE ISSUED.
SIGNS-ADVER"I'ISING SIGNS MAY ONLY BE ON THE PROPERTY DURING"1'HE 1'IME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BG REMOVED.
APPLICANT pERMIT FEE SCHEDULE 236.00
STORM PRO LLC
P.O. BOX 218 STATE SURCHARGE(VALUATION) 6.35
MOUND,MN 55364- TOTAL 242.35
(952)513-8667
Minnesota State License#: 20634454
OWNER
MELBY, JEFFRF,Y
240 CRESTVIEW AVE
LONG LAKE, MN 55356-
AGREEMENT AIVD SWORN STATEMENT
Thc work ibr 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
perniits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied 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 period of 180 days at any time after work has commenced.
I'he applicant is responsible for assuring all required inspections are
requ sted in conforma with the State Building Code.This permit may be
re ed at an time f ue cause.
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lica ermitee Signature Date ��� �� �
[ d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
V City of Orono
Building Permit Application for Maintenance / Renovation
' (windows, doors, siding, re-roof, etc.)
� Mailing Address: Permit number: // —� � s
/O�j,D,�.O PO Box 66 c�
Crystal Bay, MN 55323-0066 Date received: /
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la y' `� StreetAddress: Received by:
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�',�, � ��� �ti 2750 Kelley Parkway Plan review fee:
t9kESH0�� Orono, MN 55356
—� Total Fee: d�� � `, �
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: Z�f(' L ��5'�li'� [cz�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
If yes, a special event permit is required wifh Police Department and City Council approval 60 days prior to the event. Shutf/e bus service will be
required unless applicant demonstrafes sufficient on-site parking is available. Non-permitted events will nof be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: S{��rM��ic L� G
State License # Z o�:,3�y�s y Expiration Date: �;�3
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: �`/Z c5'!G 17�/ (office) r-/5 Z j-yl3 -���E, j (cell)
MailingAddress: pr, �nX 2�� City: �/��,`, l��.j ZIP: ,55-��,c/
Contact Person: ��u S�,,� �,,,, Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: _;1�-�a�' ��-/G.�
Phone (day): �5Z � �l/ 3 � `� /
Address: Z t f�j G;��s f�c��, City: L-��;25 La/�C ZIP: �S� .��,
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ D (s) ❑ Remodel ❑ Fire 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) $ j�r �7�,�i. `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 information is to annually update our records and records of other governmental agencies
re uired b law. If ou refuse to su I the information,the a lication ma not be issued.
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ApplicanYs Signature: c Date: g� �y-1 o jf
Last Updated: 08-09-2011
C����V ` DA TIME V
CITY OF ORONO CALLED IN I/� //
INSPECTION NOTICE SCHEDULED
PERMIT NO ���Dl�S� COMPLETED
ADDRESS o� �D �� ���
OWNER TELEPHONE NO. ����3�v�-L�7
CONTRACTO �� ��
>; DESCRIPTION �—
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� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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GW ..�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PEFIMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
�STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlCoMractor o site:
Inspector. � ;�,. 'S
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DATE TIME
�C��(�F OROIJ� CALLED IN _
�IVSPECTIOBV NO���� SCHEDULED
����II���a Q��+O �� COMPLEfED ___�T
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>; DESCRIPTAON
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� ❑ FOOTING ❑ PLUMBIMG FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICA�RI ❑ LAKESHORFJWEi'LANDS
y ❑ FRAMING � PAECHANICAL FINAL
� ❑ TREE REMOVAL
� ❑ IiVSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
� ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REtdiOVAI_
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATfON/REMOVAL
� OFMPIERICOPdYRe4CYOR TO iIAEET YOU:_YES_�d0
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� *OLD PERMIT - NO FINAL INSPECTION REQUESTED
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� ❑WORKSATISFACTORY:PROCEED OJECT COMPLEI�E
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o ❑CORRECT WORK,CALL FOR REItdSPECTIOM TEMPORARY
V BEFORECOVERIPIG PERfiFlANENT
❑CORRECTUPJSAFECONDITIONWITH1fV HOURS. � pHOTOT.4KEN
IPlSPECTOR bVILL RETURN
❑ STOP ORDER FTOSTED.CALL IfVSPECTOR �CITATION ISSUED
❑I�SPECTION REOUIRED.CALL TO,4RRAt�GE ACCESS.
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