HomeMy WebLinkAbout2011-00954 - roofing CITY OF ORONO PERMIT NO.: 2011-00954
. � 2750 KELLEY PARKWAY
ORONO, MN 55356- �A7'E ISSUEn: 08/29/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3235 CRYSTAL BAY RD
PIN : 17-117-23-41-0009
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 001 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIV[TY : O/S BUILDING-UNDEFINED
VALUATION : $ 7,000.00
NOTF,: VALUATION OF PERMIT:$7000.00
ROOFING PERMI'CS ISSUED WITI IOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK I3EING S7'ARTED) 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 [S COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERM[T FEE SCHEDULE 147.50
STORM SOLUT[ONS
PO BOX 514 STATE SURCHARGE(VALUATION) 3.50
DELANO, MN 55328- TOTAL 151.00
(763)972-5120
Minnesota State License#: 20318786
OWNER
BAKKE, BRADLEY
7101 LANHAM LANE
EDINA, MN 55439-
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 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 atter work has commenced.
The applicant is respon ible for assuring all required inspec[ions are
request in co rm with the State Building Code.This permit may be
revo d a ti e �r e cause. i
i l �'i l /� � 1a19/ �
icant it nature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED ABOVE.
City of Orono
• � Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
��_� Mailing Address: Permit number: D I—OG ,�
�� PO Box 66
� '�\ Crystal Bay, MN 55323-0066 Date received:
� ,,
S`�.
a , � .��� s, � Street Address: Received by:
�'�,nt "zi �'� �� 2750 Kelley Parkway Plan review fee:,/�jJ
'��SHo�'� Orono, MN 55356 �'/
Total Fee: ��j �
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: � ,� � y
Job Site Address: ,5 L ��j �( �� I ,�4 �4 ��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑
If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is availa6le. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORM/�TIO�V:..
Name: ���c�.-� �� l� � i�•_1 5 � -�-� �1�.���
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: ��'�'j- �j' �"Z — (office) (cell)
Mailing Address: ��o., �c�� S/ y City: �� �,�y,�.a ZIP: 5�3 L��
Contact Person: � �G ��,,, l� � Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: ��T f' �l y� �-1�Ic.�
Phone (day):
Address: 3 Z 3� C r 7�-+�g t y,�•t--7 u7o �-,cf City: C,J�y7:��-� ZIP: �3 % �
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
�-roof, asphalt [�epair �orm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ Re-roof, other s eci Phone: 952-471-0590
( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ <T���; `�—
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 w ch generally nnot be given to either the public or the subject of the data. Our
purpose and intended use of this ' � tion is t a I update our records and records of other governmental agencies
re uired b law. If ou refuse to s I e i atio h a lication ma not be issued.
ApplicanYs Signature: Date: � 2�� 2 0'
Last Updated: 08-09-2011
� �IDIjTE TIME
CITY OF ORONO CA LED IN ��
INSPECTION NOTICE �+ SCHEDULED � ���
PERMIT NO. ao/ 1—DO/ S� COMPLETED
ADDRESS 3�S `!�
OWNER TELEPHONE O. ��3"�'��- D�DO
CONTRACTOR `S�r� `S�/� � �''`� -,�/�S��
�; DESCRIPTION f�- � / ����"
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATfON/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� �,� DATE TIME
CITY OF ORONO CALLED IN —�'—�/
INSPECTION NOTICE SCHEDULED � ��"�� C��
PERMIT NO. c�L'I� -C/C%j��µ COMPLETED
ADDRESS � �.�`3 �� ��_f�.-/�� � 1 �lc� il /�r-(
OWNER TELEPHONE�10. ��°3 _-��' `v�
CONTRACTOR ��D rY3� ��1(���
>; DESCRIPTION ���� ` ' �� (
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPL4INT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FIN�� ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES NO
� COMMENTS: ���t-t tY f'� (1�) f �� 1"Yl �i •T-}-P
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� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
Owner/Contractor on site:
Inspector. �j � ����
White Copylinspector's File Canary CopylSite Notice