HomeMy WebLinkAbout2011-01214 - roofing �, CITY OF ORONO PERMIT NO.: 20�1-0�2�4
. 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE Iss[1ED: 10/1 U2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 60 CYGNET PL
PIN : 04-117-23-22-0016
LEGAL DESC : SWAN LAKE ADDN
: LOT 003 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : ROOF[NG -ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 20,052.22
NOTE: VALUA"I'ION OF PERMIT: $22,0�2.22 ROOF FOR HOUSE,GARAGE AND SHED
ItOOFING PERMITS ISSUED WITHOUT GNOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING S7�ARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT I3E ISSUED.
SIGNS-ADVGRTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCG WORK IS COMPLETGD THE SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 354.00
1UALKER ROOFING CO., INC. STATE SURCHARGE(VALUATION) 10.03
2274 CAPP RD
ST PAUL, MN 55114- MAIL-IN FEE 2.00
(651)251-0910 TOTAL 366.03
Minnesota State License#: 4229 PAID WITH CC# 3657
OWNER
SHAUGHNESSY, DAVID&ANN
60 CYGNET PL
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
Thc work for which this permit is issucd shall be performed according to
the approved plans and specitications,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
permi[s. All provisions of laws and ordinances governing diis type of work
shall bc compied with whether or not specitied herein.This pennit will
expire and become null and void if cons[ruction 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 responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issue y Si ure te
SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBE E.
OC•3'-07-2011 02 :35 PM WALKER, ROOFING 6512510916 P. 01
_r..._....a . _...... . .r�,......�....... .... ..�..��.�v�.�.�ivv � ��ai�v�a��v��
(windows, doors, siding, re-roof, etc.)
�.�:==—�„ Melling Address; Permit number: 02 U//--��a-/ 5l
/O�O,�.O PO Boz�6
Crystal Bey, MN 55323-0086 Date received; !�- 7-!/
I Sf�etAddress,- Recelved by: �
� �.,,.;�'�. �
27b0 Kelley Parkway
� �.�; Orono, MN 55356 Plan roview fee:
-.- .--:=:.- Tota�Pee: 3(0�j�, D �J
Meln: 962-249-a600 �ax; 852-249-4616 �prvy,c',Qrnno,mn,.�,,a
Thic�pplication form must be complet�d in full and all required information must be submitted.
Incvmplete applicetlons wlll be returned. (Pleese print)
GENERAL INFORMATION;
Job Slte Address; C � P(�
WIII thls be a P�rede of Nomes, Remodelers Showcase Horne cr other Dlaplay Home? Yea No
ll yos, e speclel ewn�pennn IS►equlred wilh Pollce DepeRment end Clry Councll epprove/60 daya prfor to the evenk Shuttb bua service wlll be
requlrod unleee Applfcent demonatrat�es 9ulliCianf on�alte p�9lklnp Js avdileble. Non-pe►mlttod events wlll nof be alloWed,
CONTRACTOR I APPLICANT INFOaMATION:
Name: _�RG,1�?�fyo h'��1�q..� '
State Licen�e# 1,��2,q Expiration Date; `3 � (
Lead Csrtification Number � ., N F!T- I ((� �02� � Expiration Date; �
(for work on homea thet were constwot�ed pHor to 1978
Phone: , . (office) ��� .- � 5 (� p q (� (cell)
Mailino Address: 21.'1_C). G,4PP �p� Clty: (S T. PA-I.��- ZIP; y
Contact Pereon: �(J►r �� Applicant ie: ont a / Homeowner �a��i.o�•�
Emall andlor Fax: q��5 wA fL� � , ,�.�
PROPERTY OWNER(NFORMATION;
Name: OFl�V�E S 1f�7�NFS'S`�
Phone (day): ( 2�-'7 ,p - 4�� S
Address; ,a,��]` P(,,4-�,E GtY: Ld�/!,r �At�cg ZIP: �S '� s�o
Emeil end/o�F�x
PROJECT INFORMATION:
Type of Pro�set: A�y earth movemant may roquiro
❑Door(s) ❑ Remode) ❑ Fire Damage MCWD revlew 8 permlto;
Mlnnehehe Creek Watershed District(MCWD)
e-roof,asphalt ❑ Repalr ❑Storm Demage 1H2O2 Mlnnetonk� Blvd
� Re-rocf,cedar ❑ Restoratlon ❑WaCer Damage Deephgven, MN 55391
Phone; 852-471-0580
❑ Re-raof,other(sp�clfy) ❑Siding ❑ Other: (speCify) Fex; 952-471-0682
❑Wlndow(8) www,minnehahecreek ol'�
Overall Project Deac�lptlon: (Z.�,� ,�� r/.�E �,�fqu5�� C��,@,.�1�„�.t 5�le'Q
Estlmated Constructlon Valuatlon of ProJect(axcluding land) S 'Lp p�7 , Z-Z
APPLICANT ACKNOWLEDGEM�NT:
• Agrees to provide all informetlon required or requested by the Building Depertment;
• Ce�lfiea thet the Information supplled Is true end correct Co the best ot his/her knowladge, The eppllcent recognizes that they
are solely responsible for aubmittin9 a complete application being ewero thet upon fsllure to do so, the st�ff hes no elternative
but to reJect It untll It Is complete;
• Some or ell of the Informetion thet you are eeked to provide on this application is cles�lfled by State law as either privete or
confidentiel, Privete data la Informetion which generally cennot be given to the public but can be givan ta the subJeCt of the
deta. Confldentlel deta is informetlon which gener�lly cennot be glven to either the public or the subJect of the date. Our
purpoae and intended use of this informaton is to annually updata ou� �ecorde �nd records of other aovernmentel �gencies
re uired b lew. If ou refuee to I th nfo etl n, the e Ilcetlon me not be iseued,
Applicent's Sipneture; Dete: [ Q
Last Updated: 09-09-2011 ���G C�Ll-- `�r` ��5� � �
D �J TIME `�
CITY OF ORONO CALLED IN `� �� /
INSPECTION NOTI!CE SCHEDULED ll�' -� � _,�7�
PERMIT NO.�D`/ �D���� COMPLETED
ADDRESS �� �b�� ��
OWNER G- n 2 w TELEPHONE NO. 7�3 ��2" 39`'T
CONTRACTOR /.� ���`-"Z �� /r14
>; DESCRIPTION �l�Q'�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
� �J� �� �G-
0
�
�
0
�
W
�
Q
�
Z
W
�
W
�
j
d
W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
� ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETtJRN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� �l�-� ����`� �
CITY OF ORONO CALLED IN '� � f ' TIME ��
INSPECTION NOTICE P SCHEDULED � l� ----L`T"- �L'iC
PERMIT NO. c�O �I "U i r� I �� COMPLETED
ADDRESS �D O � �J� �fi �a C �
OWNER TELEPHONE NO. �3��`3`��7
CONTRACTOR �
>; DESCRIPTION h
�
� ❑ 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 ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� O PLUMBING RI ❑ SEPTIC FIN ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
�
W
�
o •G G I`; n ,5 �l�J �i-�,�c� ��'1��
a
�
0
�
w
� I'
Q
�
z
W
�
W
�
�
d
ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑C RRECT WORK 8 PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
u CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor site:
Inspector. �.�
_ , White Copyllnspector's File Canary CopylSite Notice