HomeMy WebLinkAbout2010-00750 - roofing .f
CITY OF ORONO PERMIT NO.: 2010-00750
. 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUED: 08/23/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 475 DEBORAH DR
PIN . 31-118-23-23-0004
LEGAL DESC : MCCULLEY FARM
: LOT 004 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 31,000.00
NOTE: TEAR OFF AND REROOF WITH DIVINCHI SLATE
APPLICANT PERMIT FEE SCHEDULE 477.50
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 15.50
5145 INDUSTRIAL ST
SUITE ]03 MISC FEE 0.00
MAPLE PLAIN, MN 5�359 TOTAL 493.00
(763)479-8700
Minnesota State License#: 20631574
OWNER
KATHERINE M. SWEETMAN,JAMES G WAIGHT&
475 DEBORAH DR
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
"rhe work for which this permit is issued shall be perSormed 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 governin�this type of work
shail be compied with whether or nol specified herein.This permit will
expire and become null and void if�construction authorized is not
commenced N�ithin I 80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is resp si�le for assuring all required inspections are
reque d il�con,for i �e with the State Building Code.This permit may be
r o' t�zn��t� due cause.
�� � ii,L_� �' C"- l � � l �n/C%
/ /
�cant Permitee Signature Date Issue Bv i nature a�
SEPARATE PERMITS REQUIRED FOR WORK OTHE AN DESCRIBED ABO E
� City of Orono
` Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
�,�,�. PO Box 66
� ; � Crystal Bay, MN 55323-0066 Date received:
; `�
��� �'�'��»;� s, � S t r e e t A d d r e s s: Received by:
s e,�
��'.F, � �`� �ti 2750 Kelley Parkway Plan review fee:
��kESH�4'� Orono, MN 55356
Total Fee:
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: �'�� �� �n �l �jJ` '
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
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 available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ,�//s��._ ��.ti _rl�u���F:-,
State License# �u-y 3�s?5 Expiration Date: 3-.�� —�1
Phone: ��3-y�q- ���c, (office) (cell)
Mailing Address: S�y� ��,c.ustti�.,/ �. .S.-;C--,-, /v.3 City: ��"��,� �'/.,,.,, ZIP: �J��`;
Contact Person: � , ,� Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: �L 3_ y 7 y - �,L o� p u ?
PROPERTY OWNER INFORMATION:
Name: �p{r.:, ���✓.��f .�, r�.-�
Phone (daY): �.�-`�'�5 -�����
Address: ��c ���,�„�, t?Q City: v�t ,,� �� ZIP:
Email and/or Fax � f
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review&permits
❑ Door(s) ❑ Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
❑ Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
e-roof ❑ Fire Damage www.minnehahacreek.orq
verall Project Description: �,,,` �{� /'�/��;,,� �j� �;, ;n ��, , �,LQ � )
Estimated Construction Valuation of Project (excluding land) $ �� ��,�, �'"
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 inform i , the a lication ma not be issued.
C �°��
Applicant's Signature: � v' Date: ti,�- ��
Last Updated: 05-04-2009
� � r /Y t V
��/� TIME
CITY OF ORONO CALLED IN
INSPECTION N,O^TICnE M SCHEDULED �
PERMIT NO. �//�/ � w�� COMPLETED
ADDRESS `7"7� ��GLI/�-c�/ /l�`G
OWNER TELEPHONE NO.
CONTRACTOR
>; DESCRIPTION ���"`
�
� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y O 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 ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAII INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. �95Z� Z49-46��
Owner/Contractor on si
Inspector. l�f��I,.
White Copyllnspector's File Canary CopylSite Notice
�� � p./ D E/O TIME ✓
CITY OF ORONO CALLED IN `��1�`�
INSPECTION NOTICE SCHEDULED ��
PERMIT NO.�l�' ��7� COMP ETED
ADDRESS 'T 7S ���h�
OWNER TELEPHONE NO�JI- �� 3i�
CONTRACTOR
>; DESCRIPTION
�
ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
�
❑ FRAMING ❑ MECHANICAL FINAL ❑ 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
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
� � , -� r
o �%` , � ,�(.� /; S '1`,,.�� 1� �-,`� .
�
�
0
�
W
�
Q
�
2
w
�
W
�
� �
GW ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED '_- ISSUE CERTIFICATE OF OCCUPANCY
W
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site: '
' � � S
t
inspector. �-�� �� t � -' �--�
Whiie Copyllnspector's File Canary CopylSite Notice