HomeMy WebLinkAbout2011-01209 - roofing . CITY OF ORONO PERMIT NO.: 2011-01209
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE �ssuED: 10/06/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 630 DEBORAH DR
PIN : 31-118-23-22-0008
LEGAL DESC : MCCULLEY FARM
: LOT 001 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 28,000.00
NOTE: VALUATION OF PERMIT:$28,000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE POR 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 COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 445.25
UNITED EXTERIORS STATE SURCHARGE(VALUATION) 14.00
7455 FRANCE AVE. S. TOTAL 459.25
EDINA, MN 55435-
(952)881-8700
Minnesota State License#: 20321483
OWNER
KARLEN, MR. & MRS.
630 DEBORAH DR
MAPLE PLAIN, MN 55359
AGREEMENT AND SWORN STATEMENT
"I�he 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 dcscribed and does
not grant permission for additional or related work which requires scparate
pennits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.7'his 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.
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.
--7
_�i / / / /
Ap �icant Per ' e �gn Date Issue By S� ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A O .
.
. City of Orono � ��
Building Permit Application for Maintenance / Renovation �
(windows, doors, siding, re-roof, etc.)
Mailing Address:
��,0�� PO Box 66 Permit number:
��� Crystal Bay, MN 55323-0066 Date received:
�� �;., � ,�,
(a �, �' �, � Street Address: Received by:
�' ���'1 ti� 2750 Kelle Parkwa
c�L , � � Y Y Plan review fee:
9kESH04/ 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. (P/ease print)
GENERAL INFORMATION: -
Job Site Address ��,_SG' ��o_j� �,
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 Counci/approva/60 days prior to fhe event. Shuttle bus service wil!be
required unless applicant demonstrates sufficient on-site parking rs available. Non-permitted events will not 6e allowed.
CONTRACTOR/APPLICANT I FORMATION:
Name: �� � }P.� =
t �����f
State License # '1L���`{-�3 Expiration Date: •� j�
Lead Certification Number. - ' Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: �1��a-�"6I — � ? `��' (office) (cell)
Mailing Address: � ��5-� � << City: ZIP: S:� r�J�-
Contact Person: ;� Applicant is: ontractor / Homeowner (Circle One)
Email and/or Fax: !��? g��-�����r �
PROPERTY OWNER INFORMATION:
Name: �sr�-�v �rc��,.
Phone (day): (� ��i �-� ���G
Address: �ja ���� �., City: ��z- ZIP:
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)
❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
'�[Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
i ' Phone: 952-471-0590
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description: �r�
Estimated Construction Valuation of Project(excluding land) $ �Yp-xo.c> L
,
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� ' ormation, the a lication ma not be issued.
ApplicanYs Signature: - �� Date: �� �L7�l�
LastUpdated: 08-09-2011
i A E / TIME V
CITY OF ORONO CALLED IN �
INSPECTION IC ��SCHEDULED �/
PERMIT NO. � - �� �COMPLETED _�
ADDRESS ✓v � �G�J
OWNER ` EP ONE NO.
CONTRACTOR �
�: DESCRIPTION
�
� ❑ 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
v ❑ 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:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CdRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-4600
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION OTJ E !�� SCHEDULED - � /e/'
PERMIT NO. � OMPLEfE
ADDRESS ���0 j,�
� OWNER EPHONE NO.
CONTRACTOR �
�
�: DESCRIPTION � �
�
� ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSU TION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ ON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� AL ❑ SEWER HOOK-UP ❑ COMPLAINT
?J 0 DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONT TO MEET YOU:_YES_NO
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W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COYERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 ho rs in advance. (g5 249-46��
OwnedContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice