HomeMy WebLinkAbout2011-00605 - roofing ! �
CITY OF ORONO PERMIT NO.: 2011-00605
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/1U2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2943 FARVIEW LA
PIN : 04-1 17-23-34-0008
LEGAL DESC : FARVIEW
: LOT 008 BLOCK 001
PERMIT TYPE : M[NOR ALTERAT[ONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 19,000.00
NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR
TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF YICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVGRTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS I3E[NG DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
TEAR OFF RI:ROOF-#1 QLUE LABEL CL'DAR SHAKES
APPLICANT PERMIT FEE SCHEDULE 324.50
KAUFMAN S/M & ROOFING STATE SURCHARGE(VALUATION) 9.50
2521-24TH AVENUE SW
MINNEAPOLIS, MN 55406- TOTAL 334.00
(612)722-0965 PAID WITH CC# 0119
Minnesota State License#: 9324
OWNER
WILSON& TARA SULTON, GARY
2943 FARVIEW LA
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
Thc work for which this permit is issued shall be performed according to
the approvcd 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 addi[ional or related work which requires sepazate
pennits. All provisions of laws and ordinances goveming this type of work
shall be compied wi[h whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 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 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.
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Applicant Perm�t e Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� ' City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
�v�,(� �a//rP0 B xr66 . Permit number. ���— (�
II � N� O Crystal Bay, MIV 55323-0066 Date received:
�,� ! �i b, a,� S t r e e t A d d r e s s: Received by:
.� � ���'� 2750 Kelle y Parkwa y P l a n r e v i e w f e :
'��sg��ag'� Orono, MN 55356
Total Fee: �
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ��� � C�
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This application form must be completed in full and all required information must be subrrtitted.
Incomplete applications will be returned. (PJease printJ
GENERAL INFORJ111ATION:
Job Site Address: ���-� �,,��,��,,;_. ��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes IVo ^
liyes, a special event permit is requlred with Police Depa►tment and City Courtci!approva160 days prior to the event. Shutt/s bus se�vice wiR be
required unless applicant demonstrates safficient on-site parking rs available. Non-permitted events w�?1 not be allowed.
COHTRACTOR/ LICANT INFO ATION:
Name: � ���� �
State License# Z , Expiration Date:
Lead Certification Number: �,�� ,����'Z— Expiration Date: —
(for work on homes that were constrvcted prior to 1978
Phone: � E��.--6�2',�,[...C�`�,te�, (otfice) G�,�t ^' ,3,_ 'ae O'� (celq
Mailing Address: -�-�, ��*�+� �, �_, . ,,� Cit • . P�� ZIP: fv�� "��L�;
Contact Person: ,r,,. , _ . .� Applicant is: Contractor', / Homeowner (Circle One)
Email and/or Fax: c�,��,�$�Wi , �,.;�,,..,a�,r� —�6`nc�-�t��a , r� �n C . t,Z. �Z,� rC2�
PROPERTY OWNER INFORMA7I�N:
Name: ��9� �d LS;,v
Phone(day): (�iZ Z4� . `��t\'S
Addfess: �`b a.� ��i�.t��� r �,�3 Clty: �bE�.,� ZIP' �y�'�.��Cc�
Email and/or Fax �*,�,� �,�,
PROJECT INFORMATION:
� Type of Project: Any earth movement may require
❑ Door{s) ❑ Remadel ❑Water Qamage �CWD review�permits:
Minnehaha Creek Watershed District(MCWD�
❑Window(s) ` �Repair �Storm Damage �8202 Minnetonka Blvd
❑Siding ❑Restoration ❑ Other: (spe�ify) Deephaven, MN 55391
�Re-roof Phone; 952-471-�590
❑ Fire damage Fax: 952-471-0682
uvww,m inneh a ha creek.orq
Overafl Project Description�'�_ t,,c,G � ��-,- ._�,cc ! +�,'��, ,r ,��� C�-��;,�_ ���,��
Estimated Constructian Val�atian of Pro'ect excludin land $ � '"'�
J { 9 1 `1�, 1 t��-. �.�
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide al�informati�n required or requested by the Building Department;
• Certifies tE�at the information supplied is true and correct to the best oF hislher knowledge. The applicanl recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do s�, the staff has no alternative �
but to reject it until it is complete;
• Some or all of the information ihat you are asked to provide on this application Es classified by State law as either private �r
confidential. Private data is information which ge Ily cannot be given to the public but can be given to the subject of the
da�a. Confidential d a information w ich gen all c not be given to either the public or if�e subject of the data. Our
purpose and intende us of this inform ion is t ann ll update our records and records of other.governmental agencies
re uired b law. If u ref�se to su I t 'nfarm ion,th lication ma not be issued. '
� �
ApplicanYs Signature: Date: � � � �
Lasi Updated: a3-01-2011
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DATE TIME � /
CIYX OF ORONO CALLED IN V
IBdSPECT10Pl NOTICE SCHEDULED
PEFiI►!I{IT NO. 4����D�6� COMPLEfED ��� _
/LDDRESS o2 cl y3 �4•r vlP.�J Lif.
���E� TELEPHONE NO.
COPITRACTOR ���ir�.+ S/�l f ��.,,� __
� DESCRIPTION � �-roo'� �v)
� ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING �
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
Q ❑ FRAMIIdG ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/F{REPLACE ❑ 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 REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
� OMINERICONTRACTOR T�MEET YpU:_.YES_NO
� COMNAEN'TS: _.
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� ❑WORK SATISFACTORY:PROCEED i.�.e$QJECT COMPLETE
w �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANGI'
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-460�
OvornerlContractor on site:
Inspector. �� .�-.� �1
Whfte Copyllnspector's Flle Cenary CopylSite Notice
c%��`'� �� (/
� /ATE / TIME
CITY OF ORONO CALLED IN Z' �
INSPECTION NOTICE SCHEDULED 7 /
PERMIT NO.�d//-DOro� COMPLETED
ADDRESS a�`� �
OWNER TELEPHONE NO.f ��363�DD3
CONTRACTOR �
�; DESCRIPTION ��- �
�
Ll� ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
�
Q ❑ FRAMING ❑ MECHAN�CAL FINAL ❑ 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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4�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
w
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONW�THIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
u CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 tor the next inspection 2a hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. ��,Ll� ��
White Copyllnspector's File Canary CopylSite Notice