HomeMy WebLinkAbout2011-00863 - roofing CITY OF ORONO PERMIT 1Y0.: 2011-00863
�., 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEu: 08/15/2011
` 952 249-4600 FAX: 952 249-4616
ADDRESS : 3630 EILEEN ST
PIN : OS-117-23-21-0013
LEGAL DESC : RIEDEL CO STUBBS BAY ADDN
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTN[TY : O/S BU[LDING-UNDEFINED
VALUATION : $ 12,600.00
NO"rE: VALUATION OF PERMIT: $12,600.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTIC�FOR 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-ADVERT[SING 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 236.00
STORM PRO LLC
P.O. BOX 218 STATE SURCHARGE(VALUATION) 6.30
MOLJND, MN 55364- TOTAL 242.30
(952)513-8667
Minnesota State License#: 20634454
OWNER
ILSE, DAV[D& SHEROKEE
3630 EILEEN ST
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORIY STATEMENT
The work for which this permit is issucd 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 specified herein.This permi[will
expire and become nul]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 I 80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
reques ed in conformance wit he State Building Code.This permit may be
revo d at a ause. �/ �1�%J
i�.�i 20� ,���yC-.�i �Yl'7 L i.`� � f'�-fjJ /�
Ap ica t ermitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� City of Orono
•. Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
g,0�—� Mailing Address: Permit number:
\� PO Box 66
� o\, Crystal Bay, MN 55323-0066 Date received:
�'i�' :i �
� �' � Street Address: Received by:
a:<� s,
�'�, •�bs,„�, �ti 2750 Kelley Parkway Plan review fee:
� Orono, MN 55356
L9kESHo4�
-- 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: 363 O � ��e� �.
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
If yes,a specral 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'�p/'M.�/'D L.L G
State License# Z p�3 L�!!�.$'�t/ Expiration Date: 3•3/� �3
Lead Certification Number: � Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: �',2 . .S'�,3. ��.6 7 (office) �o/Z C�S/D �71�/ (cell)
Mailing Address: , �, p Z/ City: �un. Z�P: ,�"S�'6
Contact Person: �'q s on %�f rq Applicant is: Contra to / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: �Q vi`� -�'G S�
Phone (day): �,�'Z • y 76 . z�SO y
Address: �(.�t� �i�tci'l ,� ' City: �YD/?!� ZIP: �"�"3S�
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fir Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
�e-roof, asphalt [�Repair Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ /Z 600, °
i
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 information,the a lication ma not be issued.
ApplicanYs Signature: Date: ����� 2 D//
l�ast Updated: 08-09-2011
�r �v ` v
� D E� // TIME
CITY OF ORONO CALLED IN (� �
INSPECTIO`��T�/E SCHEDULED 1
PERMIT NV`" ` ��� COMPLETED
ADDRESS
OWNER LEPHONE NO. ����
CONTRACTOR
�; DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBIN FIN L ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL ❑ 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED r PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN ,.� CITATION ISSUED
❑ STOP ORDER POSTED.CALLINSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
Inspector. �
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