HomeMy WebLinkAbout2011-00957 - roofing - cedar � '� CITY OF �DRONO PERM[T NO.: 2011-00957
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08/29/20ll
952 249-4600 FAX: 952 249-4616
ADDRESS : 3285 GRAHAM HILL RD
PIN : OS-117-23-11-0006
LEGAL DESC : GRAHAM HILL PRESERVE
: LOT 5 BLOCK 1
PERMIT TYPE : M[NOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOF[NG-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 80,000.00
NOTE: VALUATION OF PERMIT: $80000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK}3EING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A F[NAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BE[NG DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 906.75
EVERLASTINC HOMES INC
P O BOX 914 STATE SURCHARGE(VALUATION) 40.00
BURNSVILLE, MN 55337- TOTAL 946.75
(952)435-2148
Minnesota State License#: 3024
OWIVER
HERKERT,CRAIG&LORI
201 LAKE ST E
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifica[ions,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for addi[ional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this type of work
shalt be compied with whether or not specified 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.
�' ��L. ��/-��C_ �_-, '� � r�� l .�i_'i�� � �l� l � �
Applicant Permitee Signature Date Issu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. . i City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: ���l�� �
��.,�,� PO Box 66
i/Q � �� Crystal Bay, MN 55323-0066 Date received: _ �- ��
�
��� "�"'::.,� Received by:
�� � ,� s. i Street Address:
�'�, ',„;�,_ �ti 2750 Kelley Parkway Plan review fee:
t9'kESH��� Orono, MN 55356 �7
Total Fee: q��p, / �
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: �-,� :�-, �^ ' i ) -�
Will this be a Parade of Homes, Remodelers Showcase Home�o'r other Displ Home? � �� Yes ❑ No
If yes, a special event permif is required with Police Department and City Counci/approva/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: G � .r� �,� c_ .
State License# � �� J ,� Expiration Date: � , � ' , t. � ;f
Lead Certification Number: � � ,_.� Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: �j j-,� _ �j 3 j-. „� /�;� (office) (cell)
Mailing Address: � �; �� �'� ; � City. ��, � , `. � ZIP: - - ->
Contact Person: _.'� �;� L'� ,• , `N Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: ", S ; , �, 3 5---. •=� �� � fj:
PROPERTY OWNER INFORMATION:
Name: ' -
�� j '� , < <�- ��� ,��� � -�-
Phone (day): ;3 o S - � � �- �i �.3 �
Address: � � �S- L � � ,��,�. i� l� .Z -.; City: ' , . ZIP: �,..S_ � �_ �:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits:
Minnehaha Creek Watershed District(MCWD)
❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
� Ke-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
Pho ne: 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) $ � "C �•� � ---
�
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all informafion 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 appfication 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. Confidenfial 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 faw. If ou refuse to su I the information,the a lication ma not be issued.
ApplicanYs Signature: /. _ f� �______ Date: , /� � /��� �j
"ast Updated: 08-09-2011
DATE TIME V
CITY OF ORONO CALLED IN /
INSPECTION TICE SCHEDULED /
PERMIT NO. / �-�d S�COMPLETED
ADDRESS � � �r�l-�Y�
OWNER T�LEPH E NO.��'y' -�
CONTRACTOR � � e-��
>; DESCRIPTION /-"C Gl� —
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� ❑ 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CO CT WORK 8�PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WlLL RETURN ❑ CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on sit :
Inspector. ��r '�� �_, �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED .
PERMIT NO.�o!/"GOS�i 7 COMPLEfED 7-8�/
ADDRESS 3�SSS Gr'���.�,r ��// �-
OWNER TELEPHONE NO.
CONTRACTOR �'v�-''l4sL�r•�cc J��/�S ��C
�: DESCRIPTION ��-��a� ��'e��� �
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfIANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
��tNAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Jv❑ DEMO-SITE ❑ SEPTIC MAINT.
�FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �'.�ROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C01IERfNG PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR W{LL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.f�i�� _
White Copyllnspector's Ffle Canary CopylSite Notice