HomeMy WebLinkAbout2011-01029 - roofing - asphalt �
E • CITY OF ORONO PERMIT NO.: 2011-01029
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUEu: 09/09/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3300 GRAHAM HILL RD
PIN : OS-117-23-11-0011
LEGAL DESC : GRAHAM HILL PRESERVE 2
: LOT 3 BLOCK 2
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 12,500.00
NOTE: VALUATION OF PERMIT: $12,500.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OP PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVLRTISING SIGNS MAY ONLY BE ON"I'HE PROPERTY DURING THE TIMF TI{E ROOF IS BEING DONE.
ONCE WORK IS COMPLE"I'ED THE SIGNS MUST BE REMOVED.
APPLICANT PERM[T FEE SCHEDULE 236.00
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 6.25
5145 INDUSTRIAL ST TOTAL 24225
SUITE 103
MAPLE PLAIN, MN 55359
(763)479-8700
Minnesota State License#: 20631575
OWNER
MURPHY, RICK&ANN
3300 GRAHAM HILL RD
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The 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 described and does
not grant permission for additional or related work which requires scparate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not speciYied 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 consVuction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsibie for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be ��
revok�d a�any time for due cause. _ - /�
C / � L �C' C`� C�/'j ��7'"/
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Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
4 •
'� City of Orono
Building Permit Application for Maintenance / Renovation .� G���
(windows, doors, siding, re-roof, etc.) �
Mailing Address: Permit number:
/�,�,�. PO Box 66
Crystal Bay, MN 55323-0066 Date received:
O �9 O
a 4� �, Street Address: Received by:
�,�, �t •�,;,�p„ �titi 2750 Kelley Parkway Plan review fee:
L9kESH 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: 3(�d G�y��fj/yl ��1� /��
Will this be a Parade of Homes, Remode ers Showcase Home or�ot er Display Home? ❑ Yes ❑ No
If yes, a special event permit is required with Pofice 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 nof be allowed.
CONTRACTOR/APPLICANT INFORMATION: ,
Name: � �.G. � G n • i'oi1J _' �sG��:�/U 5 J��7/
State License # �d �� .3�� ��/ Ex ' ation Date: '�j3i�'2,���
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: ' - 3— �CSC� (office) (cell)
Mailing Address: — / ^ �l City: � ZIP: �� J
Contact Person: r�,��� ������ ��� �A���� is: Contra or /'Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: ��L�1, i��� ,�,. ����
Phone (day):
Address: �����j �����T������/ City������ ZIP: ���Z���
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)
�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) $ /r
�
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 I the information,the a lication ma not be issued.
�` ^^__
ApplicanYs Signature: C�./y.�7� Date:
Last Updated: 08-09-2011
L� D E TIME Y
CITY OF ORONO CALLED IN / �/
INSPECTION OTICE SCHEDULED _�����
PERMIT NO. ��I'D��Z� COMPLETED
ADDRESS ���
OWNER TELEPHONE NO. - � �
CONTRACTOR
>; DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ E AV/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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W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� ZQ9-46�0
Owner/Contractoron s ":
Inspector.
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