HomeMy WebLinkAbout2011-01017 - roofing CITY OF ORONO PERMIT NO.: 2011-01017
�., 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssuED: 09/07/2011
, 952 249-4600 FAX: 952 249-4616
ADDRESS : 1480 GREEN TREES RD
PIN : 11-117-23-23-0016
LEGAL DESC : GREEN TREES ON TANAGER LAKE
: LOT 006 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING -LTNDEFINED
VALUATION : $ 24,000.00
NO"I'E: VALUi1TION OF PERMIT:$24,000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NO"I'ICE FOR TGAR 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 398.25
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 12.00
5145 INDUSTRIAL ST
SUITE 103 MISC FEE 0.00
MAPLE PLAIN, MN 55359 TOTAL 410.25
(763)479-8700
Minnesota State License#: 20631575
OWNER
PLATOU, CARL& SUSAN
1480 GREEN TREES RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. 'I'his permit is for only the work described and does
not gran[permission for additional or related work which requires separate
pennits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This 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 I 80 days at any time after work has wmmenced.
I he applicant is responsible for assuring all required inspections are
requested in conformanc With[he State Building Code.This permit may be
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revo- t yhim r a e.
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Applicant Permitee S�gnature � Date Issued By gnature te
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
City of Orono
�• Building Permit Application for Maintenance / Renovation
� (windows, doors, siding, re-roof, etc.)
�-- Mailing Address: Permit number:
/�,�,�. PO Box 66
,i O �;, O
Crystal Bay, MN 55323-0066 Date received:
i"'fi r� Received by:
'a s, Streef Address:
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�'.�c, ' �ti 2750 Kelley Parkway Plan review fee:
t9'kESH�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: l
Job Site Address: f��.% �j f,��; j�:�� s �<� , U�ti�,�v
Will this be a Parade of Homes, Remodelers S owcase Home or other Display Home? ❑ Yes ❑ No
If yes, a special event permit is required wifh Pofice Department and City Counci!approva/60 days prior to the event. Shuftle 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: �/�S�o,+ �'�.� `��,�.�c�(�..,,
State License# ���,�9�� � � 4 Expiration Date: 3 -- .-5 i -- i Z
Lead Certification Number: Expiration Date:
(for work on homes that were consfructed prior to 1978
Phone: ��;_, , y�� -- k�«,� (office) (cell)
Mailing Address: � � 7 t -- ? � � Cit /�%� ZIP: ��3� "'
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Contact Person: T,,,, �, , ��Q �s`,- Applicant is ��tra tor_��' Homeowner (CircleOne) "
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Email and/or Fax: �, �Z _ ��� �, -- � .1�, �
PROPERTY OWNER INFORMATION:
Name: ��,cs�c�<��t
Phone (day): 7�� - y 7� - �?c;U
Address: 1���, /-, ��_c � 7(_�Q� ��;� City: J.,,!�r'?J ZIP:
Email and/or Fax
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PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�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: �,�� , � ' ry ; �
�- � �l �LF la�-� r/,< ,t -���:��Lt�� ��-� ,; , �/-�
Estimated Construction Valuation of Project (excluding land) $ � y ���,
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 fai�ure 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 law. ff ou refuse to su I the inf rr�ation, the a lication ma not be issued.
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AppficanYs Signature: j��"�ti. �� �,,y` Date: �
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Last Updated: 08-09-2011
`� D/AT TIME V
CITY OF ORONO CALLED IN J`
INSPECTION NOT/I E!' "� SCHEDULED � -
PERMIT NO.�Ol��/�O� / COMPLETED
ADDRESS l�D L92:Q,P��'L �O���S �
OWNER TELEPHONE NO. �o�Z S�JS �ZfO Z
CONTRACTOR ,��� �L/ w`
� DESCRIPTION ��n� ���� /
� ❑ 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: b L��Lillil ITY� ,�.c.t.�__
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W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call tor the next inspection 24 hours in advance. (J52� 249-46��
Owner/Contractor on site:
Inspector. � . ,, �
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