HomeMy WebLinkAbout2012-00234 - roofing CITY OF ORONO * Z 0 1 2 - 0 0 2 3 4 *
« 2750 KELLEY PARKWAY DATE ISSUED: 03/29/2012
f ORONO, MN 55356-
' 952 249-4600 FAX: 952 249-4616
ADDRESS : 205 HOLLANDER RD
PIN : 25-118-23-44-0011
LEGAL DESC : HOLLY ACRES 2ND ADDN
: LOT 000 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 31,000.00
NOTE: VALUATION OF PERMIT:$31000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET 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 477.50
ALL PRO XTERIORS,INC. STATE SURCHARGE(VALUATION) 15.50
11235 EASTWOOD AVE SE
WATERTOWN,MN 5538& TOTAL 493.00
(952)486-7834 PAID WITH CC# 7661
Minnesota State License#:20385228 /��' �~
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OWNER
BURNS,DAVID&CASSIDY
205 HOLLANDER 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 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 sepazate
permits. 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 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By S' ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV :
City of Orono
. Building Permit Application for Maintenance / Renovation
� (windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
Og,�,�0 PO Box 66
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Crystal Bay, MN 55323-0066 Date received:
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� � ' ".:�, s. Street Address: Received by:
�'� 't �'� ti 2750 Kelle Parkwa
o y Y Plan review fee:
r9kESH04� 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: �.'O F-le�\U1;dP r �tx.�� �,;c� Zc.�c;�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o
If yes,a specra/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: A\\ P.� X�P���S �"'�
State License# Z��3�5 Z Z� Expiration Date: 4� -13
Lead Certification Number: Expiration Date:
(for work on homes fhat were constructed prior to 1978
Phone: q 5 Z � �l�'/� - ?S�3�► (office) (cell)
Mailing Address: � 35 �aSt �vc;.�l .Au� S� City: c,,��,�-r t�.•. � ZIP: 553�y
ContactPerson: �,���;ti �,c.����. (,tZ- '�N'7-7��75 Applicantis: ontrac��/ Homeowner (CircleOne)
Email and/or Fax: �j 2 � ��0 - ►s��i 3
PROPERTY OWNER INFORMATION:
Name: C_�,.St��1 y B:,�tiS
Phone (day): (� �Z�5�,b -S�3�
Address: ZL5 N����,N�� r Rd City: �,�;�.�Z�:,�-<, ziP: 553� 1
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)
❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
�e-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ Re-roof, other s eci Phone: 952-471-0590
( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description: �� Q��, � — L c�tc'��'`
Estimated Construction Valuation of Project(excluding land) $ '?�j v�G • `'"
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.
Applicant's Signature: /� �.1� �E��'/" Date: -3"Z�� �Z b}Z.
Last Updated: 08-09-2011
AT TIME �
CITY OF ORONO CALLED IN `
INSPECTION NOTICE ` � SCHEDULED ' —�Z—
PERMIT NO��/d 'L"�c7a�3'7 COMPLETED
ADDRESS a�5 �v ���✓�� �'�
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OWNER TELEPHONE NO. �O�z �� ��D�O
CONTRACTOR � � ra 1� �c%l/��y�.S
>; DESCRIPTION �� �l n�
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
� ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ 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 �ROJECT COMPLETE
W ❑CORRECT WORK 8�PROCEED '_—I ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �Q5Z� Z49-4600
OwnerlContractor on site:
Inspector. I : ; �� ��
White Copyllnspector's File Canary CopylSite Notice
`!�� DATE TIME �
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE SCHEDULED ,��Z /��—� '��r �'
PERMIT NO.��/o�-�d3.3� COMPLETED �
ADDRESS a�� � u �
OWNER TELEPHONE NO. b�2' ��� Z�7`-�
CONTRACTOR � �� �
� DESCRIPTION Ce�Lt-C. S�� / ���- �� J
� ❑ FOOTING ❑ PLUMBING FINAL / ❑ EXCAV/GRADING/FILLiNG
Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ 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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑EORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANGY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECANDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractor on s' e:
Inspector.
White Copyllnspector's File Canary CopylSite Nodce