HomeMy WebLinkAbout2011-01510 - roofing �. CITY OF ORONO PERMIT NO.: 2011-01510
. � , 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 12/02/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 760 HUNT FARM RD
PIN : 31-118-23-11-0010
LEGAL DESC : HUNTINGTON FARM
: LOT 001 BLOCK 009
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 24,000.00
NOTE: VALUATION OF PERMIT:$24000.00 PARTIAL ROOF ONLY
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.
Gv�oz.� � �Loux' /r�a�t�lyuz''
APPLICANT pERMIT FEE SCHEDULE 398.25
SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 12.00
12366 RIVER RIDGE ROAD MISC FEE--� jb(,(/�(,� F�� 398.25
BURNSVILLE,MN 55337-
(612)861-7000 TOTAL 808.50
Minnesota State License#:20593656 PAID WITH CC# 1521
OWNER
KURNVILLA,MICHAEL&LEENA
760 HUNT FARM 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 gra►�t permission for additional or related work which requires sepazate
pertnits. All provisions of laws and ordinances goveming 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 consVuction 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�ause.
�LG��.G �- i i � r
Applicant Permitee Signature Date Issued B ignature e
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
�
r '
City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Malling Address: Permit number.
O�,�,�.0 PO Box 66
Crystal Bay,MN 55323-0066 Date received:
Street Address: Received by:
� �ti`� 2750 Kelley Parkway P�an review fee:
'�g�Ho�.g+ 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: � O �
Job Site Address:
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? Yes No
If yes,a special event perrnit is requiried with Police Department and City Council approva160 days prior to the event Shuttie bus se ice will be
required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPL,�CANT INFO TION•
Name: �iin� r�. nrt M o'i
State License# 9'� Expiration Date: '� �Z
Lead Certification Number. /�f "�"' (j_ Expiration Date: 6 �
Phone: 6 f 2— �.-'jODt'j (office) (cell)
Mailing Address: Z�j b 6 ;v�i : • C�tY� �S V�►� Z�P: $�$�3 3
Contact Person: ;�,�. ,"„� Applicant is: nt actor / Homeowner �ci.�i.o�a�
Email and/or Fax: ,�v;,,� �
PROPERTY OWNER INFORMATION: ,
Name: f��G��,-C� �t?�J� ���
Phone(day): /
Address: ��b .�- e,,�,,,� � City: �riO ZIP: �3,j�b
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review 8� rmits:
❑Door(s) ❑Remodei ❑Fire Damage Minnehaha Creek WatershedD(str(ct(MCW�)
❑Re-roof,asphalt ❑Repair �Stonn Damage 18202 Minnetonka Bivd
�(Re-roof,cedar �Restoration ❑Water Damage �eephaven,MN 55391
Pho�e: 952-471-0590
❑Re-roof,other(specffy) ❑Siding ❑Other:(specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Descriptfon: !.v �,n �''�'� OM.1 LY�
_Estimated Construction Valuation of Project(excluding land) S _�-(� DOO
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 h(slher 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 aitemative
but to reject it until it is comp{ete;
• Some or ail of the information that you are asked to provide an tliis application is dassifled by State law as either private or
confidentiai. Private data is informaUon which generaily cannot be given to the public but can be given to the subject of the
data. Confidential data is information which generatly cannot be given to either tfie public or the subject of the data. Our
purpose and intended use of fhis information is to annually update our recvrds and records of other govemmental agencies
r uired b law. If ou refuse to su I the fnformation,the a tication ma not be issued.
ApplicanYs Signature: Date: �Z � ���
Last Updated: 08-09-2011
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED 3�l3-/Z
PERMIT NO. °�0���� 5 �D COMPLETED
ADDRESS �� �1-�-� ��� �
OWNER TELEPHONE NO. 9S� ZlS ��52,-1
CONTRACTOR s��� C�s�`
� DESCRIPTION ��? *��� — �� ��� O�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ 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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL p FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
�
W
C
J � �---
O
a
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46�0
Owner/Contractor on site:
Inspector. o. /`'L
White Copyllnspector's File Canary CopylSite Notice