HomeMy WebLinkAbout2011-01185 - roofing r ' •
CITY OF ORONO PERMIT NO.: 2011-01185
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUEn: 10/04/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 994 HUNT FARM RD
PIN : 30-118-23-41-0012
LEGAL DESC : HUNTINGTON FARM
: LOT 001 BLOCK 006
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 20,000.00
NOTE: VALUATION OF PERMIT:$20000.00
ROOFMG PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PWOR 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 339.25
SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 10.00
12366 RIVER RIDGE ROAD
BURNSVILLE,MN 55337- MAIL-IN FEE 2.00
(612)861-7000 TOTAL 351.25
Minnesota State License#: 20593656 PAID WITH CC# 1521
OWNER
SCHOON, PETER&CARLA
994 HUNT FARM RD
LONG LAKE,MN 55356
AGREEMENT A1vD 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 separate
permiu. 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 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.
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Applicant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
OCT�94-�ti�2.1 06:32 From: 6785736615 To:19522494616 Pa9e:2�2
City of Orono
Building Permit Application foc Maintenance / Renovation
wittdows, doors, siding, re-roof� etc.
Me�ling Address: �- /
�Q,� PO Box 66 Penni!number. O
O O Crystal 8ay.MN 55323-0066 Date reoeived:
� � SfisetAdd►953; Received by:
2750 Keltey Parkway Plan review tee:
t,� � Orono,MN 55356
Tofsl Fee: ��I� G�,�
Msin: 952-248�d600 Fax: 952-249�4616 .ww��nr ci.oronoLmn.us
This application torm must be oompleted i�full and all requirsd information must be submilted
Incomplete applications will be returned. (Please print)
G�NERAL INFORMAt10N:
Job Site Address: � �� �Vv� a►►'�'rt �� '
�II this be a Parade of Homes� modelers Showcase Home or other Disptey Honie� Yes No
a yy�e�e�r pe�n►r;s�u;�ed w,��noe oePs�rme�u ane crry coun��►o�eo asys�ro u,e e�e sn�we eaa wa�ae
isqulr�d unless eppbcant dernonafrates suli�cianf o�s►7�e pa�king fs availab/e. Nwrpe�events wAl not be s!►�owed.
CONTRACTOR/APPUCANT INF MATION:
Name: �� .�
state ucense# ?�?SR 3 6�'6 Expiration oate: 3 �Z
Lead Certidca6on Number. .- Expira�ion Date: (
(fnr worik on homes drat we�e constrrrc d pMor 1878
Phone: 6 I�� g l- (��) (oell)
Mailing Address: �2, ;v�,. .' ��Y� ��S v� Z�P�
Contact Person: ;� �� Applicant is: Mracto� Homeovmer �caa.on.�
Email and/or Fax. qy�'.^ �� .� �'o.�
PROPERTY OWNER ORMATtON�3•
Name: �.�-� J C�o O +�
Phone(day):
Address: �ola �ur�" ��r••••� �o�► C'fi��r�o ZIP: SS 3 's�
Email and/o�Fauc
PROJECT INFORMATION:
Type of Projeat Arqr ea movement n�ay require
❑poor(s) ❑Remodel ❑Fire Oamage MCYYD review a permib:
Minnehaha Creek Watershed Districl(MCWD)
❑Re-roof.asphalt ❑Repait �$twm Damage 18202 Minnetonka 81vd
Re-roof,cedar Restaration ❑Weter Oamage �eephaven,MN 55391
� � Phone: 952�71-0590
0 Re�oof�othe►(spe�lry) ❑Siding ❑Other.(speaiy) Fax: 952-a71-0682
❑Window(s) www.minneh}�,hacreek.ol't�
Overall Pro ec!Desc�i on: (.e6r a►... f�
Estimated Constructlon Valuation of Pro ect excludin land) i �D 000
APPLICANT ACKNOWLEOGEMENT:
• �rees�o pro�ide eil informeaon required ar requested by�e 9uilding Deparlmenr,
• Cerdfies Ihat Ihe ir�fonnatlon suppfied is Uve and correct to the best of his/her knowledge. The applicant recogn�Zes that they
are solely responsibte 6or submimns a complete applicelion being aware that upon failure to do so,ihe staif has�o sltema6ve
but to rejed it unGl it is complete;
• Some a all ot lhe i�onn$lion Mst you ere ar.ked �o provide on this application is dasslfieQ by Stste law es either private or
oonfldenlial. Private data is information whidf generally cannot be given to Ihe'public but can be given bo Ihe subJ�ot the
48fe. CoMidentfal data is ir�formation which genetslly Cannol be given to either Ihe public or Me subject M lhe dat2�. Our
purpose end ir�tended use oi this informeGon is to annually update our reoords end reoords oi ofher govemmental sgencies
uired law. Ii u reiuse to I the irt(ormalion the a Ikedon not be iss�ued.
Appl'icant's Signature: Date: �� L � t '
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE L� SCHEDULED �3-/3 -/Z
PERMIT NO. a0����I'� J COMPLETED
ADDRESS qq `� n U.n"t" ��1''m R�
OWNER TELEPHONE NO.�52- Z�5 �5Z-
CONTRACTOR s� � � C'8�'�
� DESCRIPTION ���� �� -` � ^ �����
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z O INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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� ❑WORK SATiSFACTORY:PROCEED �?ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR W{LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. �..
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