HomeMy WebLinkAbout2011-00951 - roofing � �
� � CITY OF ORONO PERMIT NO.: 20111-00951
. �
2750 KELLEY PARKWAY '
ORONO,MN 55356- DATE ISSUED: 09 8/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3065 JAMESTOWN RD
PIN : 28-ll 8-23-33-0008
LEGAL DESC : LIBERTY ACRES
: LOT 005 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 10,000.00
NOTE: VALUATION OF PERMIT:$10000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,$RIOR 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. I
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 191.75
DAKOTA CRAFTSMAN STATE SURCHARGE(VALUATION) 5.00
4011 GLENDALE DRIVE TOTAL 196.75
EXCELSIOR,MN 55331-
(612)760-0628 PAID WITH CC# 0808
Minnesota State License#:20637448
OWNER
KOOB,JOHN&SUSANNE
3065 JAMESTOWN 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 i
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this rype 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 j
reques 'n conformance with the�tate Building Code.This permit may be
revo d at y ti e ca e
/ / � /
Applicant Permitee Signature Date ssu' y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Au�.28.2011 02 _29 PM Dakota Czaftsma� 6127600628 ��G�. 11 1
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City of Orono/��
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Bui�ding Permit Application for Maintenance / Renovation
windows tloors, sldirrg, re-�rovf, etc.)
O�O=�O Mai/iPOBox Bs Permltnumber: - �
Crystal Bey, MN 55823-OOBB DAie netoived:
� ` 5h�eet Add►ess: Rocenred by:
� 2750 Kelley Parkway Plan reviewfee:
� Crono,MN 55356
���' Toial P°��:
Me�n; 952�a9-4600 Fex: 952-248-4676 �nnNw ci ero�, mn_us
This appllcadon toRn muat be completed in full and all required informatlon must be submitte .
Inc4mplete 8pp11caqons wlll be r�eturned. (Please print) /!
CiLNERAL INPORMATION: 6
Job 91te Addresa:
Will thla be a Parede of Homss, Remalelers�hvwcase Home or o e Display Nome� Yea . o
N yee,a speda/avq�tf pormit!e i+vquined w�Yh P1olice Depellr►lent M�d C/fy Courroll approvo/60 dayo prior to fho eyonf, 3huKl9!wa Yn%I ba
revup eo unress ao�pcanr demanstrat�a su�icienf on.sife perkny is availeb/a Non-pen�llted evants will not be sllowed.
CONTRACTOR/AP NT IN� ,M ON:
Name:
State License# �xpiration DatQ: .- d,- (
Lo�d Certli{c�tion Number. � �- Expirativn Date: �B��
(fvr w��rk w,h cons� Ito 1878
Phone: — (?-� (offiee) (cell)
Mailing Address: City: �T ZIP:
Contad Pe�9on: Applicant fe: �� Nomsowner � ��000N
Email and/or�ax:
PROPERTY OWNER RMATI N: �
Name:
Phone(day): - (j.- � �
Address: City: ZIP;. �3
�mail and/o►Fax
R CT NFORMATION:
Xpe Project: Any aa mowmsoc may raqulre
❑ Doo�(:) []Rsmoaol p Fire Damage
MCWp review S pet�Cnits:
Minnehaha Crsak V1Aatsrshed DiaMct�MCWD)
e-roof.asphalt ❑f�apalr ❑Storm DBmape 18202 Minnetonka Blvd
Ro-roof,cedar [� Re6toraUon 0 Wato�Damage DeephBven,MIV 55381
Phonc: 982-477�0590
❑Re-root,other(apeo�iy) ❑Sidi�p ❑O�ea(specJfy) Fwc: 95Z-471-0682
❑WindOw(e)
Overall Pro ect�asc�i Iolr
Esllmaked Co�structivn V�luqqon oTP�vject(exoluding lan� t (p,�p
APPLICANT ACKNOWLEDGEMENT:
. Ag�es to provide all Intortnation requiced or requested by the Bullding Deparlmenl;
• CeKties ttlat itle intomfetlon supplied is trua�nd co�re�l t0 tne best oi h1s�►�er knowled0e. The applica�i racognizss ihat thay
are solely reeponeible for submftiing a c�mpktv aDDlication being aw�re that up4n I�ilu�lV d0 so, the Stet�hes nd eltemetiVe
but to reject i!until it is complete;
• S,ome or all of!he infqmation that you are askod to provide on this application is dass'died by 6taie law ao ollhdr prhralc or
coMldanUal. PAvate da18 I9 infom�stion which gen�rally c,annot be given to the public but ctm be given !o the supjsat of 1he
dace. conRdenaal aata is inivrmation which generally cannot bs piven l0 BiUlef V1e publlC o� the sut�eCt M the data. t)ur
purpose and intonded uao of thia informabon is !o annually updnte our racorda end recorcls of olher govemrr�rentp,l egenGas
re ulred 1aw. iF u refuse I 1h�infonnat'on,the a lieation ma not be issued.
ApPlicanYs SiAnature: oate: �•'Q�^��11
�.a�t uPdmed: os-oa-zo��
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TE / TIME �
CITY OF ORO CALLED IN <
INSF�ECTION NOTICE SCHEDULED
PERMIT NOrz�O,/�—� OMPLETED
ADDRESS S �� /�
OWNER T EPHO E NO.
CONTRACTOR ���
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� DESCRIPTION
� ❑ 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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. p FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNffRICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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�RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CARRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑SfiOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor on site:
InSpector.
White Copyllnspector's File Canary CopylSite Notice
�� ���� 1 DATE TIME �
, ��
CITY OF ORONO � CALLED IN `— �O—
INSPECTION NOTICE SCHEDULED I 1-I�F--[�
PERMIT NO. a���—��qs� COMPLETED
ADDRESS ��L�� ���b�7 •�l� �
OWNER�.��� �--�e q TELEPHONE NO.�� 2 ?� �O 28
CONTRACTOR —��' �G -� SJ�z�
>; DESCRIPTION
lti ❑ FOOTING ❑ PLU ING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ 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
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINA� ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REDUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 24Q-46�0
OwnerlContractor on sit •
Inspector. �
White Copyllnspector's File Canary CopylSite Notice