HomeMy WebLinkAbout2011-01176 - roofing CITY OF ORONO PERMIT NO.: 2011-01176
.. 2750 KELLEY PARKWAY
4 ' ORONO, MN 55356- DA'rE�ssUEn: 10/04/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 175 LANDMARK DR
PIN : OS-117-23-22-0011
LEGAL DESC : BAYSIDE LANDING
: LOT 002 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 32,603.29
NOTE: VALUATION OF PERMIT:$32603.29
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 499.00
GATES GENERAL CONTRACTORS STATE SURCHARGE(VALUATION) 16.30
3500 VICKSBURG LANE N
PLYMOUTH,MN 55447- MAIL-IN FEE 2.00
Minnesota State License#: 6793 TOTAL 517.30
PAID WITH CC# 8619
OWNER
HARREN,LEE&JULIE
175 LANDMARK DR
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 grant permission for additional or related work which requires sepazate
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.1'his permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued B ignature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
Oct 0311 02:OOp Gates General Contractors 7634387710 p,1
. � /
' of Orono �� ��
C�ty
Building Permit Application for Maintenance I Renovation
(windows, doors, siding, re-roof, etc.)
Mail► I�ddress: � _
��J I Permit number. /
�Q�, PO Box 66
O ; O �` Crystal Bay, MN 55323-0066 Date reaeived: ��
! ��^� I y
�,i,� � i•. ,,}� Slreef Addr�ess_ ; Received b : �
���
r ,� � ; +,;'� G�F 2750 Kelley Paricway Plan review fee:
�t %, y��"'w Orono,MN 55356
�eao�' ; Total Fee: ��5,3I�
Main: 952-249�60Q Fax: 952-249-4616 I ww�v.ci.orono.mn.us
�'his applicadon farm must be completed inlfull and all required inf�nnation must be submftted.
Incomplete applkatio�s will be returned. {PJease print)
Job Sit�e Address INATIOAI. , � S- � a Ih/rl�K- �7r-,'�Y c�
Will this be a Parade of Homes,Remodelers Showcase-HIome or other Display Home? Yes No
If yes,a speaa!event permit is required wfth Police Department en�Gty Councr7 approva160 days pnorfo bhe event ShutNe bus service wil!be
required unless�p�icar+t demonsfrefes suffiaent onsite pa►fdng is aveilab/e. Non-pem►itted eventa wi/J not be ellowed.
CONTRACTOR!AP L.ICANT lNF RMATION• /� �
Name: rt�S �GN`� C�o�, �.
S'tate Lic�nse# 93 '. � Expiration Date: Ze/2
Lead Certification Number. ^/ R- ° � Expiration Date:
(�or werk on homes tirat were constructed prlor Eo f978;
Phone: (,c!2- 7 Z3-- 3 ��ff�� ����
Mailing Address: 3 o S v � � or3�l ���� � Z�P��� �
Contact Person: ,ti,,,� ,rtr.3 � � Applicant is: Carriractor ! Homeowner tciRaona�
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Email andlor Fa�c -�� 3—�q � 77/D ' I
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PROPERTY OWNER Ir{FPRMA7lON• ;
Name: E-f f�L ti-� �
Phone(daY): (,/Z -�?�?3�7 G,7
Address: � 7� L,q.i _�.ys � �1i•- City: t9/Lo-N a ZIP:
Emaii andlor Fax � � � �
PROJECT INFORMATION: I I
Type of Project � Any esrth movement may require
� MCWD review 8 permJts:
❑Door(s) ❑Remodel ❑Fire Dami ge Minnehaha Creek Wa3ershed District(MCWD)
❑Re ,asphalt ❑R�air ❑Stor►n Damage 16202 Minnetonka Blvd
! I Deephaven, MN 55391
Re-roof,cedar ❑Restoration ❑Wate Damage phone: 952-071-0590
❑ Re�oof,other(specityl ❑Siding ❑Oth� (s i cifY) Fax: 952-471-0682
❑Window(s) �•minnehahacreek.ora
averall Pro'ect Description: ��- �
Estimated Construation Valuation of Pro'ect( I i �land $ Z • Z
APPLICANT ACKNOWLEDGEMENT: I
. Agrees to provide all information r�equired or reques by the Building�epartment;
• Certifies that the information supplied is true and c ct b the best of his/her kn�wledge. 'fhe appGcant recognizes that they
are solely responsible for submitang a complete a� li tion being aware that upon failure to do so,the staff has no altemativve
but to reject it until it is complete;
• Some or all of the inlormation that you are ask provide on this appWcation is claasified by Siste law as either private or
confidential. Private data is ininrtnation which ge r Ilylcannot i�e given to the pub{ic but can be given to the subjed of the
date. Confidential data is information which gen y cannal be given to either the public or the subject of the data. Our
purpose and intended use of this information is nually update our reconds and reco�ds of other governmental agenaes
re uired b law. If ou re ta I the in(o ,the a licatlon ma not be issued.
f ' ° 3 �t
Onnlir�n4'e Cinn�h iro• ��•
�y� DAT TIME �/
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED - _����
PERMITNO.�iD//'O1�7� COMPLETED
ADDRESS / �-� ����L�'�/G ��Z�l/��-
OWNER TELEPHONE NO. 1�'�� �7�3- kz�
CONTRACTOR ��� C'�lf� ��
>; DESCRIPTION ���L- ' � �`��
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADIN FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ 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 ❑ P�UMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: '
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� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. � L`T b �C
White Copyllnspector's File Canary Copy/Site Notice
`� DA TIME �
CITY OF ORONO CALLED IN � � i 7 i
INSPECTIOM QTI/CE SCHEDULED �f 2.i / /�
PERMIT NO. �J` � /� COMPLETED
ADDRESS �7�`7 ��it-G��YLLGi�c-l�� �1���iL`2�
OWNER ELEPHONE NO. � � 3 3 `�
CONTRACTOR L�
>; DESCRIPTION �
�
lt� ❑ FOOTING ❑ PLUMBING FINAL XCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPT INAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�ES_NO
� COMMENTS:
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GW ❑WORKSATISFACTORY:PROCEED l6.PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ 13SUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETttRN
❑ CITATION ISSUED�
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS.
Cal1 tor the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on si :
Inspector. o „h1�` _ __—_
White Copyllnspector's File Canary CopylSite Notice