HomeMy WebLinkAbout2011-01375 - roofing 4" �
CITY OF ORONO PERMIT NO.: 2011-01375
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: i UO2/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1005 LINDEN LA
PIN : 07-117-23-13-0092
LEGAL DESC : LINDEN BEACH
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 12,600.00
NOTE: VALUATION OF PERMIT:$12600.00
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 236.00
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 630
5145 INDUSTRIAL ST
SUITE 103 TOTAL 242.30
MAPLE PLAIN,MN 55359
(763)479-8700
Minnesota State License#:20631574
OWNER
HART,MICHAEL&KRISTEN
1005 LINDEN LA
MOUND,MN 55364
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
revoke time for e cause.
, /Yl �- l f I �l l D � /�
ermitee ignature Date �
Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� '' City of Orono � �� � �� :
t
Building Permit Application for Maintenance / Renovafion
�� (windows, doors, sidin re-roof etc. �
j 9� � ) � ;
j O Mailing Address: Permit number: p�/�–O� 7 �`
�}� / y_ � CrysBtal Bay, MN 55323-0066 Date received: �� �Z /j� �
,�
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�' �� �U���'�:�, s, ' Streef Address: Received by: �
�� . ��� t' '��, �ti 2750 Kelley Parkway Plan review fee: �
` =' �`�gESHo�''� Orono, MN 55356 �
— � � � �
r � 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) ��
�i� GENERAL INFORMATION: ��
# i Job Site Address: /�j.S' �„�; ��j �,q-,�,�� ,�:
z Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �
❑ No
If yes,a speciaf event permit is required with Police Department and City Counci/approval 60 days prior to the event. Shuttle bus service wiU be w�
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil/not be allowed. ��
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CONTRACTOR/APPLICANT INFORM TION: �
.
Name: / C.LS'�R� L"��uS�a��-;o�-,
- State License# .�.��3 /s?� Expiration Date: 3 3 i ��— +�
`` Lead Certification Number: � �$R�_ � Expiration Date: -7,-�, �,�— �
� : (for work on homes fhat were constructed prior to ?978 �
Phone: � � �-�
�7�03- ��`3 - �'7�� (office) cell �
Mailing Address: ����� `N o�,z���� S' City: , �,ti ZIP: ,�3 g-�
Contact Person: '�
�o N� Appficant is: ontract / Homeowner (Circle One)
�
Email and/or Fax: �,
PROPERTY OWNER INFORMATION:�
Name: �
Phone (day):
Address: 1 D p �„�,pc.:-�/ G,q�,•� City: ��j,,, ,�;� ZIP:
� ' Email and/or Fax
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b PROJECT INFORMATION: ���
Type of Project: Any earth movement may require �
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: �
Minnehaha Creek Watershed District(MCWD) �
�Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 '�
( p y) ❑ Sidin Phone: 952-471-0590 `�
❑ Re-roof, other s ecif g ❑ Other: s eci '"��
� P fY) Fax: 952-471-0682 ,,,�
www.minnehahacreek orq
❑Window(s) k�
�>
,�
�;;: Overall Project Description: � �,y4yL p�'F _ ���vo CC
Estimated Construction Valuation of Project(excluding land) $ /a (O� • �
`'[�
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APPLICANT ACKNOWLEDGEMENT: ��
• Agrees to provide all informafion 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 appfication being aware that upon failure to do so, the staff has no alternafive ��
but to reject it until it is complete; ;�
• Some or al( 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. Confidenfial 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 ref I the inf rmation, the a lication ma not be issued. �
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ApplicanYs Signature: - Date: �� 'Z f� K;.�
Last Updated: 08-09-2011 ��
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T TIME ✓
CITY OF ORONO CALLED IN � ��
INSPECTION NOTICE CHEDULED �
PERMIT NO.�D`��I.�7� MPLETE
ADDRESS Da�
OWNER TELEPHONE NO.
CONTRACTOR ��„ /Z/
>; DESCRIPTION �`e�t
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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 ❑ WARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW R�14(ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL�NSPECTOR �CITATION ISSUED
❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor o site:
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice
��lX ��� DATE . TIME V
CITY OF ORONO CALLED IN ( �/
INSPECTION YN'O I E SCHEDULED l� � �
PERMIT NO. ��?�� L'��'�75 COMPLETED
ADDRESS l C��� L- �G�� �' ���/1-2-
OWNER TELEPHONE N . �"����-y.31/
CONTRACTOR "ll�fCXh- CjG���,
� DESCRIPTION � L`C'7- T�_/r��`
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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 FINA� ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES NO
� COMMENTS: ���� [� c�`m� Il l." /l
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W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEM PORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Catl for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's Fite Canary CopylSite Notice