HomeMy WebLinkAbout2011-00711 - roofing • CITY OF ORONO PERMIT NO.: 2011-00711
fi 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/25/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1205 LOMA LINDA AVE
PIN : 07-117-23-41-0006
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 003
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 7,000.00
NOTE: 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 147.50
CASSIDY STRONG CONSTRUCTION STATE SURCHARGE(VALUATION) 3.50
9100 345TH LANE TOTAL 151.00
PRINCETON,MN 55371-
(763)389-9445
Minnesota State License#: 20633953
OWNER
HINRICHS,MR.&MRS.
1205 LOMA LINDA AVE
MOLTND,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 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 er work has commenced.
The applicant is res ible for assur' all uired inspections aze
requested in c ance with th te ilding Code.This permit may be
revoked y 'me for due
�O�`'� � � / / `
pplicant Perm' e ' nature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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' City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: —DO 7
O.¢,O,�.O PO Box 66
Crystal Bay, MN 55323-0066 Date received:
a � � ;z;;. �, Street Address: Received by:
's',F, � ti'� Gtiti 2750 Kelley Parkway Plan review fee:
t9xESH�¢�' 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. (P/ease print)
GENERAL INFORMATION:
Job Site Address: �pZQ� L-OMt4 LI���� �v�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes �No
If yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: (��St9�{ �12o�1CT �1�I STIZ�L?�Q1�! )�1 C. .
State License# {�(�N — ���3��jTj"3 Expiration Date: ������
Lead Certification Number: Expiration Date:
(for work on homes that were construct�ed prior to 1978
Phone: '���^ '3�'9—�]��� (office) (cell)
Mailing Address: ��Oa 34�N ,�,�F� City:`�,'ZtNc-ETorJ ZIP: SjT�(
Contact Person: ^ Applicant is: Contractor / Homeowner �ar�ie o�e�
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: �`�-Z�NtJ� �-��Nt2\C.��
Phone(day): �a-�f�-a - lo3�fl�
Address: /�p� jf,�M+q Liu�►q AVF City: (ha,s�1� ZIP: �j/`�c`'
Email and/or Fax -------�
PROJECT INFORMATION:
Type of Project: Any earth movement may require
,�,�ovr(s) �..B�u�el e MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
I l w���r,T) �Be{�aic Storm Damage 18202 Minnetonka Blvd
� ��+�����fy� Deephaven, MN 55391
Phone: 952-471-0590
Re-roo �age Fax: 952-471-0682
www.minnehahacreek.orq
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ , �-j � �d
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 his/her 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 alternative
but to reject it until it is complete;
• Some or all 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. Confidential 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 infor is to a update our�ecords and records of other govemmental agencies
re uired b law. If ou refuse to su inform � e a n ma not be issued.
ApplicanYs Signature: �� Date: D��
Last Updated: 03-01-2011
DATE TIME ✓
CITY OF ORONO CALLED IN 7 `�
INSPECTION NOTICE SCHEDULED 7
PERMIT NO.o�d!��07/� COMPLETED
ADDRESS �07�� L�GZ- �l�IGLCL,
OWNER TELEPHONE N .
CONTRACTOR � �
� DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALI ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS
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 CQVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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Wq��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W O'C'ORRECT WORK&PROCEED ❑ ISSUE CEHTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.GALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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' DAT� TIME
CITY OF O ONO CALLED IN ��
INSPECTION N TICE /7 / SCHEDULED G
PERMIT NO. � Il—�/O�` C MPLETED �
ADDRESS � -� ��-- (—G �'��
OWNER TE PHO�E NO. � - l
CONTRACTO l � • �
>; DESCRIPTION � �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
� ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED r; IS CERTIFICATE OF OCCUPANCY
Q ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali forthe next inspection 24 hou in advance. (g52) 249-460�
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice