HomeMy WebLinkAbout2009-00452 - roofing ' ' CITY OF ORONO PERMIT NO.: 200�-oo4s2
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 08/12/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2250 LONGVIEW CIR
PIN : 03-117-23-22-0008
LEGAL DESC : LONGVIEW
: LOT 004 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 36,000.00
NOTE: INSTALL NEW CEDAR ROOF
APPLICANT pERMIT FEE SCHEDULE 531.25
TWIN CITY ROOFING CONST SPECIALISTS STATE SURCHARGE(VALUATION) 18.00
72 IVY AVE W TOTAL 549.25
ST.PAUL,MN 55117-
(651)636-9640
Minnesota State License#:2002943
OWNER
TORRISON,MR.&MRS.NORMAN
2250 LONGVIEW CIR
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 pertnission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be wmpied 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 confoanance with the te Building Code.This permit may be
revoked y time for d cau .
�l (a-1 O i l
App icant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� �,� City of Orono
l,,�� Building Permit Application for Internal Work
v, (windows, doors, siding, re-roof, etc.)
---� Mailing Address: Permit number:
���`� PO Box 66
'� / ��� Crystal Bay, MN 55323-0066 Date received:
�� �`,
�'' �i Received b
i�,� �'� :j �, � Street Address: y�
�',�, ;�.� � � Gti � 2750 Kelley Parkway Plan review fee:
r�kESHog'� 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. (Please print)
GENERAL INFORMATION: ' -
Job Site Address: ZZ � �Un V� ej
Will this be a Parade of Homes, Remodelers S case Home or other Display Home? ❑ Yes No
If yes,a special event permit is required with Police Department and City Council approval 60 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/APPLICA T NF�RRMATIO • • • 15
Name: I'(,[� �
State License# Q Expiration Date: 3 I 0
Phone: (3 office cell
Mailing Address: 1 � Cit : ZIP: "�
Contact Person: Applicant is: ontrac / Homeowner (Circle One)
Email and/or Fax: � 2. O
PROPERTY OWNER INFORMATI,ON:
Name: 0 CYl �r � on
Phone (day): �j p
Address: 0 Cit : �t' ZIP: cj 3�j
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review&permits
❑ Door(s) ❑ Remodel ❑ Water Damage
Minnehaha Creek Watershed District(MCWD)
❑ Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
Re-roof ❑ Fire Damage www.minnehahacreek.orq
Overall Project Description� � Y
Estimated Construction Valu tion of Project(excluding land) $ �p���
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 information is to annually update our records and records of other governmental agencies
re uired b law. If ou refuse to su I the inf mation,the a lication ma not be issued.
ApplicanYs Signature: I " Date: �
Last Updated: 05-04-2009
07/30/2009 15:10 TEL 6512920905 TWINCITYROOFING I�001/001
. .
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
MailiPO Bo 66� Permit number. j�.��'�j � - ���t��
,�o\ ,
+; 0 Q`', Crystal Bay, MN 55323-0066 Date received: ',�--; � ��'���
�
'a `�� �.;� Street Address: Received by: ic'l��
,) � ..:;.
'`�� ;! ��`�;' 2750 Kelley Parkway
��gE��'`� Orono, MN 55356 Plan review fee: �---
.i�' �— . ; �� �-
Total Fee: ; �-(��f -� �
Main: 952-249-4600 Fax: 952-249-4616 www.ci.ornna.mn.us
This apptication 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: Zz O �p� V�
Will this be a Parade of Homes, Remodelers S case Home or other Display Home? ❑ Yes No
If yes,a special event permif is required wrth Police Department and City Council approva/60 days prior to the event. Shuttle bus service will be
required un/ess applicant demonstrates sufficrent on-site parking is avaiJab/e. Non-permitted events will not be allowed.
CONTRACTOR I APPLICA T NF�RMATIO • .
Name: rtpp 'f5 •
State License# Q Expiration Date: 1 0
Phone: b office cell
Mailing Address: 7 Cit : ZIP: "j
Contact Person: Applicant is: ontrac / Homeowner (Circle One►
Email and/or Fax: y �, Q
PROPERTY OWNER INFORMATION:
Name: 0 �fYt 1 Of�1
Phone (day): �j p
Address: 0 Cit : �j' ZIP: �j 3
Email and/or Fax
PROJECT lNFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel MCWD review&permits
❑ Water Damage
❑Window s Minnehaha Creek Watershed District(MCWD)
( ) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Siding ❑ Restoration Deephaven, MN 55391
❑Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
Re-roof ❑ Fire Damage www.minnehahacre�;k.orq
Overall Project Description"j r
Estimated Construction Valu tion of Project(excluding land) $ ��n
APPLtCANT 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 information is to annually update our records and records of other governmental agencies
re uired b law. If ou refuse to su I the inf mation,the a lication ma not be issued.
i`.
�
ApplicanYs Signature: ' Date: �
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� (�l D TIME
CITY OF ORONO CALLED IN � '
INSPECTIONI� /�/� SCHEDULED '
PERMIT NO. `�'�_" �"" �OMPLETED
•
ADDRESS d
OWNER CONTR. v �
TELEPHONE NO. �S� �.�� �D�C7
� DESCRIPTION �2L D� � C�-C/ Cl�t ���
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTAIL. ❑ FOLLOW-UP
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor site:
Inspecto�
White C�yllaspector's File Canary CopylSke Notice
C%� DATE TIME `�
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED "'—� /�=
PERMIT NO � D �OMPLETED /
ADDRESS � v� «
OWNER CONTR.T.l�//7 ��L�?i .�L�J'C/�2�
TELEPHONE NO. �J��— �.3�0 —���
� DESCRIPTION �lh�-� ����
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PIUMBING FINAL � FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAllTO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-4600
Owner/Contractor on site:
Inspector. �,r � �
White Copy/lnspector's File Canary Copy/Site Notice