HomeMy WebLinkAbout2011-01241 - roofing r �
CITY OF ORONO PERMIT NO.: 2011-01241
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 10/13/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 85 LUCE LINE RIDGE
PIN : 31-118-23-34-0005
LEGAL DESC : PAINTERS CREEK
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTTVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 12,687.65
NOTE: VALUATION OF PERMIT:$12687.65
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 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
SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 6.34
12366 RIVER RIDGE ROAD
BURNSVILLE,MN 55337- MAIL-IN FEE 2.00
(612)861-7000 TOTAL 244.34
Minnesota State License#:20593656 PAID WITH CC# 1521
OWNER
BALZER,BARRY&JACQUELINE
85 LUCE LINE
MAPLE PLAIN,MN 55359-
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 dces
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied wikh 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 wnformance with the State Building Code.This permit may be
revoked at any time for du cause.
l�;Y�(,���L.� io l /�l /� � lD/ I �J/ J I
Applicant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
O�T-13-�011 06:49 From: 6785736615 To:952z494616 Pa9e:1�1
City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, sidin , re-roof, etc.)
Mailing Add�ess: Permit number: -.O/oZ �
O.�D�O PO Box 66
Crystat Bay,MN 55323-0066 Date received: /�/ /
Street Address: Received by:
2750 Kelley Parkway Plen review fee:
�i� �� Orono,MN 5535B
Total Fee: �Q3 4�•�/
Main: 952-249-4800 Fax: 952-249-4B18 www.a.orono.mn.us
This application form must be completed in full and all�equired information must be submitted.
Incomplete applications will be retu�ned. (P/ease print)
6ENERAL INFORMATION: .
Job Site Address: �� �- �� �
Will this be a Parade of Homes� Remodelers Shawcase Home o othsr Oisplay Home? Yes o
1!yss,a special event permit is reqai�ed w�Oh Police Department and City Cauncil appivval 80 days prior to dhe e�nent Shuttle bus seivice will be
required unless applicant demonstrates sufr�cient on�sile paricing is avaiyable. NonyoemnYted ewnts will not be a/lowed.
C4NTRACTOR/APPLIGANT tNFORMATION:
Name: ;^
State License# ZuS�3 6 S` F_xpiration Date:
Lead Certification Number. Expiration Date:
(io►work on homes U►at woere eonsbuci+ed prior to�978
Phone: . . e�� (office) (cell)
Mailing Address: City: � ZIP: �3�
Contact Person: s�,,�i p„� Applicant is: Contractor / Homeowner �c��ie one►
Email and/or Fax: �� A ���,,� �,p�`{��,�... . u�.. •
PROPERTY OWNER INFORMATION: '
Name: � '$,�,�,Z,�
Phone(day): ����qy S - IL3 �
Address: a5 Lv�,C,�, I..+�i�, �t,,Gd,e� Clty: ('�/aN..� ZIP: s3' 3�'
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑Remodel ❑Fire Damag� MCWD review b permits:
,_.,L Minnehaha Creek Wabershed DisVict(MCWD)
Q12e-roof,asphalt ❑Repair I�torm Damage 18Q02 Minnetonka Blvd
❑Re-roof,cedar (�Restoration ❑Water Damage Deephaven,MN 55391
Phone: 952-4�1-0590
❑Re-roof,other(specify) ❑3iding ❑Other(specify) Fauc: 952-471-0682
❑Window(s) �ww.minnehahacreek.ora
Over�ll Project Description:
Estimated Construction Valuation of Project(excluding laod) S 1'�� b�'�• (ps
APPLICANT ACKNOWLEDGEMENT:
• aqrees to provide sll ir�orm�tion required or requested by the Building Department;
• Certifies that the informetion supplied is true and coRect to the best of his/t►er knowledge. The applicarrt rscogni�es that they
are solely responsible for submitting a complet�application bsing avwr�th�t upon failure tv do so, tho staff has no alternative
but to rejad it until it is camplate;
• Some or all of the infonnation that you are esked to provide on this eppllcation is dassified by State law es either privete or
confiderrtial. Private dets is informatian which generally csnnot be given to the public but can be given to the subjed of the
data. Confidential data is infoRnation which �enerally cannot b� given to either the public or ths aubject of the data. Our
purpose and intsnded use of this informadon is to annually update our reoonfs and records of other govemmental agenaes
re ui�ed b �aw. If u rafuse to su I ihe informatian,the s lication ma not be issued.
n��r�..�a..,e+s......a�....- l 1 , C JI� / � n..a.... � .� � 1'� � 1 �
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DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED
PERMIT NO.�!1•6�.2-y� COMPLEfED -/ /
ADDRESS g�� L vCc ��.r a /�.�52
OWNER TELEPHONE NO.
CONTRACTOR S��w �Ka��4�ti
� DESCRIPTION R�-raa��'
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TFEE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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a *OLD PERMIT - NO FINAL INSPECTION REQUESTED
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� ❑WORK SATISFACTORY:PROCEED ' ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. �-� w�.� ��
White Copylinspector's File Canary CopylSite Notice
-
DATE TIME
CITY OF ORONO CALLED N � I`� la--
INSPECTION�OTICE ,/�� SCHEDULED
PERMIT NO. O�/—D/2 7 � COMPLETED
ADDRESS L�C � L�`� �
OWNER TELEPHONE N . 9� Z/S ��J`Z
CONTRACTOR S��� �-���
�: DESCRIPTION �w�� � � � �� ��" ���
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL
� OWNER/CONTRACTOFi TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED F�ROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR J CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnedContractor on sit :
Inspector. � � /''/ KL�
White Copyllnspector's File Canary CopylSite Notice