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HomeMy WebLinkAbout2011-00926 - roofing � ' i CITY OF ORONO PERMIT NO.: 2011-00926 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 08/24/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 680 MINNETONKA HGLD LA PIN : 06-117-23-44-0004 LEGAL DESC : MINNETONKA HIGHLANDS ESTATES : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LTNDEFINED VALUATION : $ 9,600.00 NOTE: VALUATION OF PERMIT:$9600.00 TEAR OFF -6'ICE BARRIER-30 YEAR TIMBERLINE 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 191.75 PLYMOUTH ROOFING&INSULATION STATE SURCHARGE(VALUATION) 4.80 17525 CTY ROAD 24 PLYMOUTH,MN 55447 TOTAL 196.55 (763)473-3397 PAID WITH CC# 0565 Minnesota State License#: 5358 OWNER SOBERG,PAUL&KARI 680 MINNETONKA HIGHLAND LANE 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 separate permits. All provisions of laws and ordinances governing 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 are requested i onformance with the State Building Code.1'his permit may be revok any �me fo, ue se. ._ . � � lJ �l U p icant i ee ignature �' Date Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �� ,� . i � ' City of Orono � Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: � –��� �,�,�. PO Box 66 �y 0 � 0 Crystal Bay, MN 55323-0066 Date received: 4 � � ,� ' i �,� s, Streef Address: Received by: � �',�,� z a"� Gti 2750 Kelley Parkway Plan review fee: 9kESH04� Orono, MN 55356 — Total Fee: ���O,J`s 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: Will this be a Parade of Homes, Remodelers Showcase Ho or other Display Home? ❑ Yes ❑ No If yes,a special event permit is required with Police Department and City ouncil 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. CONTRACT /APPLICANT INFORMATION: ame: ���r�d��r �9c?�Nc. State License# � L� Ex iration Date: �.� S3S� P� .�- 3i- �D/�- � Lead Certification Number: Expiration Date: ;�: - (for work on homes that were constructed prior to 1978 �' Phone: (office) (cell 3�� � �'':� Mailing Address: �75' � a City: ����� ZIP: $-S�c,,�7 �� Contact Person: Applicant is: Cont ctor / Homeowner �c��ae o�e� ��� �, Email and/or Fax: �;' PROPERTY OWNER INFORMATION: �� Name: ^� ,L S` ,f�i�-� �/C C '�";" Phone (day): 0 Address: lv�I� /�i;�.�z��n,� .f�s��,,,�-�'s �� City: �/�D/��l� ZIP: .�5� S,C, ; Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require �> ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) �e-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd r$; ❑ Re-roof, cedar ❑ Restoration Deephaven, MN 55391 ❑Water Damage ';�: Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: �,��.� �,�'�' E., ` j� ,��,;�u,,,._ �� yF�,.- �,�,,��^� � Estimated Construction Valuation of Project(excluding land) $ �����:� �t� APPLICANT ACKNOWLEDGEMENT: `��`r ;__; • 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 ';�t�; 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 sk� re uired b law. If ou refuse to I the i or tion,the a lication ma not be issued. , �_: k A IicanYs Si nature: y f- < PP� 9 � Date: ����O// j ' Last Updated: 08-09-2011 , .� �; . r.::.. _ ��. ��� D T TIME ✓ CITY OF ORO O CALLED IN G� INSPECTION O ICE SCHEDULED PERMIT NO. �� — 2�COMPLETED ADDRESS �--- � OWNER TEL E NO. CONTRACTOR � <� >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W C J O �. � , O � W � Q � 2 W � W • � � W �k3KSATiSFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL 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 vner/Contractor on si e: - �ctor. �..] White Copyllnspector's Ffle Canary CopylSite Notice ��'" � AT TIME ' / CITY OF ORONO cA�►LED IN �� �� INSPECTION NOTICE,c� Q�7 / SCHEDULED �� � � PERMIT NO�o7d�I�C/O/ G(Q COMPLETED ADDRESS D ������ �! �� �YC� OWNER TELEPHONE . I Z 7 GS��i CONTRACTOR � >; DESCRIPTION �������Q� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION / ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPL4INT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NQ , � COMMENTS: Q/t-Q� � C� 0. � � ° , � � �� �� a�C- � 0 � W � Q � z W � W � � GW ❑WORK SATISFACTORY:PROCEED ^ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED IS UE CERTIFICATE OF OCCUPANCY W O ❑CORflECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on sit tnspector. White Copyllnspector's File Canary CopylSite Notice