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.
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� ' City of Orono
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Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: � –���
�,�,�. PO Box 66 �y
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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��
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Mailing Address: �75' � a City: ����� ZIP: $-S�c,,�7 ��
Contact Person: Applicant is: Cont ctor / Homeowner �c��ae o�e� ���
�, Email and/or Fax: �;'
PROPERTY OWNER INFORMATION:
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Name: ^� ,L S` ,f�i�-�
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Phone (day):
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Address: lv�I� /�i;�.�z��n,� .f�s��,,,�-�'s �� City: �/�D/��l� ZIP: .�5� S,C, ;
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require �>
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
�e-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd r$;
❑ 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
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• 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.
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f- < PP� 9 � Date: ����O//
j ' Last Updated: 08-09-2011
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CITY OF ORO O CALLED IN G�
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PERMIT NO. �� — 2�COMPLETED
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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
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❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
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CITY OF ORONO cA�►LED IN �� ��
INSPECTION NOTICE,c� Q�7 / SCHEDULED �� � �
PERMIT NO�o7d�I�C/O/ G(Q COMPLETED
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OWNER TELEPHONE . I Z 7 GS��i
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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 ,
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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