HomeMy WebLinkAbout2011-00723 - roofing ' CITY OF ORONO PERMIT NO.: 2011-00723
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 07/26/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 860 NORTH ARM DR
PIN : 07-117-23-12-0029
LEGAL DESC : PIRATES COVE
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 10,800.00
NOTE: 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 206.50
SUPERIOR CONSTRUCTION SERVICE STATE SURCHARGE(VALUATION) 5.40
9702 85TH AVENUE N. TOTAL 211.90
MAPLE GROVE,MN 55369
(763)4249434
Minnesota State License#: 7231
OWNER
DAVISSON,RONALD&JUDITH
860 NORTH ARM DR
MOUND,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 sepazate
permits. 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 consVuction 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 in confo ce ' the S te Buil ing ode.This permit may be
revoked at any ti for e cause
, � �� ��L�.a_.r�._ 7�a�, �/
Applicant Permitee Signature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�
• City of Orono
�� Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
MailingAddress: Permit number: dQ//-D��
Og,�,� PO Box 66
� Crystal Bay, MN 55323-0066 Date received: �
� �' y± a, Street Address: Received by:
�'�,nt ' `�� ��,��' 2750 Kelley Parkway Plan review fee:
`�Esxo4`' Orono, MN 55356
Total Fee: ��� —�'!-D
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: �u� C> /�� � �r�zi�� r� i'
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
lf yes, a speciaf event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wil!be
requrred unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil!not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
�
Name: 5 �.-,� c,� r�,- 4>-l s � 1.-:- ;,�;�t- �
State License# —��7 Z ;i Expiration Date: 3/;, / � � �.Z
Lead Certification Number. �/,f T y� y � Z i Expiration Date:
(for work on homes that were construcfed prior to 1978
Phone: `� 7�� �z b� s�� � � ,�u-- (office) �/ �,�!-7''<-,c ��,o..�� v�i�1 (cell)
Mailing Address: City: ` ZIP: - �- 3� C
Contact Person: C',� fI` Applicant is Contractor ,,/ Homeowner (Circle One)
Email and/or Fax: __..._._._ - �
PROPERTY OWNER INFORMATION:
Name: /Zc�;� .�� v i ss� ��
Phone (day): ��S` Z �JT z� S >'/ i
Address: City: ZI P:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑Water Damage MCWD review& permits: ,
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd }
❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391
Phone: 952-471-0590
�Re-roof ❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.orq
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ j�? �;J �;
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Buitding 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 I the information,the a lication ma not be issued.
,;
ApplicanYs Signature: , ! -- Date: , ��� Z �
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Last Updated: 03-01-2011
� DAT TIME 1/�
CITY OF O ONO CALLED IN J 2 /
INSPECTION NOTICE SCHEDULED 7 /
PERMITNO. a�!!-[�7� COMPLETED
ADDRESS � ��/�� ��
OWNER T EPHON N0��3- �"a� 9 '3�
CONTRACTOR � �� -
� DESCRIPTION �'L�"
� ❑ 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
c��, COMMENTS:
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RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIHED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor on site:
Inspector. � �o�
White Copyllnspector's Ffle Canary CopylSite Notice
7TE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �
PERMIT NO. COMPLETED
ADDRESS �
OWNER TELEPHONE NO. l�—�`��� �
CONTRACTOR
� DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL CAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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 ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�n COMMENTS:
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W� ❑WORK SATISFACTORY:PROGEED ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in acivance. (g52) 249-4600
Owner/ConVactor on site:
Inspector. � L� �
White Copyllnspector's File Canary CopylSite Notice