HomeMy WebLinkAbout2011-01256 - roofing . � . *
CITY OF ORONO PERMIT NO.: 2011-01256
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 10/18/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1301 NORTH ARM DR
PIN : 07-117-23-41-0029
LEGAL DESC : SAGA HILL REVISED
: LOT 001 BLOCK 007
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 7,000.00
NOTE: VALUATION OF PERMIT:$7000.00
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 147.50
NEW LIFE CONTRACTING STATE SURCHARGE(VALUATION) 3.50
2478 HILLWOOD DR E
ST.PAUL,MN 55119- TOTAL 151.00
(651)2243442
Minnesota State License#: 20249486
OWNER
ROBERTS,PAUL&ELIZABETH
1301 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 construction is
suspended for a period of 1 0 days at any time after work has commenced.
The applicant is responsib for assuring all required inspections aze
requested�in conformance ith the State Building Code.This permit may be
revoked a�any time for e cause.
,'� lo / (? , � � �� /� /S/ j
Appl' ar�t Permitee Signature Date Iss y Signature Date
i
,,J SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
��'� /� �5/
, . i
Cit� of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
MailingAddress: aO!/-�/ �,5�
�,0,�. PO Box 66
Permit number:
� � Crystal Bay, MN 55323-0066 Date received: /d�/8 i/
���
a, � � ��� �, Street Address: Received by:
�,�, ° ``����� �ti�' 2750 Kelley Parkway Plan review fee:
r9kESFi04'/ Orono, MN 55356 �/�/ 6�
�_--- 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. (P/ease print)
GENERAL INFORMATION: .
Job Site Address:
Will this be a Parade of Homes, Remodelers Showcase 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/APPLICANT INFORMATION:
Name:
State License# Expiration Date: �
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (office) (cell)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email andbr Fax: -
PROPERTY OWNER INFORMATION:
Name: , . ; `
Phone (day):
Address: City: ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits:
Minnehaha Creek Watershed District(MCWD)
�Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description: ___
Estimated Construction Valuation of Project(excl�ding land) $ 'i 0 ;.) ,,� , �`..�
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 information,the a lication ma not be issued.
ApplicanYs Signature: Date:
Last Updated: 08-09-2011
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION N��� E DiaS� SCHEDULED _/ .-�
PERMIT NO. ol COMPLETED
ADDRESS C�JD� /�LJ�'`�� ,�l�'t ,l�l�
OWNER TELEPHONE o. �5! zz� 3��Z.
CONTRACTOR T//(��,(� �� L�Gr�
>: DESCRIPTION _ �1��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ 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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL �
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
a
W� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-460�
OwnerlContractor on site:
Inspector. �►�
White Copyllnspector's File Canary CopylSite Notice
��� �/� ��� ✓
DATE TIME
CITY OF ORONO CALLED IN ��� �� �'
INSPECTION NOTI�/'E /, SCHEDULED� �' ��fpr
PERMIT NO. �/� �`'/���COMPLETED � ` �'
ADDRESS �� �
OWNER TELEPHO E NO.��`� �- 7�°_��,��,f
CONTRACTOR -l- � C)�'�•
� DESCRIPTION ��� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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 ❑ PIUMBING RI ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES�NO
� COMMENTS:
�
W
a
�
J
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W ORK SATISFACTORY:PROCEED �7 PROJECT COMPLETE
❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �'CITATION ISSUED
C'i INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne in tion 24 hours in advance. (952� 249-4600
OwnerlContractor
Inspecto
White Copyllnspector's File Canary CopylSite Notice