HomeMy WebLinkAbout2014-01050 - roofing CITY OF ORONO PERMIT NO.: 20��-o�oso
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssUEn: 09/13/2011
� 952 249-4600 FAX: 952 249-4616
ADDRESS : 1370 NORTH ARM DR
PIN : 07-117-23-41-0050
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 008
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 11,000.00
NOTE: VALUATION OF PERMIT: $11,000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUS"I'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 S[GNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 206.50
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 5.50
5145 INDUSTRIAL ST
SUITE 103 MISC FEE 0.00
MAPLE PLAIN,MN 55359 TOTAL 212.00
(763)479-8700
Minnesota State License#: 20631574
OWivER
VILLAFANA,JUDE&CARRIE
1370 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 separate
permits. Ail provisions of laws and ordinances governing[his 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 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State B ilding Code.This permit may be
revoked at a y time for d use... >
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plicant Permitee Signature ate Issued By gnature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono � ��,t
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� - . Building Permit Application for Maintenance / Renovation -:����k�.�� ' ��
�>;' • (windows, doors, siding, re-roof, etc.) �
Mailing Address: �
�' �,0,�. PO Box 66 Permit number: �
O Q Crystal Bay, MN 55323-0066 Date received: ,�
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,� 3 � �, � Street Address: ' Received by:
�',�c,t t �"� �ti 2750 Kelley Parkway Plan review fee:
�kESH�4� Orono, MN 55356
_� Total Fee:
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Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
�°x; 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: _' _% �d�j�/„��� ,����..' � l����= , �
� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �-IQo
_�'�' 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 unfess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. ..4�
CONTRACTOR/APPLICANT INFORMATION: �,. „��I
Name: �����/�2 ��/�'JS ��UG�"� �� �/f.o%=1��-iiU ���iti -
State License# � ,���, �� �.��'-� xpiration Date: 3/�3 jjl�, i
�'' Lead Certification Number: �� Expiration Date: T� `
� (for work on homes that were constructed prior to 1978
�a Phone: �����.� �� q „��'U� (office) (cell)
�:� Mailing Address: City: ZIP: L�
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Contact Person: Applicant is: Contractor / Homeowner (Cirde One) N,
�:� Email and/or Fax:
k PROPERTY OWNER INFORMAT ON: �
4"� Name: �
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��� Phone (day): � ?
Address: J ,/�' h �� ��/yj �� City: �iq o �j� ZIP: yj����
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�� Email and/or Fax T � ' °�T �°�
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�� PROJECT INFORMATION:
' Type of Project: Any earth movement may require �
' � ❑ Door s MCWD review&permits: ;�
Y 3, O ❑ Remodel ❑ Fire Damage
� Minnehaha Creek Watershed District(MCWD) :��
; � [� Re-roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �
�F< ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ��
Phone: 952-471-0590
y ❑ Re-roof,other(spec�fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 �
�„ www.minnehahacreek.orq
❑Window(s) ,�
#�'; Overall Project Description:
� Estimated Construction Valuation of Project(excluding land) $ % , v Q � , ��
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� 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 �
r; re uired b law. If ou refuse t su I the information,the a lication ma not be issued. �
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ApplicanYs Signature: / GQ ' ��-= Date:�����l �
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Last Updated: 08-09-2011 :-�
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ATE TIME _ /
CITY OF ORONO CALLED IN O �� �'
INSPECTION NOTICE ��Q��cHEDULED Z i
PERMIT NOr-��// "-' co PLETED
ADDRESS ���� /� L� �d/�l �L�
OWNER TELEP NE NO. �������`�3�
CONTRACTOR � - L��
>; DESCRIPTION
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� ❑ FOOTING P ING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ M CHANICAL RI ❑ LAKESHOREM/ETLANDS
� ❑ FRAMING p MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETl1RN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on site:
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Inspector. � ,�i' �� ���/�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME �
CITY OF ORONO CALLED IN 9'e��
INSPECTION NOTICE SCHEDULED I
PERMIT NO.o�v/�'���`S� COMPLETED �
ADDRESS �370 ���'� �� �r
OWNER TELEPHONE NO. �b3'y7q—�700
CONTRACTOR l� '
� DESCRIPTION
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� ❑ 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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:_ L�l C:�fu/� � _ B�
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W ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE ,
W �r.naRFr,j�2gKg pgQC�ED � w�„��w ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION, - � --�{tAAfi^��..._QY�_
V BEFORECOVERING.. PERMANENT
❑COFIRECTUNSAFECONDI`flQNWITNIN HOURS. p pHOTOTAKEN
d' INSPECTOR WILL RETURN"'"-�-- -
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46�0
Owner/Contractor on si :
inspecto� �w �
White Copyllospecto�'s File Canary CopylSite Notice