HomeMy WebLinkAbout2011-01277 - roofing CITY OF ORONO PERMIT NO.: 2011-01277
2750 KELLEY PARKWAY
• ORONO, MN 55356- �ATE ISSUED: 10/20/2011
,t ' (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 345 NORTH ARM LA
PIN : 06-117-23-24-0015
LEGAL DESC : NORTH ARM OVERLOOK
: LOT 001 BLOCK 001
PERM IT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEF[NED
VALUATION : $ 27,210.00
NOTE: VALUATION OF PERMIT:$27,210.00
ROOFING PERMITS ISSUED WITHOUT ENOUG}1 NOTICE FOR TEAR OFF INSPECT[ONS. (WE REQUIRE 24-48 NOTICE,PR[OR 1'0
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVGRTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF[S BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BG REMOVED.
APPLICANT
PERMIT FEE SCHEDULE 44525 c
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 13.61
5145 INDUSTRIAL ST
SUITE 103 TOTAL 458.86
MAPLE PLAIN, MN 55359
(763)479-8700
Minnesota State License#: 20631574 �
OWNER
SIPPRELL, DAVID&CARLA
345 NORTH ARM LA
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[3uilding 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 with whether or not specitied hereia 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.
I he applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may bc
revo lime for d e cause. , (��
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lica mitee S gnature Date Issued By Si ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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=} City of Orono £� �, � . : . � � ti
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Building Permit Application for Maintenance / Renovation
� (windows, doors, siding, re-roof, etc.) �
,— ��
,� ��� MailrPO Bo��66 � Permit number: �`�,
� Crystal Bay, MN 55323-0066 Date received: '`
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a � ' ��; �, Street Address: Received by: � �
�' �t '�q� � 2750 Kelle Parkwa ��
� , �, Y Y Plan review fee:
L�v ���� Orono, MN 55356
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`—' 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: ��J ��,��y�- /¢�vcl L,�qyi,��
�. ;
'` 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 evenf. Shuttle bus service will be .�
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. �'
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° ' CONTRACTOR/APPLICANT INFORMATION:
Name: C,(',Si� �'o�vST2uc�z
a'� State License# ���3 /j 7 c�L Expiration Date: ?� �� �y- "
Lead Certification Number: Expiration Date: �
E (for work on homes that were consfructed prior to 1978 �:�.
Phone: �/�3-- �7�'7- gn o o (office) (cell) �
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�� Mailing Address: Sl�l.(� ��,'D�ST,c��v{c.. �j� City /�, (�" LAi ZIP: 5��3�`�7 �'
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�,' Contact Person: -,-S'o �{ ,�/ Applicant is: ontra o_� / Homeowner (Circle One) �.
Email and/or Fax:
PROPERTY OWNER INFORMATION: �
Name: �� P�RC�-�-- .�
Phone (day): '�
Address: �5/s� ou2T,� / �„��I �'�1� Cit :
y l�lZ/,U:� ZI P:
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)
;,;� �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 �'µ'�
Ov ra �� � ^ - �' ��
e II �r��ect �escrirti�n: � ��. �r r�- C_�,�►2 �— � E a p— �
Estimated Construction Valuation of Project (excluding land) $ �j ��o, `= �
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APPLICANT ACKNOWLEDGEMENT: j�
• 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 refus u I the information, the a lication ma not be issued. '�
ApplicanYs Signature: Date: (� 7� ( / ;,:;
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Last Updated: 08-09-2011 �
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DATE TIME
CITY OF ORONO ca��Eo iN ������ � �
INSPECTION NOTICE SCHEDULED? �� � c �dI���� 1y�
PERMIT NO. �CII � CI ��� COMPLETED �V�=
ADDRESS �� S D�I • �"/"��`Y) L IV ��
OWNER TELEPHONE NO. 7�� "�y 7�/�7�
CONTRACTOR �' ���� �QY
�; DESCRIPTION l �-�r� v�
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ 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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTI�FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES�O
� COMMENTS:
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��T' 1WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WlLL RETUFN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice
�� ��� ATE TIME V
CITY OF ORONO CALLED IN � � �� � �
INSPECTION NOTICE + —7�7 SCHEDULED e Z I � �
PERMIT N0.;2?�LZj�'"�l� I 1 COMPLETED
ADDRESS �4 �7 . ��-- .
OWNER TELEPHONE NO. ��) -��-��I
CONTRACTOR �St C�Q'�
�; DESCRIPTION ��I ��I ��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� � 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
T ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. •
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on 'te:
Inspector.
White Copyllnspector's File Canary CopylSite Notice