HomeMy WebLinkAbout2011-01366 - roofing �
,. CITY OF ORONO PERMIT NO.: 2011-01366
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 1U0U2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1720 NORTH FARM RD
PIN : 27-118-23-44-0011
LEGAL DESC : THE FARM AT LONG LAKE
: LOT O10 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 23,600.00
NOTE: VALUATION OF PERMIT:$23600.00
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 398.25
ALL SEASON REMODELING&EXTERIORS STATE SURCHARGE(VALUATION) 11.80
17344 PUMA ST.NW
RAMSEY,MN 55303 MISC FEE 0.00
(612)221-3318 TOTAL 410.05
Minnesota State License#:20639167
OWNER
HANSON,CRAIG&JOAN
1720 NORTH FARM RD
LONG LAKE,MN 5535Cr
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 pertnit 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 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 day of the date of issuance,or if consWction is
suspended for period of 0 days at any time after work has commenced.
The applican is respons' e for assuring all required inspections aze
requeste in onf �with the State Buiiding Code.This permit may be
revoke at y me f d cause.
/ / // / O/ //
A Pe tee Signature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. A. .
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. City of Orono $��� ��� �
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Building Permit Application for Maintenance / Renovation �. .t��_xY �r�;
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: ��/�`b�
/'4v 0,� PO Box 66
� �,� � Crystal Bay, MN 55323-0066 Date received: / Q / ,,
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�a � �-� �, ' Street Address: Received by: �
�� "z'� �ti 2750 Kelley Parkway Plan reviewfee: �`
�'�kEsxo4'� Orono, MN 55356 / . ��
Total Fee: �'/ l�� �
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 7`�
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This appfication form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print) ��
GENERAL INFORMATION: �
Job Site Address: �) �c� ����� �,��^,,,., ��� �$
Will this be a Parade of Homes, Remodelers Showcase Home or other Dis la Home? �
p y ❑ Yes ❑ No �
.. lf yes,a specia/event permit is required with Police Department and City Counci/approva/60 days prior to the evenf. Shuttle bus service wil/be
�"' required unless applicant demonstrates sufficienf on-site parking is available. Non-permitted events will not be allowed. �r�
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CONTRACTOR/APPLICANT INFORMATION:
�.' Name: <�� ScYi �.��N� � � T�o,�S L(C
�i� State License# ��
., cr63i�G"� Expiration Date: � �� 3 �
�= Lead Certification Number: Expiration Qate: ,,�.
(for work on homes that were constructed prior fo 1978 �•
Phone: �� �- (office) cell
� ���� y i i /� 3 � � , ,
k . Mailing Address: �- `� , , City: ti,se ZIP: ���,
�� Contact Person: ���� � Applicant is: ontract� / Homeowner {Cirde One)
> . Email and/or Fax: /-j�,`� c�,y� ��j j _
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PROPERTY OWNER INFORMATION:
�:
Name: �f�„� �,nS�,Z �
Phone (day): ��Z ��� y�v� �� �
Address: City: ZIP: ,r�
Email and/or Fax �1 �
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PROJECT INFORMATION:
Type of Project: Any earth movement may require *$
❑ Door s ❑ Fire Damage MCWD review& ermits:
( ) ❑ Remodel P
Minnehaha Creek Watershed District(MCWD) �
e-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �
�r LJ Re-roof, cedar Dee haven, MN 55391
❑ Restoration ❑Water Damage p :
❑ Re-roof, other s eci Phone: 952-471-0590 '
( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 .__;
❑Window(s) www.minnehahacreek.orq
Overall Project Description: o� - �,
Estimated Construction Valuation of Project (excluding land) $ 2?����� ' �
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. APPLICANT ACKNOWLEDGEMENT: �
"" • Agrees to provide all informafion 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 appfication 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 i formation s to annually update our records and records of other governmental agencies '�`
�:,; re uired b law. If vou refuse s I the ' f rmation, the a lication ma not be issued.
�"� �
�. ApplicanYs Signature: � . � v"�--- �/�-/�I( +`�
Date:
�.�
,,; Last Updated: 08-09-2011
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:
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�� DATE // TIME �
CITY OF ORONO CALLED iN
INSPECTION I�TJC.E � SCHEDULED /
PERMIT NOo�J�! C MPLETED
ADDRESS � ��� /�/�
OWNER TELEPHONE 1 a-a a�-3 D •
CONTRACTOR
>; DESCRIPTION
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. � 1 S
White Copyllnspector's File Canary CopylSite Notice
�-i ✓
�� /� TIME
CITY OF ORONO ' CALLED IN �
INSPECTION OTICE SCHEDULED �`
PERMIT N� - �6 OMP ETED
ADDRESS
OWNER TELE NE N . ��- 8- �
CONTRACTOR ` -
�; DESCRIPTION � ^
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED _� IS UE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerfContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice