HomeMy WebLinkAbout2011-00835 - roofing f , ., CITY OF ORONO PERMIT NO.: 2011-00835
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 08/10/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3450 NORTH SHORE DR
PIN : 08-117-23-43-0021
LEGAL DESC : LYDIARDS PARK LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 12,341.00
NOTE: VALUATION OF PERMIT:$12341.00
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 236.00
ZIP ZAP REMODELING&RESTORATION STATE SURCHARGE(VALUATION) 6.17
844 140TH LANE NW TOTAL 242.17
ANDOVER,MN 55304-
(763)23&1632 PAID WITH CC# 4241
Minnesota State License#:20638815
OWNER
ODDEN,WILLIAM
3450 NORTH SHORE DR
WAYZATA,MN 55391
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 dces
not grant permission for additional or related work which requires sepazate
permiu. 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
suspend r a per' d f 18 days at any time after work has commenced.
The a lic t is re p ibl or assuring all required inspections aze
req sted in conf ce ith the State Building Code.This permit may be
rev ked at y ' e or d e cause.
� � t6 � � 1 / /
Applic t P t S re Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� • ` City of Orono
Buiiding Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address:
��,�,j��.� PO Box 66 Permit number. �U61� �a
� c\ 0 'I Crystal Bay, MN 55323-0066 Date received: lC�
u,
a � 9„ �, Street Address: Received by:
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�.�, � � G� 2750 Kelley Parkway Plan review fee:
�`�xEsxoi''� Orono, MN 55356 _�
----' Total Fee: `�� c�a. ! �
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.
Incomptete applications will be returned. (Please print)
GENERAL INFORMATION: � ' IS.-� N ' S�'1 0 �� ��
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 Polrce Department and City Council approval 60 days prior to the event. Shuttle bus servic will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will rrot be allowed.
CONTRACTOR/APPLICANT INFORMATIO
Name: � P �G►ytadi I�n Iecs�-a fa� �c�t L7.•G
State License# ��,`� g g t �" Expiration Date: S Za i Z
Lead Certification Number: � � � Expiration Date:
(for work on homes that were corestructed prior to 1978
Phone: ��3 Z 3� �G�Z (office� (ceu)
Mailing Address: t� �f a t�• G�' N I�•J CitY: �fQ � Z�P: �'S
Contact Person: .� ,�,(L�f Applicant is: Homeowner �c�►�o�,e�
Email and/or Fax: � l��.� g y i P��rs rK�clb�!K� • G o+�
.
PROPERTY OWNER INFORMATION:
Name: �1 1 od�I�� . ,
Phone(day): Gj,Sp1 L17) ?� 7 7
Address: Sq.�s a J c�.��� City: ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ oor(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(speciry) ❑Siding ❑ �ther: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description: �o�,r 6 ,�. ,� Jc�G ` ov G+�+ �
Estimated Construction Valuation of Project(excluding land) $ �Z �,1{ r
APPLtCANT 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 app�ication 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 informati ich enerally cannot be given to either the public or the subject of the data. Our
purpose and intended use of thi nfor tio is o annually update our records and records of other governmental agenaes
re uired b law. If ou refuse t su I e' he a lication ma not be issued.
ApplicanYs Signature: Date: ��I� �
Last Updated: 08-09-2011
c�' DATE TIME v
CITY OF ORONO CALLED IN l� C'
INSPECTION NOTICE ,� �sCHEDULED
PERMIT NO. �G�!—O� ��cOMPLETE
ADDRESS ��5d /V�l'� ��U�C--
OWNER TELE ONE NO. ��� �
CONTRACTOR �
� DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL F�NAL
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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
u�i COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIO►V REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN /
INSPECTION NOTICEb��� SCHEDULED
PERMIT NO. �d!!�C � COMPLEfED - "
ADDRESS ��f S O .�(/ s,(o r-c �6�� ,�
OWNER TELEPHONE NO.
CONTRACTOR _Z � �n �i!wtis-���t �
i DESCRIPTION �e— �`�'� /
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
� O POURED WALL O MECHANICAL RI ❑ LAKESHORFJWETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOpD BURNER/FIFEPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB O WATER HOOK-UP � PROCaRESS
��F1RAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP
_ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNIDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YpU:_YES_NO
h COMMENTS:
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� �WORK SATISFACTORY:PROCEED �pOJECT COMPLETE
w ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE Cdl/ERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
Owne tractor on site: � , �
t
Inspector. �`�
White Copyllnspector's Ffle Canary CopylSite Notice