HomeMy WebLinkAbout2011-00650 - roofing CITY OF ORONO PERMIT NO.: 2011-00650
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/20/2011
(952)249-4600 FAX: (952)249-4616
ADDRESS : 770 OLD CRYSTAL BAY RD N
PIN : 28-118-23-43-0005
LEGAL DESC : CRYSTAL CREST
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR TERATIONS
PROPERTY TYPE : CO CIAL-Bk<NESS cjCV"001
CONSTRUCTION TYPE : ROOFING-METAL
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 62,280.00
NOTE: TEAR OFF- REROOF
APPLICANT PERMIT FEE SCHEDULE 779.25
DALBEC ROOFING,INC PLAN REVIEW 506.51
2285 DANIELS STREET
LONG LAKE,MN 55356 STATE SURCHARGE(VALUATION) 31.14
(952)473-8181 TOTAL 1,316.90
Minnesota State License#:20489783
OWNER
(ORONO), INDEPENDENT SCHOOL DIST#278
685 OLD CRYSTAL BAY RD N
LONG LAKE,MN 55356-
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. All provisions of laws and ordinances governing 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 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
ted in conformance with the State Building Code.This permit may be
r --d at any i .IQ due cause.
Applicant Permitee Signature �/Date / 4I4i 7/ CD/
Issue;I:y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
• City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: (776//- 4056
PO Box 66
0 .
\ Crystal Bay, MN 55323-0066 Date received: 7�/3 //
,� �j Street Address: Received by:
1' \( '� 2750 KelleyParkway3/� 90
s ' Plan review fee: i
�ik H l". Orono, MN 55356
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616
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: `74h OLD qSTL `(goAf
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes )0'Ti to
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: ` vAL6EG �--
State License# A Expiration Date:
Lead Certification Number: J(fr Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: 47 3-8080 (office) 60,/a- 09 (cell)
Mailing Address: L fik0,fS Vit, City: • , La.ke, ZIP: 5S3s--(0
Contact Person: t - Applicant is: Contract. / Homeowner (circle One)
Email and/or Fax: jtii. �; 0,11012c (6 ,,r1 Corgi
PROPERTY OWNER INFORMATION:
Name: Crori v -blit 50-100/S (278
Phone(day): '7103-
Address: ( S bid 6y5 iztrG Roetzl City: L oYl/ L&/, ZIP: 35�
Email and/or Fax n//,'
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) 0 Remodel ❑Water Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑Window(s) 0 Repair 0 Storm Damage 18202 Minnetonka Blvd
❑ Siding 0 Restoration 0 Other: (specify) Deephaven, MN 55391
Phone: 952-471-0590
'17,4-roof ❑ Fire Damage Fax: 952-471-0682
Overall Project Description: / 41'40f-- alkadp/ju r5
Estimated Construction Valuation of Project(excluding lad) $ w;,2 <':
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
required by law. If you refuse to supply the information,the application may not be issued.
Applicant's Signature: ( Date: 1 ~ (3H
Last Updated: 03-01-2011
Plan Review Checklist for New Structures / Additions
Address:/PID/Legal: "7"7 0 O c.f GA.,y S.rrte— (3 4‘..) item,o
Description of work: ift,C ite5tuv''
Septic review by: N/( Date Approved:
Zoning review by: /i/ Date Approved:
Building review by: Date Approved:
7- eA -Zpt4
,A4Grading review by: /v'/4 Date Approved:
oning File#: Resolution#: Resolution Date:
Zoning District Fire Department Post Office ool District
Zoning: Lot Area: SF/AC Width: Depth:
Survey Submitted. D Yes D No Date of Survey:
Proposed Setbacks:
Front(Lake) Rea treet) ( N S E W ) ( N S E ) Other-Buildings Wetland
Side Sid
Building Defined Height: Building Peak H-'•ht: #of Stories Ok?: 'D YES
FOR A BUILDING WITHABASEMENT OR CRAWL SPA, : FOR A`BUILDING ON A SLAB FOUNDATION:
START WITH the distance between the basement ii.•r/cra START 'the distance between the slab and the highest
space floor and the highest roof peak,th- •• of WITH roof peak,the top of the cornice of a flat roof,
the cornice of a`flat roof,the deck line of the deck line of a mansard roof, orthe
mansard;roof,or the uppermost point• a rou • uppermost point on a round or other arch-type
or other arch-type roof roof
SUBTRACT half the distance.between the hi•- -st window and SUBTRACT half the distance between the highest window
highest roof peak of a pitched •of and highest roof peak of a pitched roof
SUBTRACT the distance between the b-.-ment°floor/crawl ' 'D the distance between the slab and the highest
space floor and the highe- existing grade within existing gradewithin-thefoundation
the foundation or 10 fe: ,whichever is less. EQUA Defined building height
EQUALS Defined building hei• t
Lot Coverage: SF %
Shoreland District MCWD Permit Received Average Lakeshore -tback Bluff
D Yes D No D N/A N N D Yes q No
D Yes • No D Yes D No D
Permit Number: Setback:
Hardcov r Zones Existing Proposed Variance Required ; - Required
4-75' D Yes D No D Yes D No
75-250' Type(s): 'Type(s):
250-500'
500-1000'
REMARKS (in-house): Aid Cr,/}NG
Updated: 09/11/2009
z:\forms,pian reviewcheckiist.docx
Fees to be Cha .ed YES NO
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_.., v .,.17
x.w aS•,... . 7.ss�..,f157 �u °F u& :�..res _ ,a
Plan Review
- _ r
Investigation Fee 11.11111111.111
Sewer Connection
Park Fee 1111111
Other-(specify) �®
Calculated By:
Square Footage $per Square Footage
Basement X
1st Floor X = $
2nd Floor ( = $
Garage X
Estimated Construction Value: $ 6 2, Z So 102
Orono':Inspections Required Work Requiring Separate Permits Required State Permits
fl Site D Plumbing D Grading/Filling DWell
D Hardcover Removal 0 Mechanical 0 Fire 0 Electrical
D Footing 0 Septic D Water Connection
D Poured Wall D Fireplace Sewer Connection
D `'Foundation Survey D Masonry D Lawn Irrigation
D adon Rock Bed 0 ;Mfg.
0 Other(specify)
O Insulation
O ;As-Built Survey
jr7Final
/o Other(specify) TLIZ d FK
REMARKS 7n-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: ;0 YES 0 NO New: 0 YES 0 NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 09/11/2009
z:\forms\plan review checklist.docx
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CITY OF ORONO CALLED IN r TIME
INSPECTION NQT,,I,�j /�, SCHEDULED j1Li/fl
PERMIT NO. o�G��D�'" Eo
ADDRESS 77 COMPL � �
P NE NO. 4/a a6 a�Y
OWNER � -TELE
CONTRACTOR / '/ r O L
DESCRIPTION /� -°Z /1
0 FOOTING 0 PLUMBING Fl fir 0 EXCAV/GRADING/FILLING
R 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORENVETLANDS
h 0 FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL
Z
0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS
• 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT
v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP
• 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL
v ❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL
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OWNERICONTRACTOR TO MEET YOU:_YES_NO
Co)• COMMENTS:
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W J.t WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
41 ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor o site:
Inspector. e
White Copyllnspector's File Canary Copy/Site Notice