HomeMy WebLinkAbout2011-01164 - roofing CITY OF ORONO PERMIT NO.: 2011-01164
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/30/2011
(952)249-4600 FAX: (952)249-4616
ADDRESS : 335 OLD CRYSTAL BAY RD S
PIN : 04-117-23-24-0003
LEGAL DESC : AUDITOR'S SUBD.NO.230
: LOT 013 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RE IDENTIAL
CONSTRUCTION TYPE : RO FING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 4, 00.00
NOTE: VALUATION OF PERMIT:$42 0.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 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 118.00
INCLINE EXTERIORS INC STATE SURCHARGE(VALUATION) 2.10
26175 BIRCH BLUFF RD
SHOREWOOD,MN 55331 TOTAL 120.10
(612)471-9065
Minnesota State License#:20168831
OWNER
i
RYERSE,MARY
335 OLD CRYSTAL BAY RD S
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 e work described and does
not grant permission for additional or related ork which requires separate
permits. All provisions of laws and ordinance governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if constructio authorized is not
commenced within 180 days of the date of iss ance,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 re uired inspections are
requested in conformance with the State Build ng Code.This permit may be
red at any time for due cause.
e , > - /ii,t/a qi 30 /I/ee
!J `cant Permitee ignature Date Issue':y do nature ' Date
SEPARATE P RMITS REQUIRED FOR WORK OTHER HAN DESCRIBED A: E.E.
Sep 30 11 11:21a Schenkel 9524701781 p.3
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number c40//— d// 9'
COQ Cr Box 66 9Z30///
r
O Crystal Bay, MN 55323-0066 Date received:
C,
T I Street Address: Recehied-by.
�a ���t ';, 2750 Kelley Parkway Plan review fee: lfit-X- .
''�' ' MN 55356
.._ ) Orono,
Total Fee: /1/0,?0,,&)
Main: 952-249-480 Fax 952-249-4616 www.ci.orono.mp.us
This application f rm must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
.3- - 0 i_l IS C 6tr
Job Site Address: (�
Will this be h Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes 0 No
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 appricant demonstrates sufficient on-site parlang is available. Non-pennitted events will not be allowed.
CONTRACTOR!APPLICANT INFORMATION:
Name: '..11-el i me_ E-,n-74-rr r'‘s ISS --rL e
State License# ad/ 6'6,c 3) Expiration Date: /3
Lead Certification Number. Ai i4-r //t;/yO—/ Expiration Date: 7-1K
(for work on homes that were constructed prior to 1978
Phone: Ica 917f`1d j (office) (cell)
Mailing Address: a‘-,--7.5-- 2,,,i-t4, g)v elf ift.a City: S ‘24l&k t ZIP: ,,4 r✓s'-33/
Contact Person: g‘ZJ Applicant is: o tractor / Homeowner tarda One)
Email and/or Fax: %,Sa_ �17d — /70/
,
PROPERTY OWNER iNFORM ►TIgN:
Name: A/► t,nn, Kil ze-
Phone(day):
Address: 3,3.5 Q 1 C. C(' l,s ,( bel City. ZIP:
Email and/or Fax r
PROJECT INFORMATION:
Type of Project Any earth movement may require
❑ Door(s) 0 Remadel 0 Water Damage MCWD review&omits:
Minnehaha Creek Watershed District(MCWD)
❑Window(s) 0 Repair 0 Storm Damage 18202 Minnetonka Blvd
hone:
❑Siding ❑ Restoration 0 Other.(specify) Pven, MN 55381
Phone: 952-471-0590
`gRe-roof 0 Fire Damage Fax 952-471-0682
www.min n e hahacreek.orq
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ YAZI C)
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 fa information which generally cannot be given to the public but can be given to the subject of the
data. Confidential data is infomration which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use f this In on is o annually date our records and records of other governmental agencies
required by law. If you refu to sup the i 'on,thea licence ay not be issued.
Applicant's Signature: I Date: 7 .7<-,,_ (
Last Updated: 03-01-2011
DATE TIME (/
CITY OF ORONO C LLED IN !I
INSPECTION NOTICESCHEDULED //-3- //
PERMIT NO.0700 '1(PFCOMPLETED
ADDRESS 335 0/0/ /.S7�G�-P /Ec 4Q/ J
OWNER TELEPHONE NO.
CONTRACTOR /� ' "' - ' 7" 7
DESCRIPTION /ecu Dir
4 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
h 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
• ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL
g OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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WCC WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O 11CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. Ob.
White Copylinspector's File Canary Copy/Site Notice
DATE TIME %/
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. a0(I- 60 11 COMPLETED S f0-7f/y
ADDRESS '33o 6 kg Cr1s6Sl &7 2.0_ S.
OWNER TELEPHONE NO.
CONTRACTOR J fl i e Godeetas ��-
DESCRIPTION ge- roar
tu ❑ FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FIWNG
Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS
" ❑ FRAMING ❑ MECHANICAL FINAL
El TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT ,321P•EQLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: Permit' /Aka., ,.,;g cue.
a. r ftrf.;scIAS/e_Al.".
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IQ 0 WORK SATISFACTORY:PROCEED PROJECT COMPLETE
41
0 CORRECT WORK&PROCEED 0 I E CERTIFICATE OF OCCUPANCY
CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner ctor on site:
Inspector. !
White Copy/Inspectors Fife Canary Copy/Site Notice