HomeMy WebLinkAbout2011-00773 - roofing � � ' CITY OF ORONO PERMIT NO.: 2011-00773
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08/02/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 485 PARK AVE
PIN : 06-117-23-41-0016
LEGAL DESC : MINNETONKA SUMMIT PARK
: LOT 000 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 5,000.00
NOTE: 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
MIDWEST SIDING ROOFING&WINDOWS STATE SURCHARGE(VALUATION) 2.50
6451 SYCAMORE CT N
MAPLE GROVE,MN 55369- MISC FEE 0.00
Minnesota State License#:20010277 TOTAL 120.50
OWNER
MEYER,DONALD&CATHERINE
485 PARK AVE
LONG LAKE,MN 55356
AGREEMENT AND SWORI�I 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 additiona(or related work which requires separate
permiu. 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
0�--- �
/ � / 7� / /
Appli��cant Pe mi�tee Signature Date
Issued By Si ure Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
, . . City of Orono
Building Permit Appfication for Internal Work
(windows, doors, siding, re-roof, etc.)
� Mailing Address:
�'�' Og,O,�.O PO Box 66 Permit number:
��;'
Crystal Bay, MN 55323-0066 Date received:
,� ��t .�,,-�'� �, Street Address: Received by:
�',�.,t ' �� �titi 2750 Kelley Parkway Pfan review fee:
�ESHo�`'� Orono, MN 55356
Totai Fee:
Main: 952-248-4600 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 � t'CZ'� �j/L
Will this be a Parade of Homes, Remodefers Showcase Home or other Display Home? ❑ Yes ❑ No
!f yes, a specral event permit is required with Police Department and City Counci!approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is avai(able. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFOR�ATIO • , � .
, ;
Name: �NJ;' �� � .�
State License# �G1!' Expiration Date: 3 zU/
Lead Certification Number: 'y`f�7'_ ��) �r _ ) Expiration Date: � �- ���5-
(for work on homes thaf were construcfed prior to 1978 ��` -'
Phone: 7( 3 - ��7- �'��lC� (office) 7L 3 - ?�C� -�'�2 Z (cell)
Maifing Address: (��c5'j �j' ��, �, G�- City: ��i� (";��,.p ZIP: 5 3�G�'
Contact Person: (L�,.��-, / �(,�G,�6h Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: �
PROPERTY OWNER INFORMATION:
Name: ��,�� :��y��-
Phone (day): �f�2-�73� -7S-ZQ O�b� t�
Address: (� -�<���-�/ �f/� City: ����G�' ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑Water Damage MCWD review 8�permits:
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391
Phone: 952-471-0590
� Re-roof ❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.or4
Overall Project Description: �j��;T ;;�, . �-� � r�G Gt�, �
Estimated Construction Valuation of Project (excfuding fand) $ ��
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 appficant 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 information is to annually update our records and records of other governmental agencies
re uired b law. If ou refuse to su the information,the a lication ma not be issued.
:� :, ��.�/z�r 1
��, ApplicanYs Signature: � ��'�/l Date:
s�_:
�`� Last Updated: 03-01-2011
'r;;;.
`�z�t
�� DAT E TIME 1 /
CITY OF ORONO ca ��� -/ � "
INSPECTION NO CE SCHEDULED -�1
PERMIT NO. 7 COMPLETED
ADDRESS �d� �G� ���
OWNER TELEPHONE NO.��.3 ZD D /J��Z
CONTRACTOR ���
�: DESCRIPTION ���-�"� ����
�
� ❑ 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
J � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
�
W
�
� � � C� ��!��� � �'�' T 4�-
0
�
�
0
�
W
�
Q
�
z
w
�
W
�
�
d
W� ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE
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 WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. lit�/ ��„ �
White Copylinspector's File Canary Copy/Site Notice
DATE TIME ' /
CITY OF ORONO CALLED IN .�
INSPECTION NOTICE SCHEDULED .
PERMIT NO._.20!/- bo773 COMPLEfED —�' -�'i�
ADDRESS �S'� ��sr�(c �ve .
OWNER TELEPHONE NO. .
CONTRACTOR �`�waS� 5��.� . /oo�.t� rt--u���o.t- . I
� DESCRIPTION ��" '�`�� v _
� ❑ FOOTING ❑ PLUMBING FINAL � ❑ EXCAV/GRADING/FIWNG I
� � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
O ❑ FRAMING ❑ MECHANICAL FINAL 4 TREE REMOVAL i
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION �
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS �
� �NAL ❑ SEWER HOOK-UP ❑ COMPLAINT I
J DEMO-SITE ❑ SEPTIC MAINT.
�FOLLOW-UP
i 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNFAICONTRACTOR TO MEET YOU:_YES_NO li
� COMMENTS: �GcSG -E'�G�a�/FO� 9��tG . '�
� !'SI� ,Q�G��trt � ✓l0 �KQL �vt.56e�.�`te.c �e�Cta,S�is�
j '
� l�ld ��/-p�-� /`t5a�f�a.�- t«Y�i'�� _ I�',
O ,
w , -
Q - �� �/Q�i/�io.�, ��ar�t�e�D _ �i
2 - �i
W �IJO�lC �A/�cirs ����+C _ �'
j /J t�iiNc� 't//l.tl� _ I�
d
W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CARRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN i
INSPECTOR WFLL RETURN ❑CITATION ISSUED �I
❑STOP ORDER POSTED.CALL INSPECTOR i
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. I�
Ca11 forthe next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
� -
Inspector. M' _
White CopyAnspector's Flle Cenary CopylSRe Notke