HomeMy WebLinkAbout2011-00694 - roofing CITY OF ORONO PERMIT NO.: 2011-00694
�� 2750 KELLEY PARKWAY
` ORONO, MN 55356- DATE ISSUED: 07/2U2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 30 ORONO ORCHARD RD N
PIN : 35-118-23-33-0010
LEGAL DESC : ORONO OAKS
: LOT O10 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 22,000.00
NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NO"I'ICE 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 REMOVEU.
TEAR OFF-6'ICE BARRIER-30 YEAR TIMBERLINE SHINGLES
APPLICANT PERMIT FEE SCHEDULE 368.75
PLYMOUTH ROOFING& INSULATION STATE SURCHARGE(VALUATION) 11.00
17525 CTY ROAD 24
PLYMOUTH, MN 55447 TOTAL 379.75
(763)473-3397
Minnesota State License#: 5358
OWNER
SMITH,JAMES MURPHY& SANDRA
30 ORONO ORCHARD RD N
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
Thc 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 esponsible for assuring all required inspections are
requested in nfo an�it the State Building Code.This permit may be
revok anyt '. o u ause.
' .
' G�___ ' / '��/ 7 � I � !�
Applicant ermite Signature Date Issu By 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: 05���' (J�j
O�v�,�0 PO Box 66
Crystal Bay, MN 55323-0066 Date received:
a. �'� ���,�- Received b
• ;-,�,, � Street Address: y�
�'�.n `'�� ti 2750 Kelle Parkwa
o y y Plan review fee:
t�ESH�4'� Orono, MN 55356
'— Total Fee: � �9 �s
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.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: _j� (���jL/�� ��'C'�i��-`���
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
If yes,a special event permit rs required with Police Department and City Council approval 60 days prior to fhe 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: �/�>�z�i�:-'�� ��r.��/���
State License# s�Z S� Expiration Date: 3—�i _��;��-
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior fo 1978
Phone: -- SL� - -- - �� 7 (office) /� - /�'- C?S 3ro (cell)
Mailing Address: S ` � ' City� ,�,- �, ZIP: �S'�j,<
Contact Person: S � _ � Applicant is� ontr cto / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER NFORMATION:
Name: � ,, �'G
Phone (day): (�/� _�„�S -�c 7 y
Address: 3C� /�.�r'yld l�/��'/�G�,� �� City: /9/"��y"E. ZIP: S.S.js�
Email andlor Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review 8� ermits:
❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watersh d 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.orq
Overall Project Description: ���,�?" ' jc,e ,�iZ,�i,;zW .�G?vr r��-�l�.c.-s,/� �.����
Estimated Construction Valuation of Project(excluding fand) $ ,� � ;i
�
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 infor ation is to annually update our records and records of other governmental agencies
re uired b law. If ou refuse to su i fra ati , t a lication ma not be issued.
Applicant's Signature: ' ,�- � Date: �6�7/ ��O//
Last Updated: 03-01-2011 -
�'" � TIME �
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE �/� SCHEDULED
PERMIT NO. < <�w COMPLETED
ADDRESS .J O �
OWNER TELEPHONE NO. 7 �D ` ��
CONTRACTOR
� DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FI AL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI p LAKESHORE/WETLANDS
y � FRAMING ❑ MECHANICAL FINAL ❑ 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OW NERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑IS UE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,GAIL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's Flle Canary CopylSite Notice