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HomeMy WebLinkAbout2011-01157 - roofing � - CITY OF ORONO PERMIT NO.: 2011-01157 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuED: 09/30/2011 952 249-4600 FAX: 952 249-4616 � ADDRESS : 525 PARK LA PIN : 06-117-23-41-0040 LEGAL DESC : MINNETONKA SUMMIT PARK : LOT 000 BLOCK 006 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 10,000.00 NOTE: VALUATION OF PERMIT:$10000.00 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 191.75 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 5145 INDUSTRIAL ST TOTAL 196.75 SUITE 103 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#:20631574 OWNER FLANNERY,MICHEAL&LOIS 525 PARK LA 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 sepazate permits. 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 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 requested' onformance with the St uilding Code.This permit may be revoke t y time for du cause ;�� �� � � `��� � // Applicant Permitee Signature e Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. aa � � � �'�� � Cit of Orono �`�''�'��/�/l� �fi� . Y �` � Building Permit Application for Maintenance / Renovation �; E� (windows, doors, siding, re-roof, etc.) �, ,.;. Mailing Address: �d�l �� � � '�,�. PO Box 66 Permitnumber: �° Q O Crystal Bay, MN 55323-0066 Date received: � ,�s � �� ���" Received by: � a ' ���-�� s, Street Address: a' �,�,� � �� �ti 2750 Kelley Parkway Plan review fee: � �� RkEs�� Orono, MN 55356 -: Total Fee: � ���,�5 l: 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: y� s ,/�.��t'�.���C �:: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �'No °� � /f yes, a special event permit is required with Polrce Department and City Council approval 60 days prior to the event. Shuttle bus service wil/be ,'����, ''-� required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. �,'� },{-, z_, ���, CONTRACTOR/APPLICANT INFORMATION: . � Name: ��LG S,�ic�i�G. C o..�.5�/�t v c-�"'�'DiZ! } `'� State License# � p (p 3 ��-r?t�,.�' Expiration Date: �3/^,���Z, � i-' Lead Certification Number: Expiration Date: �� ��..:: ��`' (for work on homes that were constructed prior fo 9978 ' Phone: . � ;:: �'" — � �pQ (office) (cell) � � Mailing Address: ���/c yy�v��,y4 f 5 f-- City`y1r,,;��� �iyti,�,ZIP: _-" �` '�� rv: Contact Person: ���� Applicant is: Contractor / Homeowner (Circle One� � � Email and/or Fax: � �, � PROPERTY OWNER INFORMATION: Name: //�,�/t/ft/,�`'rf' �e' �.�a Phone (day): � a:F Address: � �2 �.t /�j�j'R/�' 1„/�:�•,��,: City�,�'��s�'��t`,l�: ZIP: ��5..���� � Email and/or Fax �.. � �y4' PROJECT INFORMATION: � Type of Project: Any earth movement may require �' MCWD review&permits: 4 ❑ Door(s) ❑ Remodel . �l ❑ Fire Damage �� Minnehaha Creek Watershed District(MCWD) � (�jRe-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd #<,_ ❑ Re-roof, cedar ❑ Restoration Deephaven, MN 55391 � ❑Water Damage Phone: 952-471-0590 ��� r . a� �.: ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 �� r ❑Window(s) www.minnehahacreek.orq �'' �� Overall Project Description: � Estimated Construction Valuation of Project (excluding land) $ � � (���� Q� a' �` �.., k 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 sofely 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 faw as either private or ��`� �� confidential. Private data is information which generally cannot be given to the pubfic 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 govemmental agencies g'�a re uired b law. If ou refuse t I the information,the a lication ma not be issued. t�' 4, ,..i �. r,�''�. - -r . A IicanYs Si nature: "� "�'"�'�� . PP 9 � 1.�..i��� +�c , ��.�i!r��'�.,x�'�— Date: °"'.d��+'y ��.o'".s;;.�= zt: � os , Last Updated: 08-09-2011 ��� `�� � AT // TIME V CITY OF ORONO CALLED IN � � INSPECTION NOTICE �-j � SCHEDULED / ==-L%��� PERMIT NO. ����//`-� � MPLETED ADDRESS ��-S � �aJ'�� OWNER _ TELEPHONE N0.7�'✓Z"�79 '�7� CONTRACTOR �: DESCRIPTION ���� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TFEE 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 � COMMENTS: � W C o � �'_G�-��,. E ���'� ��- S' Sed� �. � 0 � W � Q � z W � W � � d W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED �:� ISSUE CERTIFICATE OF OCCUPANCY � ❑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.CALL TO ARRANGE ACCESS. Cal1 forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on si : Inspector. � White Copylinspector's File Canary Copy/Site Notice 1 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.��I"b COMPLETED �—j�-/�'f , ADDRESS �o� p4�k Ln . OWNER TELEPHONE NO. . CONTRACTOR �l���r C'O�'�. II � DESCRIPTION �c`''�''F _ � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING O � POURED WALL O MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAI FINAL ❑ TREE REMOVAL I Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION I Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS I �GQIFIIQRf ❑ SEWER HOOK-UP ❑ COMPLAINT I J ❑ DEMO-SITE ❑ SEPTIC MAINT. Q J�FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUIVbATION/REMOVAL 2 OWNERICONTANCTOR TO MEET YOU:_YES_NO I � COMMENTS: I � a !�� ,�Gr�+�trt � ✓j0 �iitQL �v15Be��ie.c ����- j O c - � �b �f'�l'ei- O�� ir15�e �ie., «Co r'diBQ � O � f�-if� fi�.tif �!��r. m�'o�'c��� - � L�er L� c��sa�� L'o.M-nls.�r Q _ � z �- _ � /�Ie�'i«-� �'.n.�leD _ � - J - � ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTtON TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952 j 249-46�� OwnerlContractor on site: .. - Inspector. �^' Whlts CopyllnspectoPs Ffle Canary CopylSite Notice