HomeMy WebLinkAbout2011-01229 - roofing CITY OF ORONO PERMIT NO.: 20�1-01229
+ 2750 KELLEY PARKWAY
� ORONO,MN 55356- DATE ISSUED: 10/11/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 630 PARK LA
PIN : 06-117-23-44-0014
LEGAL DESC : MINNETONKA HIGHLANDS ESTATES
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 14,000.00
NOTE: VALUATION OF PERMIT:$14,000.00
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 250.75
STORM PRO LLC
P.O.BOX 218 STATE SURCHARGE(VALUATION) 7.00
MOLJND,MN 55364 TOTAL 257.75
(952)513-8667
Minnesota State License#:20634454
OWNER
ANDERSON,RICK&NANCY
630 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 separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified hetein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 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 responsibie for assuring all required inspections are
requested in conformance with the Stat ilding Code.This permit may be
revo e a e us
/�� i// iZo1' l i
Ap lic P tee Signature Date Issued By Si ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB D A VE.
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City of Orono 5z5 ( �
. �
�� Building Permit Application for Maintenance / Renovation �
(windows, doors, siding, re-roof, etc.) �
�
�-- Mailing Address: �'
��v�,� PO Box 66 Permit number: �
. � � � Crystal Bay, MN 55323-0066 Date received:
� ���` Received b
.� �� � ���i;� �, ' StreetAddress: Y� ;
"' '�,� i �en, ti J 2750 Kelley Parkway Plan review fee: ,
�� '��v�K�'o4 j� Orono, MN 55356 ;�
�, --' Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
'a��� This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
F � GENERAL INFORMATION: µ'
Job Site Address: �p�Ei f� .-,� � y�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �
❑ No �
If yes, a special event permit is required with Pofice 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. �
�� �hF CONTRACTOR/APPLICANT INFORMATION:
�:� Name: S�.�e r�:�� �c L L �_ �'
�.; State License # �,�i�3���� Expiration Date: 1��3 �
�� Lead Certification Number. Expiration Date: �
��:
fiV (for work on homes that were constructed prior to 1978 �
� Phone: �; i2 �5'ic `> 7�'/ (office) �S,?_ S%3 - �'� �; 7 (cell)
�,.
Mailing Address: �.C7. jj�k� Z � City: ,n � ZIP: �-� 3 ;
� ' Contact Person: Ju s�,11 ��;.; Appficant is: Contr ctor� / Homeowner (Circle One) c�
- �mail and/or Fax: `' �
,x,: �
PROPERTY OWNER INFORMATION: /. ��
`��� �
'� Name: �,'c,� f�i��flrsc+n
Phone (day): �Sy , 5�..; � DO�Z- .s-E, '
' Address: �3v Pn .-,� L ,-, . City: r��� ZIP: �- '
V rc �2 c' � J�.
� � Email and/or Fax
:;,�
: �
�� PROJECT INFORMATION: ��
Type of Project: Any earth movement may require `�
❑ Door(s) ❑ Remodel MCWD review&permits: �
❑ Fir Damage Minnehaha Creek Watershed District(MCWD) #
�� �-roof, asphalt ❑ Repair Storm Damage 18202 Minnetonka Blvd '�
E; ❑ Re-roof, cedar Q"Restoration ❑Water Damage Deephaven, MN 55391 �
�' Phone: 952-471-0590 ��
�u ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 �
�; ❑Window(s)
www.minnehahacreek.orq �
,,:
�,; Overall Project Description: � _ /��� .{'
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�
Estimated Construction Valuation of Project (excluding land) $ j�j��rL, �� �
� 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 �
,.,y but to reject it until it is complete; �
k �,'
• Some or all of the information that you are asked to provide on this application is classified by State law as either private or i'�
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 refus su I the information, the a lication ma not be issued. �
;�:a;�
�
ApplicanYs Signature: Date: l� �- lf- Z- � // �
Last Updated: 08-09-2011
.
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DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. a��� " d��� COMPLEfED - �/ .
ADDRESS L30 �a�k L� .
OWNER TELEPHONE NO.
CONTRACTOR ���^ P/`o ;�
� DESCRIPTION � r�'� �
� -
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING I
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIETLANDS i
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL '
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �NAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT.
f�FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPT�C FINAL ❑ FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: , I
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCGUPANCY
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE COWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WlLL RETl7RN ❑CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
❑INSPECTION REC]UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
Owner/Contractor on site:
Inspector.�!-�-� � _
White Copyllnspector's Ffle Canary CopyfSite Notice