HomeMy WebLinkAbout2011-00960 - roofing CITY OF ORONO PERMIT NO.: 2011-00960
• 2750 KELLEY PARKWAY
- ORONO,MN 55356- DATE IssuEv: 08/29/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 855 PARTENWOOD LA
PIN : OS-117-23-34-0012
LEGAL DESC : PARTENWOOD
: LOT 005 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 39,900.00
NOTE: VALUATION OF PERMIT:$39,900.00
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 574.25
CRAFTSMAN'S CHOICE,INC. STATE SURCHARGE(VALUATION) 19.95
26219 FREMONT DRIVE#105
ZIMMERMAN,MN 5539& MISC FEE 0.00
(763)63�1390 MAIL-IN FEE 2.00
Minnesota State License#:20384780 TOTAL 596.20
PAID WITH CC# 5194
OWNER
GUL, SHAIKH ASIM
855 PARTENWOOD 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 dces
not grant permission for additional or related work which requites sepazate
permiu. 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 I80 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 in conformance with the State Buiiding Code.This permit may be
revoked at any time for due cat{ge.
���Z� �'`� / / � / _ /
Applicant Permitee Signature Date Issued By Si ture ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
, ' City of Orono
Building Permit Appllcation for Internal Work
windows, door�, siding, re-roof, etc.
Mafling Adaroas: �p��:�umbe� �•,• o�?O//-���
O� �O PO Box 66 . . . . , . . ; .
Crystal Bay,MN 55323-0086 pat�•�gpeived; • •
SlreetAddress: �ce�t?Y� '
�� � 2750 Ksnsy Parkway � ,P.lan•n�wiew•tee: � .. .
Orono,MN 55356 , , . . .
'Tptal•Fee: .• ' • '. .
Main; 952-249�4800 Fex 952-2e{8�816 www.ci.arono_mn_ua � � ' . - '
This epplicc�ttion form must be completed in full�ttd all required informetion must be.submitted. '
Incompleie�pplications will be returned. (P/ease prfnt��
GENERAL INFORMATION: � •
Job Site Address: •
Will thts be a Parade aF Homes,Remalslets 8howcase Home o�other Display Home? Yes Nc
If yes,a speaa/su�nt perm��requ�d u�'h PoOoe Dapartment end c�y t�ounpl aPP�I 80 d�ys p�fnr to the eve� she,dt�bus synricece wiN be
2quAed rs�bss app�cant demonstrates stdl�cieru on-sde parJcing ls avadrable. Non-permktsd events wr�/nct be sllo�red.
CONTRACTOR/APP CANT INFORMATION: ,
Plame_ '
State License# E�iration Date:
L�d Certif'�cation Number: �{(a—r��l.rt�S — � Expiration Date: �
(�or w�orlc on homea btat wene constnu pHor to 19y8 '
Phone: `'� —! (��) lY� — L— q� (cell)
Mailing Addr�ss: City. ' 21P: �j3
CoM�ct Person: I� � i pp icant is: ontr�cto / Homeowner �c�o��
Emeil and/or Fax: _
PROPERTY OWNER INFORMATIO : 1
Name: � �
Phone(day): l
Addr+ess: C1ty. 21P: ��j�jrj�p
Email and/or Fax .
PROJECT INFpRMAT10N: .
� ���e�� Any eacth movament m�y requir�
❑DooKs) ❑Remodel ❑Waber Damage �ICWD revi�w 8l per�nlls:
❑1Mndcw(s) ���/�, ❑Repair ❑Sborm Demage Minnehahe 82�02 Min etonfca B�Ivd��M��
❑Siding C„�J�" Q Restoration D Other. (spedfy) De�phaven,MN 55391
Re-roof ���� ❑Fire Demage Phone: 952�.71�0590
Fax: 952�71-0682
' ne h .
Overall P ect Descr� n:
Estimated Construction Valuatfon of Pro mct(excludtn land) �
APPLICANT ACKNOWLED6EMENT; �
• Agrees b�provide all i�orm�ttion required or requesbed by tha Building pepartrnem; •
� Certffies that the irrbrtnatlon supplied Is Vu�and correct to the best of hislher Imowledge. The applicaM rec;ognizes thet they
are solsly t+esponsible fnr submktlng a complete applic�tion being aware tt�art upon fa(lure to do so,the staff has no alternative
but to n�jecx it urrtil it is complete;
• Some or all of the infortnatlon thet you aro asked to pruvide on this applicatlon is dassified by State law ss either private or
conflde�rtial. Private data is informatlon wnlch generally, cannot be given{Q the public bu4 ca� be given to the subje�ct of the
dats. Conflden�al data is infarmation whioh gen�ralq�cannot he given bo eit�er the public or the aubject of the data. Our
purpcse and i��nded use of this iMermation is b annualry update our records and r�ords of o�er govemmer�tal agencies
uired law. If ou to eu I infonnation the a Gcatiom m �ot be Issued,
ApPlicarn's Signature: • �: 1 �
�ast u�ea: oa.o�-�oi�
�' `�'� C� � DAT TIME
CITY OF ORONO CALLED IN � I a 1 I
WSPECTI01�NOTICE `,.� SCHEDULED _t��
PERMIT NO�C I � L�-�'7 �C7D COMPLETED
ADDRESS �J J ��-� ��-!n i A�[�](�I�L�
OWNER TELEPHONE NO. jl/� -JL�I '-L>Iq'�
CONTRACTOR � �=�`-z�-f���J'Y�'� L�U;r�
�: DESCRIPTION���'��� �""��'��`-L�1��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE 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 ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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4�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� �
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
OwnerlContractor on site:
Inspector. G �
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