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Home My WebLink About2011-00186 - roofing �r - CITY OF ORONO PERMIT NO.: 2011-00186 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISS[1Ev: 04/05/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1340 REST POINT LA � � PIN ; 07-117-23-32-0002 LEGAL DESC : UNPLATTED 07 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,000.00 NOTE: TEAR OFF RERROOF-ASPHALT SHINGLES APPLICANT pERMIT FEE SCHEDULE 118.00 WEATHERGUARD CONSTRUCTION 5641 MEMORIAL AVE N STATE SURCHARGE(VALUATION) 5.00 STILLWATER,MN 55082- MISC FEE 0.00 (651)439-4320 TOTAL 123.00 Minnesota State License#:20282484 OWNER HOUTMAN,J&K 1340 REST POINT LA MOUND,MN 55364 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 governing this type of work shall be compied with whether or not specified herein."I�his permit will expire and become null and void if construction authori�ed 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 in conformance with the State Building Code.This permit may be revoked a��time for due cause. � � C_.f�'L��__ l l , 5 , _.Applicant Permitee Signature Date Is By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. -�,=i�� .� a�a�a City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) MailingAddress: , �'�r...�� .¢,�,� PO Box 66 Permit nu,mber: O 0 Crystal Bay, MN 55323-0066 Date received: '// � �, Street Address: Received by: G,,�' 2750 Kelley Parkway Plan review fee: �.�o.¢*o� Orono,MN 55356 ' Total Fee: � �, � 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: 13y� �-P�- �o i(1-�' �✓1 WII this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o If yes,a specia!event permit is required wlfh Police Department and CIty Council approva!60 days prior to the event. Shuttle bus service ill be required unless applicant demonstrates sufflcient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: � Name: 1 �uC,��D • �-r State License# � � Expiration Date: ,� �� p13— Phone: -`f W � U a0 office cell Mailing Address: � � Ci : ZIP: p Contact Person: "cv Applicant is: Contractor / Homeowner (Circle One) Email and/o Fax: �5�" 351 - a0 �P PROPERTY OWNER INFORMATION: , , Name: i M �- I �� • Qc.✓� Phone(day): �(� —S��.� Address: Ciry: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�permits ❑Door(s) ❑Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) �Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑Siding ❑ Restoration ❑Other: (specify) Phone: 952-471-0590 ' Fax: 952-471-0682 '�Fte-roof ❑ Fire Damage www.minnehahacreek.or4 Overall Project Description: �- Estimated Construction Valuation of Project(excluding land) $ ,Q 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 altemative 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 information is to annually update our records and records of other govemmental agencies re uired b law. If ou refuse to su I the information the a lication ma not be issued. Applicant's Signature: ` � Date: �l � ' �I Last Updated: 05-04-2009 �� V ATE TIME CITY OF ORONO CALLED IN l0 � INSPECTION OT/I E / SCHEDULED �C�l�� PERMIT NO `�DD` COMPLETED ADDRESS �c� �-_�(i.,��--� OWNER TELEPHONE NO. �S�—�C�' �� CONTRACTOR — � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 R ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OW ICONTRACTOR TO M YOU:�}YES_NO � COMM TS: � � —��9 r-�-�, h� �' ti /Lc��c o -�'/�'�'L`� � � � ='_-(�r,Ic �' � W � Q � Z W � W � � � d W� .�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next'ns tion 24 hours in advance. (952� 249-46�� OwnerlContract Inspect . hite Copyllnspector's File Canary CopylSite Notice �� /_ Df�C�j TIME CITY OF ORONO CALLED IN �� '` INSPECTION NOTICE SCHEDULED � � PERMIT NO.o1D//-DDI��i COMPLETED ADDRESS �.3TD �C�-S'Z� �7'� �� OWNER TELEPHONE NO '" �� CONTRACTOR [,�/�G�� LL�C� � DESCRIPTION -- - �OIJ'r' � f/n� - - -� /�_ ,�,.�_ � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADiNG/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FFiAMING ❑ MECHANICAL FINAL ❑ 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 � ❑ PLUMBIN AL ❑ FOUNDATION/REMOVAL � OWNERIC TRACTOR TO MEET YOU: YES NO � � COMMENTS:�I C.'�'►.t�� S'f�Q� W a � J O � � O � W � Q � 2 W � W � � d W� ❑WORK SATiSFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED _ ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4` OwnerlContractor on site: Inspector. �.i�� White Copyllnspector's File Canary CopylSite No►'