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HomeMy WebLinkAbout2011-00660 - roofing CITY OF ORONO PERMIT NO.: 2011-00660 � " 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �SsuEn: 07/15/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2775 SILVER VIEW DR PIN : 33-118-23-42-0010 LEGAL DESC : MEYER DAIRY ADDN : LOT 001 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 16,000.00 NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOK 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[S BEING DONE. ONCE WORK[S COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 280.25 FOSS EXTERIORS LLC STATE SURCHARGE(VALUATION) 8.00 1891 SANDBAR CIRCLE WACONIA, MN 55387 MISC FEE 0.00 (612)229-8619 TOTAL 288.25 Minnesota State License#: 20438042 PAID WITH CC# 0978 OWIYER BRANDENBURG, CRAIG 2775 SILVER VIEW DR LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEME1vT 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.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 i sible for assuring all required inspections are requested conforma ce with the Sta[e Building Code.This permit may be revoked t any time f due cause. � `�l l / -'l 20�� � � Applicant Permitee Signature Date Issued By i nature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO . City of Orono - `' Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O�,D,�.O PO Box 66 Crystal Bay, MN 55323-0066 Date received: � ,a �� �� s. Street Address: Received by: �',�, ' '� �titi 2750 Kelley Parkway Plan review fee: �;` L`�kESHo�`'� 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. (P/ease print) � GENERAL INFORMATION: �/ � Job Site Address: ��7"1 ��LC1�'�2 V��W �l/C% � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No y( !f yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus rvic will be �' required unless applicant demonstrates sufficient on-site parking is avarlable. Non-permitted events will not be allowed. � �'-: �; CONTRACTOR/APPLICANT INFORMATION: ��:i Name: �55 �'�TC21U�, L� �.�; ��'; State License# Zpc(���Z Expiration Date: �_3 f_�� "� Lead Certification Number: Ex iration Date: ►2-.T'-3v35�3- 11 -U(�!S p� 3-l� 'Zo1� (for work on homes that were construcfed prior to 1978 Phone: ��-L,_�,� � 8(�(q (office) (cell) Mailing Address: ,�,,,� City: /�,c,n1l,q ZIP: -w $"�7 Contact Person: ---C"�L -�r,$,s Applicant is: ontractor / Homeowner (CircleOne) Email and/or Fax: g�� _ �4-Z— �(�(�' PROPERTY OWNER INFORMATION: Name: G�Ly4!(� .�"1_'1-fC12.�--= �R�t..��J73v2C� Phone (day): �p(Z— 60 — 181"7 Address: ?_'7'7S- 5��.�.-v'r�-w �J�u� c�ty: q�z�o,.� ziP: S'�'��� Email and/or Fax PROJECT INFORMATION: �r4iLr(�� I�•2�� Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed 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 �F- www.minnehahacreek.orq �., �� Overall Project Description: "` Estimated Construction Valuation of Project(excluding land) $ �T', l�o,d�?-�� �z;: '`''' APPLICANT ACKNOWLEDGEMENT: �_ ��;- • Agrees to provide all information required or requested by the Building Department; i,, • 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 information is to annually update our records and records of other governmental agencies re uired b law. If ou ref e to su I he information, the a lication ma not be issued. ApplicanYs Signature: Date: �" 15—ZO 1� Last Updated: 03-01-2011 (�/�`� � DATE � TIME � '1 CITY OF ORONO �LL� ��i INSPECTION NOTICE ��'�'�SCHEDULED '� PERMIT NO. �� < < �OMPLETED . ' �� -�� ADDRESS � �S � 1 � i/�P�" ll( �''u' �/Z- OWNER TELEPHON O. � �a-aa`'>-�ig CONTRACTOR �c'S � ������QrS � DESCRIPTION 't � � ❑ FOOTING ❑ PLUMBING FINAL �C���� ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL J/ ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�q NO I � COMMENTS: � W a � J O � � O � Q I.1 O ---��' � �t2 C-���`� /.�`, G-�V/1.� Z A.�L7 ��`�^�r � � � .��-�'-,_.�.7�� � . � a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECQVERING PERMANENT ❑CORRECTUNSAFECONDtTiONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�� OwnedContractor on site ' � Inspector. � � � White Copy/inspector's File Canary CopylSite Notice