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HomeMy WebLinkAbout2011-00619 (roof) CITY OF ORONO PERMIT NO.: 2011-00619 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/11/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 690 TONKAWA RD PIN 05-117-23-33-0012 LEGAL DESC PARTENS POINT 1 ST DIV LOT 006 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 3,480.00 NOTE: 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. TEAR OFF REROOF APPLICANT PERMIT FEE SCHEDULE 103.25 WEATHER-TITE EXTERIORS STATE SURCHARGE(VALUATION) 1.74 1984 QUINBALEE RD DEPERE,WI 54115- MAIL-IN FEE 2.00 (704)577-5901 TOTAL 106.99 Minnesota State License#:20638654 PAID WITH CC# 5779 OWNER BRADLEY,MICHEAL&OLIVIA 690 TONKAWA RD 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 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 is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 7 02 2 / 2_e,11 Applicant Permi a Ignature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: 0 Permit number: 0V 41 C r Box 6B y Crystal Bay, MN 553220066 Date received.- Street eceived:Street Address: Received by: Vh' 2750 Kelley Parkway Orono,MN 55356 Plan review fee: fir p8e Main: 9522w�rov 49-4600 Falx: 952-249-4616 .ci.orono.mn.us Total Fee: This application form must be completed in full and all required information must be submitted. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: i. Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes If yes,a special event permit is required with bice Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-side parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: lc•° ir'r' 7't 1 �'r` �'�l C.�f' State License# s �; '"��?,� "t Expiration Date. T- '/,- Lead Certification Number. '00�7 kyr Expiration Date: (for work on homes that were constructed prior to 1978 Phone: - (office) 5. -.v2 (celq Mailing Address: 7q6"/Q2A--,e City ' ZIP: 5"7/// Contact Person: • - �,`,.-� Applicant is: Contr / Homeowner (circle one) Email and/or Fax: - "7 PROPERTY OWNER INFORMATION: Name: Phone(day): 41(- Address: j f�Address: ���/.� r� City: 42fy� ZIP: Email and/or Fax "'— PROJECT INFORMATION: Type of Project: Any earth movement may require ❑Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: El windowMinnehaha Creek Watershed District(MCWD) (s) ❑Repair ❑ Storm Damage 18202 Minnetonka Blvd (specify) Dee haven,MN 55391 ❑Sidin El Restoration ❑ Other: Phone: 952-471-0590 e-roof ❑ Fire Damage Fax 952-471-0682 www.minnehahacreek.ora Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 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 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 can iot 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 required by law. If you refuse to suppiy4ie informaftnAhe application may not be issued. Applicants Signature: , AI Date: Last Updated: 03-01-2011 DAT TIME CITY OF OROO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 20V 60 9 COMPLETED ADDRESS OWNER TELE HONE NO. CONTRACTOR a DESCRIPTION El FOOTING -1 PLUMBING FI L ❑ EXCAV/GRADING/FILLING Q El POURED WALL ❑ MECHANICAL I ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS El FINAL El SEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO v0, COMMENTS: W C J O O W cc Q 2 W z- W za WWORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE rc W CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector.-I White Copyllnspectoes File Canary Copy/Site Notice C^5 ATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 7 PERMIT NO. off//- GYJG/9 COMPLETED ADDRESS O OWNER y TELEPHONE NO. CONTRACTOR DESCRIPTIONS ❑ FOOTING ❑ PLUMBING FINAL XCAV/GRADING/FILLING Q El POURED WALL ❑ MECHANICAL RI El /W LAKESHOREETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL OWNER/CONTRACTOR TO MJEEr YOU:_YES_NO Adz COMMENTS: 6 't'� cc W a J O cc O W W cc Q Z W Z W cc J LU ❑WORK SATISFACTORY:PROCEED AZROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice