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HomeMy WebLinkAbout2011-00918 - roofing CITY OF ORONO PERMIT NO.: 2011-00918 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/23/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 760 TONKAWA RD PIN 05-117-23-34-0007 LEGAL DESC PARTENS POINT 1 ST DIV LOT 013 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 12,000.00 NOTE: VALUATION OF PERMIT:$12,000.00 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 221.25 WEATHER-TITE EXTERIORS STATE SURCHARGE(VALUATION) 6.00 1984 QUINBALEE RD DEPERE,WI 54115- MISC FEE 0.00 (704)577-5901 TOTAL 227.25 Minnesota State License#: 20638654 PAID WITH CC# 5779 OWNER BERTELSON,CHARLES 760 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. Applicant Permitee Signature Date Issued By Solature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. ` City of Orono Building Permit Application for Maintenance I Renovation (windows, doors, siding, re-roof, etc.) �--- Mailing Address: Permit number. 010 1 PO Box 66 Q 0� Crystal Bay, MN 55323-0066 Date received: t a� StreetAddress: Received by: 2750 Kelley Parkway Plan review fee: Orono,MN 55356 - D(' -Z7 -1 Main: 952-249-4600 Fax: 952-249616 www.ci.orono.mn.us Total Fee: 2 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: 10 -92 , Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event Shuttle bus service will be required unless applicant demonstrates sufficient on-site paddng is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: r_I moi"" State License# ...3 Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were consfracted prior to 1978 Phone: - - (office) - f�, (cell) Mailing Address: Clty: --+ZIP: Contact Person: 05-A;WOYL.�7 it , Applicant is: Conor / Homeowner (cftie one) Email and/or Fax: PROPERTY OWNER INFO TION: Name: Phone(day): Address: e- City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑Door(s) ❑Remodel ❑Fire Damage MCWD review&permits: roof, asphalt "'' C]Repair Minnehaha Creek Watershed District(MCWD) ❑Storm Damage 18202 Minnetonka Blvd ❑Re-roof, cedar ❑Restoration ❑Water Damage Deephaven, MN 55391 ❑ s Phone: 952-471-0590 Re-roof, other (specify)pecify) ❑Siding ❑Other.(specify) Fax. 952471-0682 ❑Window(s) www.minnehahaoreek.ora Overall Project Description: Re np Estimated Construction Valuation of Project(excluding_land) $ r OC-0 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 cannot be given to either the public or the subject of the data. Our purpose and intended use of this informati to annually update our records and records of other governmental agencies Leguired by law. If you refusein ation,the application may not be issued. Applicants Signature: L Date: 9-93— 2�Ll Last Updated: 08-09-2011 TIME CITY OF ORONO CALLED IN V INSPECTION OTT E o,j SCHEDULED �� PERMIT NO. D r —©`� COMPLETEDp,,/ ADDRESS -7�c) �CT'Y( OWNER TELEPHONE NO. q5Z 5 C0 -A03 CONTRACTOR W C4-+lit - Tc.-te- DESCRIPTION Te6-� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL g ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ZI ❑ FINAL ❑ SEWER HOOK-UP ❑ 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 COMMENTS: Cc W a 0 cc 0 LL w CC Q z W z W cc d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Cc W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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 Copy/Inspector's File Canary Copy/Site Notice C�� v q DRAT ?, TIME CITY OF ORONO CALLED IN ` /✓ INSPECTION NOT I Q�g�B SCHEDULED PERMIT NO. COMPLETED ,� J ADDRESS 76 0 � OWNER TELEPHONE NO. 95256q 76 3 Y CONTRACTOR�Pr�� — 71re a DESCRIPTION F, W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING W ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h O El FRAMING ❑ MECHANICAL FINAL ❑ 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 LUC_ ❑ DEMO-FINAL El SEPTIC INSTALL El HARD COVER REMOVAL v ElPLUMBING RI ❑ SEPTIC FINAL ElFOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W CL cc cc W Q Z W Z W CC ❑WORK SATISFACTORY:PROCEED ,L�-.PROJECTCOMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR 11 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 Copy/Inspector's File Canary Copy/Site Notice