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HomeMy WebLinkAbout2011-00914 - roofing 4CITY OF ORONO PERMIT NO.: 2011-00914 f 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/23/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 1105 TONKAWA RD PIN 08-117-23-13-0004 LEGAL DESC AUDITOR'S SUBD.NO.217 LOT 007 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 18,000.00 NOTE: VALUATION OF PERMIT:$18000.00 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 309.75 REGEL ACCESSIBLE PRODUCTS STATE SURCHARGE(VALUATION) 9.00 1633 NE CTY HWY 10-STE 3 SPRING LAKE PARK,MN 55432- TOTAL 318.75 Minnesota State License#:20637017 PAID WITH CASH 318.75 OWNER MILLER,MR&MRS JOHN 1105 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 conformanc with the State 'Idi o e.This permit may be revoked at any t' 4f due Sus z� / 7�i1 jl f/a3 / pli Permitee Sign Date Issued PdSignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 4L City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: g,0 �� PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: a 2750 Kelley Parkway Plan review fee: 9gEsso�'� Orono, MN 55356 8 7 S Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: 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: -,r,irC )ri Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No 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 parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: i &(�_ Y-\C', I C is J'/-'zi_)')(:T j State License# •Za, 3-1p 1 --7 Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �G c�3j �irI -(telt Mailing Address: V0 S3 CT`; Au1. City: _ LL PleZIP: r�c/ 3'7 Contact Person: Applicant is: ontractor / Homeowner (circle one) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Phone (day): Address: t 1 0-s- J F nu r-A, 41, FAD City: _)"1\JC ZIP: "S"3 Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review &permits: Minnehaha Creek Watershed District(MCWD) Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ J G c C 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 information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the a2plication may not be issued. Applicant's Signature: — 'i Date: 7�" ' i Last Updated: 08-09-2011 DAT TIME V CITY OF ORON CALLED IN INSPECTION ,TI�jSCHEDULED PERMIT NO. v`7W q'/z7/COMPLETED ADDRESS A-- OWNER TELEPHONE CONTRACTOR d uJ DESCRIPTION if Se Uj ❑ FOOTING ❑ PLUMBIN F NAL ❑ EXCAV/GRADI /FI IN Q ❑ POURED WALL ❑ MECHANICKL RI ❑ LAKESHOR h ❑ 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 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W C J O cc O W W c Q f2 2 W Z W W/L�QORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice V CITY OF ORONO CALLED IN DATE TIMI� VV INSPECTION TIE SCHEDULED lq PERMIT NO. _..G,o LETED ADDRESS OWNER TELEPHO ENO. CONTRACTOR / DESCRIPTION Uj ❑ FOOTING ❑ PI UMBIN INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ N SLAB ❑ WATER HOOK-UP El PROGRESS FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ EMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMME W � Q. �© l J O O W cc Q W W Ct j d Uj [IWORK SATISFACTORY:PROCEED XROJECT COMPLETE W ❑CORRECT WORK&PROCEED UE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (9 49-4600 OwnedContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice