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HomeMy WebLinkAbout2011-00481 - roofing CITY OF ORONO PERMIT NO.: 2011-00481 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/16/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2145 WATERTOWN RD PIN : 03-117-23-21-0003 LEGAL DESC : UNPLATTED 03 117 23 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 7,180.00 APPLICANT PERMIT FEE SCHEDULE 162.25 MUONIO CONSTRUCTION CO. STATE SURCHARGE(VALUATION) 3.59 1835 COUNTY RD 127 DELANO,MN 55328 MISC FEE 0.00 (952)955-3060 TOTAL 165.84 Minnesota State License#: 6001 PAID WITH CC# 1851 OWNER CORNELL,MR.&MRS. 2145 WATERTOWN 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 wi 'n 180 days of the date of issuance,or if construction is suspended f 'a pe od of 180 days at any time after work has commenced. The applicap 'is re pons a for assuring all required inspections are requested in con rman a ith the State Building Code.This permit may be revoked at time ford cause. Ap licant'Perm' a Signature Date Issued By Si ure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER MAN DESCRIBED A E.` City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) �- Mailing Address: Permit number: Lulhrct PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Plan review fee: 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: l�/FJ G����hfiOCc!/y 2c� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No /f 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: fvl UG lu to CC NSA C D State License# (0C-)C) Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �,ia-,3- go _0(O C1 I (office) (cell) Mailing Address: ���c� �. I1Ji�(1y N2, City: De Pr>j ZIP: 'MQ .��s3J Contact Person: R(; p fL 1�(rl,c� t.` >Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: —��M u (M 10 140 f vnac:( .C 4r v-) PROPERTY OWNER INFORMATION: Name: Tvyv\ Phone (day): 9S3 -- q,�3 —�3�Z Address: Z i q. L)djl:�- {-0 L;J rr City:pf�oj�J J ZIP: Email and/or Fax PROJECT INFORMATION: 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 El Other'. (specify) Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.org Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ -71 go Lti 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 'nf)ttsup4v mation which generally cannot be given to either the public or the subject of the data. Our purpose and intended us ofis inf tion is to annually update our records and records of other governmental agencies required b law. If you ref e thb information, the application may not be issued. Applicant's Signature: - Date: t5 Last Updated: 03-01-2011 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. RD!//AO)W COMPLETED ADDRESS a l'`S OWNER TELEPHONE NO.q 2855 30&0 CONTRACTOR M u DYt_.CO -- �At- DESCRIPTION T—� - ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING % ❑ 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 ElFINAL ElSEWER 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W 10nk V a o IAc) r 0 W Q W W r d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE rc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑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 Copyllnspectoes File Canary CopylSite Notice DAT TIME CITY OF ORONO CALLED IN 72 INSPECTION IJOTI E SCHEDULED -T ll PERMIT NO. OL�-OD �� COMPLETED ADDRESS 021415 OWNER TELEPHONE NO. CONTRACTOR MIZA1710 >: DESCRIPTION El FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W .ID 1 a Cc pg*�IA 0 a C, fPS W Cc Q f2 z W Z W Cc LIJ ❑WORK SATISFACTORY:PROCEED ®ROJECT COMPLETE W ❑CORRECT WORK&PROCEED '❑ II SUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING 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 Copylinspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NO IC SCHEDULED PERMIT NO. 0 ' a COMPLETED ADDRESS L✓A OWNERTEL PHONE NO. CONTRACTOR r �. DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION QN SLAB ElWATER HOOK-UP ❑ PROGRESS i NAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP 41 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNEWCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a *OLD PERMIT - NO FINAL INSPECTION REQUESTED. o� J O Cr O 1L W cc Q 2 W Z W cc J O W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑I SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci 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) 49-4600 Owner/Contractor on site: Inspector. White CopyllnspectoPs File Canary Copy/Site Notice