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HomeMy WebLinkAbout2011-00634 - roofing CITY OF ORONO PERMIT NO.: 2011-00634 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/13/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4345 WATERTOWN RD PIN : 31-118-23-13-0003 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 4,400.00 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 HOUSE AND GARAGE APPLICANT PERMIT FEE SCHEDULE 118.00 ABELARD CONSTRUCTION STATE SURCHARGE(VALUATION) 2.20 6200 SHINGLE CREEK PARKWAY TOTAL 120.20 BROOKLYN CENTER,MN 55430 (763)503-6610 PAID WITH CC# 9082 Minnesota State License#:20351322 OWNER PEARSON, DONALD K 4345 WATERTOWN RD MAPLE PLAIN,MN 55359- 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 ue cause. 7/ 43 / // _ bVl/Letk 7/ /3/ 1/ Applicant Permite 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: Permit number: oQ � /f - .q"0(0.-3 y O P O Box 66 /v Crystal Bay, MN 55323-0066 Date received: 7//-3/// L „, :‘._-z- a. ! Street Address: Received by: .7L7Z \'$4, )I`,., 1- G..I 2750 Kelley Parkway Plan review fee: t g3Ho"1O;S Orono, MN 55356 E� <U /a D, �U Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.cLorono 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: /3y5 Gtlq rcj ,GAJ /1',/ 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 se ice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed CONTRACTOR I APPLICANT INFORMATION: , Name: A- L rci-j 0.0 r1. .NJ a L,c_. --/. State License # (9 O T j '--Sa a Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: —2 --C.A-- -7.1 cc ( )7(,3-Lsr7-716') (cell) Mailing Address: Sc ' (, ,;,,r , _ • City;3i _,,,j p i ZIP. k/ Contact Person: 5' }4,( Applicant is: ..r -c ., Homeowner (circle one) Email and/or Fax: 7 '3— ( '7r).G 7 '7 t) - ,.. p€,, - 6 rite i PROPERTY OWNER I�OR�MATION: UC_- Name: A- 13 ip- ..la-a.S'r:"'ti Phone (day): 5-3/ �'�, _ ,. (� c� Address: L/34,/ c 'moi 2'l' ti cJ City: QQ ha 0 ZIP: 51-3 ..c qI Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits: ❑ Door(s) ❑ Remodel El Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � ) Deephaven, MN 55391 ❑ Siding 0 Restoration r] (specify) Other: s ci Phone: 952-471-0590 -Ike-roof ❑ Fire Damage Fax: 952-471-0682 www.mmnehahacreek ore Overall Project Description: ( ., c;c- oc �\:5 0 .e .. l� S~�''ri�r' Estimated Construction Valuation of Project(excluding land) $ �L 0 . `L) 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 th's information is to annually update our records and records of other governmental agencies required by law. If you refuse t upply the information,in / the application may not be issued. Applicant's Signature: !'� Date: -7— / )- Last Updated: 03-01-2011 I'd L9ZL-L99-€9L °NI'uollona}suoo p.relegy d917170 1. Zl, In(' Cj\J ' DATTIME V CITY OF ORONO CALLED IN INSPECTIOIXOT)CE/11 / SCHEDULED %l PERMIT NO./! - // OMPLETED ADDRESS 4� OWNER //��� TELEPHONE NO703 J 7-,7/746 CONTRACTOR t/L'�1,�i�C 1 Ci S N DESCRIPTION 42Z3 -1( 44 ❑ FOOTING El PLUMBING ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES NO o COMMENTS: W CC O CC O U- W CC W W IQ ❑WORK SATISFACTORY:PROCEED 'PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY LI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 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 17 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 2 oil- cog COMPLETED ¶? —f?/r ADDRESS £/.3 1/5- k14tt„f.d K, 47. OWNER TELEPHONE NO. CONTRACTOR f16e/',-‘ e,0-4-S" . DESCRIPTION 1 'fee"F 0 FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILUNG Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS ti 0 FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL Z 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS k .VEINAL 0 SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. OLLOW-UP 4.1 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL , 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO c/ COMMENTS: /1 a oCe9 tier" ' — 00 ,f;0 / /i?Spec.Lcla.[ (ef(iedeZ j1 0 • 0 40 Mete— b pc /45,oce i K, recorgleQ 4.W CC t(4tl 6< 4/t7/d Prrr $ Cetvt�/C.6c Q LuW ftp./wt,t c oult0 cc G IQ ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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/ ontractor on site: Y )Yt /' - spector. l i,-.., ' -- White Copy/Inspector's File Canary Copy!Site Notice