HomeMy WebLinkAbout2011 - 00654 - roofing CITY OF ORONO PERMIT NO.: 2011-00654
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/14/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 998 WILDHURST TR
PIN : 07-117-23-13-0216
LEGAL DESC : WILDHURST ESTATES
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 18,000.00
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.
APPLICANT PERMIT FEE SCHEDULE 309.75
MIDWEST SIDING ROOFING&WINDOWS STATE SURCHARGE(VALUATION) 9.00
6451 SYCAMORE CT N
MAPLE GROVE,MN 55369- TOTAL 318.75
Minnesota State License#:20010277
OWNER
ZEBECK,RONALD&RITA
998 WILDHURST TR
MOUND,MN 55364
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 . an tim- for .- cause. o' //
7 , /9 ,
e 7 / /47/ //
Appli ant Permitee Signature Date IssSignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
fr Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
,,/
Mailing Address: Permit number: �t lI, (o c9
,4t,O.4PO Box 66
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Crystal Bay, MN 55323-0066 Date received: 7/, /i1 y
,, Received by:
e 1'1,. 4, Street Address.
1' t) y tiF 2750 KelleyParkway
c't ii#3 'I, 4G Y Plan review fee:
`�kESHO� Orono, MN 55356 / ��
Total Fee: l
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: //Q / 7 d/ L 7- ((
Job Site Address: `? O �✓' `l(r',/ -a'
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 INFORM ION:
Name: ligl(,..1 S•- /&.cj
State License# la 7 Expiration Date: 03---�/-/
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (office) (cell)
Mailing Address: 6'45( 5 ,ie -�.,,e,--.e (7. Cit : gG' 6/Wc,<._ZIP: 5x'69/
Contact Person: Applicant is: ontractor Homeowner (Circle Ones
Email and/or Fax:
PROPERTY OWNER FORM ION:
Name: 40/ 7 er,c, z eket(L--
Phone (day):
Address: /Q' Lir(i Aur 77- ` ( City: Pt 9(-0l, 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 DIRestoration ❑ Other: (specify) Deephaven, MN 55391
Phone: 952-471-0590
Re-roof ❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.org
Overall Project Description: Teo/o(s /tee—,&2 h7 ,.S Li,// -e
Estimated Construction Valuation of Project(excluding land) $ /R.000
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
re•uired b law. If ou refuse to supply the information, the application may not be issued.
Applicant's Signature: Date: 7 /9-11
Last Updated: 03-01-2011
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DATE TIME II
CITY OF ORO O
CALLED IN / /
INSPECTION NOTICE� SCHEDULED 8'
PERMIT NO. //- A '57/ //''CQ7MPLET _
ADDRESS 9 r �i()//dhr
OWNER fi ' TE PHONE.NO.
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DESCRIPTION t .A.- 1-e_Qh .of;
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Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
C") 0 FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
CC ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
IC Z OWNER/CONTRACTOR TO MEET YOU: YES NO
o COMMENTS:
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CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CI CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on ite: t� /I' '
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Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION I E 4.-,--/ SCHEDULED
PERMIT NO. ff— �` COMPLETED �,/L1}/
ADDRESS rr(K /11 )--/t✓J��.�l
OWNER TELEPHONE NO.
CONTRACTOR
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DESCRIPTION C ,'
IQ ❑ FOOTING ❑ PLUMBING FINAL.) \
' _� ❑ EXCAV/GRADING/FILLING
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0 POURED WALL 0 MECHANICAL RI 0 LAKESHORENVETLANDS
Q 0 FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL
0 INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
❑ DON SLAB 0 WATER HOOK-UP 0 PROGRESS
FINAL ❑ SEWER HOOK-UP 0 COMPLAINT
Q ❑ MO-SITE 0 SEPTIC MAINTOLLOW-UP
i 0 DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL i
0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL
It Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
v) COMMENTS: n
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11 CORRECT WORK&PROCEED SUE CERTIFICATE OF OCCUPANC1
OO 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 Copy/Inspector's File Canary Copy/Site Notice
1