HomeMy WebLinkAbout2011 - 00561 - roofing CITY OF ORONO PERMIT NO.: 2011-00561
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 06/30/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 999 WILDHURST TR
PIN : 07-117-23-21-0005
LEGAL DESC : UNPLATTED 07 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 9,200.00
APPLICANT PERMIT FEE SCHEDULE 191.75
GUARDIAN CONSTRUCTION STATE SURCHARGE(VALUATION) 4.60
310 98TH LANE NW
COON RAPIDS,MN 55433- MISC FEE 0.00
(763)398-4610 TOTAL 196.35
Minnesota State License#:20635170 PAID WITH CC# 2931
OWNER
GRAY,MIKE&DIANE
999 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 responsi.le for. uring all required inspections are
requested in co 'orm.• e wi.- 1 e ate Building Code.This permit may be
revoked at.• tim '(r d : cause.
1 ' -'�ermitee Signature Date Issue 4:y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
To: Permits Page 1 of 1 2011-06-30 13:09:41 (GMT) 17632262355 From:Jeff Steiner
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:.,, ..,,. :This application form.must be:co.mpleted,in full and`all:recluaired:1.nformation.must;be.:submitted. :`._, : :.::.'•.:.;. .:;;.:::: :::.::`. .:
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Overall.Project Description: '. •
Estimated:Construction Valuation•of Project(excluding land) $
APPLICANT ACKNOWLEDGEMENT:
' '-•.-- Agrees..to.provide:'a.ft Information.required .or..r uested by the,Buildi De artment,.,.• ,
:Certifies that the information supplied,is.true.and correct to-the best of hts/her;knowledge,•••Th.e applicant.,re.cognizes.that they.. -.:;':•..::` :;:
:are solely,.responsible.for submitting'a cornplete;application being_aware:ihat upon•failure::'to.'do:so,:the staff_:has no:alternative.;
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•`. 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..dela:is..informatiori..which':generally cannot:be:gt�(en::to:the'pu.blic,:brit:can:be,given:to.:,ih@•.subject::of,:thC:.'::•.,:.:::.::':
':data.-,Confidential:data-is:information which._generaNy:cannot be•9iven to:either ttle;.pubitc.or.Pe.subject;of.the data :Qur.• .
• 'purpose.:and intended.use..of•this:information is:to.:annually.update.ot�r_records and-records,of.other.i9.overninental:agencies`-
r uued b law if ou refuse to su •1 the information the a••lication.mantbe Ins"=d. •• •• ••: •'
/applicant's Signature_ ` ®► Date. -� Q••—•%1••\•' •.
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•.Last Updated: O3-01-2011. •. .'~
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DATE TIME V
CITY OF ORONO CALLED IN ��//
INSPECTION NOTICE SCHEDULED
PERMIT NO. i7//-U/556/ COMPLETED 5✓ if/y
ADDRESS c199 447eite.er err.
OWNER TELEPHONE NO.
CONTRACTOR G!mss.-cQr 4 n, (ICS H g Z .
DESCRIPTION /2.e-toes-P-
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Q 0 FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL
Q ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION
0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS
I, 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT
Q ❑ DEMO-SITE 0 SEPTIC MAINT. OLLOW-UP
IQ 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL
v ❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL
IC Z OWNER/CONTRACTOR TO MEET YOU: YES NO
y COMMENTS:
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WQ ❑WORK SATISFACTORY:PROCEED 'REJECT COMPLETE
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CI ❑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. Cd-`l�-- /i
White Copyllnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN V ��
INSPECTION NQTICE SCHEDULED �' 1
PERMIT N6:2 / I —9'9 (� COMPLETED/ / -�-� ...°6-)e-
ADDRESS 9 1 tJ//0/Att/-S1 7 a//
OWNER —TE HON NO?-3 FS"--Y4,10
CONTRACTOR 6/1 -h C GSW .S/cin,e_r
': DESCRIPTION Jam _
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
W.. ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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Q CI FRAMING ❑ MECHANICAL FINAL 111 TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL CIHARD COVER REMOVAL
v CIPLUMBING RI CISEPTIC FINAL 111FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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LU ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
IfereCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CZ ❑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. (952) 249-4600
OwnerlContractor on site: `4 01?
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice