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2011 - 00791 - roofing
CITY OF ORONO PERMIT NO.: 2011-00791 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/03/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1186 WILDHURST TR PIN : 07-117-23-24-0007 LEGAL DESC : REG.LAND SURVEY NO. 1116 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 6,300.00 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 147.50 INCLINE EXTERIORS INC STATE SURCHARGE(VALUATION) 3.15 26175 BIRCH BLUFF RD TOTAL 150.65 SHOREWOOD, MN 55331 (612)471-9065 Minnesota State License#:20168831 OWNER RASMUSSEN,MR.&MRS. 1186 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 I period 180 days at: y time after work has commenced. The applican fly s respo ble for assur g all required inspections are requested in.Inform. e with the St. e Building Code.This permit may be revoke, at a ', time fo,due cause. / r / / � , I Appli Int Permitee Signature Date Issu•ity SignaTre Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. If . . City of Orono 35V-D Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: QZ©// /-7 97 ' v° 0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: 3// ,r Received by: A �; wee.; 4, Street Address: `S,L_'► j , G�ti 2750 Kelley Parkway Plan review fee:Eogw Orono, MN 55356 y� Total Fee: Cf/5-D, to.,5— 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: l Job Site Address: // 6 1�. i IT T Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? E Yes o 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: -1/4-\Q . n .� - �< State License* d ) �t 3) 1 Expiration Date: /. Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: '!-- r-‘ •--• y 7/- 76 6.5 (office) (cell) Mailing Address: •‘')7s 152>:.1- A) >,...,a City: ; ‘,. .Q)_)06. ZIP: -s333) Contact Person: 1 ..••\I Applicant is: (ontractor / Homeowner (Circle One) Email and/or Fax: -`s'Z_ 4 70 - )7 J PROPERTY OWNER INFORMATION: Name: Cs- E-A . S rSv S�\S\ Phone (day): `6.). _`?i(--- Q3 Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel 0 Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) 0 Repair 0 Storm Damage 18202 Minnetonka Blvd ❑ Siding 0 Restoration 0 Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 `�/1 Re-roof 0 Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: '--©_�-d.,rJ P c b\Q_^ N:2)c P Estimated Construction Valuation of Project (excluding land) $ 63o d 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 inform-,.n is to an, i ally updat ••ur records and records of other governmental agencies required by law. If you refuse to s •ply th, informatiohe applica• may not be issued. Applicant's Signature: -Date: C3`-3`—J( Last Updated: 03-01-2011 DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ;Of/- c&2/ COMPLETED •7a Af/, ADDRESS //V6 14 .-2e &esZ` 7r - OWNER TELEPHONE NO. CONTRACTOR yn C//tet e �x-fe e-c.c.-5 =yr-. • DESCRIPTION Ac -/ Lu CIFOOTING I=1PLUMBING FINAL ElEXCAV/GRADING/FILLING ID POURED WALL 111 MECHANICAL RI ❑ LAKESHORE/WETLANDS cz O ❑ FRAMING ❑ MECHANICAL FINAL ElTREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION C ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS LI FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q LIDEMO-SITE LISEPTIC MAINT. FOLLOW-UP Li_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL <--- OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cc • Lac a� f r442- - do .`tt/ 1015reGLt/a.t re,ce�eZ N. f o CC i ° /Air./ " O r i( 5/lcc l�eort r e'c a llp•-Q O W - Wt Dore qip ,.s ,,,,cn Se •S j Per nut' -C;n4le 2 d WCC ❑WORK SATISFACTORY:PROCEED )4280J ECT COMPLETE W ❑ CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY (21 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 Copylinspector's File Canary Copy/Site Notice I ,. E TIME I/ CITY OF ORON• CALLED IN I ii w.INSPECTION NOTICE SCHEDULED /> L=M / Of- e,‘"--- PERMIT NO.(7D//-607 ? / �,/ �CQMP E,TED / ADDRESS I/Fie v�/�`�l�l �(/c 7L l 7-2 OWNER TELEPHONE NO'/a - 56r7-9 �/ 7 CONTRACTO--SIL// / �'I f DESCRIPTION - - `___aJI---r 5.6 1.... W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 11. • ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL LI TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION • ❑ RADON SLAB El WATER HOOK-UP ❑ PROGRESS I, ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE 0 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: cc W Q. _ >- (>2SS l/AA , i '-//%02 EIC)UA cnw AJ€ o k) S 'I .A-C-1 LLJ CC A /ee d Tr) p e A t c_LJ 1 L\ Q z �li.G 5'.� 7-/ N S A -3--"Oe A C c' W "v r` k r A C fb r / T n¶ , Ccs 9/4A (/ /1 nc' 0��er Hid f'-) (/ gee Al a c./tj/ ec✓, W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ftW ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR II CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on?__.:e( / Inspector. 6 6 _ White Copy/Inspector's File Canary Copy/Site Notice