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Home My WebLink About2011 - 01523 - roofing -, CITY OF ORONO PERMIT NO.: 2011-01523 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 12/07/2011 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1214 WILDHURST TR PIN : 07-117-23-31-0036 LEGAL DESC : REG.LAND SURVEY NO. 1450 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 10,000.00 NOTE: VALUATION OF PERMIT:$TOTAL VALUE OF JOB WAS$28,000. PERMIT#2011-01163 WAS ISSUED FOR ASPHALT IN ERROR AND VALUED AT 18,000.00. VALUE FOR THE DIFFERENCE OF$10,000.00 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 191.75 INCLINE EXTERIORS INC STATE SURCHARGE(VALUATION) 5.00 26175 BIRCH BLUFF RD SHOREWOOD,MN 55331 TOTAL 196.75 (612)471-9065 Minnesota State License#:20168831 OWNER CLOSE,BRADLEY&JULIE 1214 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. period. 180 days at any time after work has commenced. The applican/is respo ble for. uring all required inspections are requested in onform Ice with toe State :uilding Code.This permit may be rev, ed at.4y time ,r due ca -. 0-/ te / 1( akta—Z /i,1/i,1-7\' -7 / A t Permitee gnature Date Issue "� Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � .4.40 � i �� City of Orono , ciii -ioii Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ,,D//-0/5 2 0, PO Box 66 /0 0 Crystal Bay, MN 55323-0066 Date received: /2/7/// a ' Received by a z;* ,. Street Address: ,,,41, 1 �� 2750 Kelley Parkway Pian review.fee: t,,„,_. O¢� 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 a plications will be returned. (Please print) GENERAL INFORMATION: I` 1 � Job Site Address: / p21 y b ,) 3 _ 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 INFORMATION: Name: is:-1 Q- -E—T(,-4._ icv, State License# ,a/ --tai Expiration Date: /3 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: ?,--a--`17 I— 7 8(-1--- (office) (cell) Mailing Address: i r? S— k r,J,L ,, City: S ._ i hlcQ,L ZIP: —C-S-33/ Contact Person: 3k,k( Applicant is' Co actor Homeowner (Circle One) Email and/or Fax: (Pd _f-2 e( PROPERTY OWNER INFORMATION: Name: 8 r^ C)a Phone (day): Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt ❑ Repair 0 Storm Damage 18202 Minnetonka Blvd .sla ❑Re-roof, cedar 0 Restoration Deephaven, MN 55391 Water Damage 0 Re-roof,other(specify) Phone: 952-471-0590 ❑Siding 0 Other: (specify) Fax: 952-471-0682 0 Window(s) www.minnehahacreek.orq Overall Project Description: /-ei;52 -- Estimated Construction Valuation of Project(excluding land) $ d 8r pdt:5 S'f p� APPLICANT ACKNOWLEDGEMENT: cif-- < °I a, 1.- IPI D)Mo • 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 annot be given to either the public or the subject of the data. Our purpose and intended use of this in)srmati./- is to a ually update our records and records of other governmental agencies required by law. If you refuse o sup'ily the' formatio ,the ap lication may not be issued. / Applicant's Signature: Date: ` ot`7 i Last Updated: 08-09-2011 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. a?er/- &(5o23 COMPLETED /,a FFM ADDRESS )0 14 iUr ilafos t OWNER TELEPHONE NO. CONTRACTOR �P1C'/ime EX'/efL $ At-it DESCRIPTION Re - rUa-f' ceE. .,- 4, ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING c ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. Q Q FOLLOW-UP LU ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL , ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: OIS ioe.r rive do .1;fru;t 14.5/9ecltio.t- re ff 11€25Z4 j O O !/ cc LL 1/t5Dectia.k_, rccard c. W cr ct Ai/c Y/.t�,l to., (/,Ororic�p.pJi W z W ae uOrwea.-s c'a ear — per,,t.`t-- WLU ^ ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE .A-7. Li WORK&PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY Q CICORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CI 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/Contract r on site: Inspector. /h^-1 — White Copy/Inspector's File Canary Copy/Site Notice