HomeMy WebLinkAbout2011 - 01163 - roofing • CITY OF ORONO PERMIT NO.: 2011-01163
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/30/2011
(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-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 18,000.00
NOTE: VALUATION OF PERMIT:$18000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 309.75
INCLINE EXTERIORS INC STATE SURCHARGE(VALUATION) 9.00
26175 BIRCH BLUFF RD
SHOREWOOD,MN 55331 TOTAL 318.75
(612)471-9065
Minnesota State License#:20168831
OWNER
CLOSE,BRADLEY&JULIE
1214 WILDHURST TR
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoke at any time for due cause.
jr .�� ‹d/i 7/$) / 1/ fit-- -. l l
A f•" rmt ee Signature Date Issued By Sig a re aC' to
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABC .
Sep 30 11 11,4:21a Schenkel 9524701781 p.2
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number. /-
�,0, PO Box 66
O O Crystal Bay, MN 55323-0066 Date received: �j.3D
Received by:
,� ,�, ' ,, Street Address:
, z /(//L
, `i( *� '` Gti�' 2750 Kelley Parkway
Plan review fee:
444.8s730$4' Orono, MN 55356
Total Fee: / .7_S-
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.rnn.us
This application form must be completed in full and all required information must be submitted.
Incomplete application will be returned. (Please print)
GENERAL INFORMATION: - _
Job Site Address:
/
) o.S ) )
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 l APPLICANT INFORMATION:
Name: �nc )i n� ,-tin ' ( SSS _ C
State License# o,c ,i 93 J Expiration Date: J3
Lead Certification Number: AI A41- 0'6/yQ-1 Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: /la 7/-7d(S" (office) (cell)
Mailing Address: oZts'> g City: S d ZIP: "AA/_1333/
Contact Person: Q,lj Applicant is: Co tractor I Homeowner (circle One)
Email and/or Fax 02- 1/76 - /7e1
PROPERTY OWNER INFORMATION:
Name: r� J LI�,-L C-)OS-2-
Phone(day):
Address: City: ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑
MCWD review&permits:
Door(s) Remodel Water Damage
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair E Storm Damage 18202 Minnetonka Blvd
0 Siding ❑ Restoration ElOther: (specify) Deephaven, MN 55391
Phone: 952-471-0590
`) Re-roof 0 Fire Damage Fax: 952-471-0682
www.minnehahacreek.or4
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ / 60 C>
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 int ation is o annually pdate our records and records of other governmental agencies
required by law_ If you refuse to sup the info ation,thea plication ay not be issued.
Applicant's Signature: \ Date:
Last uodated: 03-01-2011