HomeMy WebLinkAbout2011 - 00787 - roofing CITY OF ORONO PERMIT NO.: 2011-00787
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2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08/02/2011
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 950 WILLOW VIEW DR
PIN : 28-118-23-44-0017
LEGAL DESC : WILLOW VIEW
: LOT 006 BLOCK 003
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 26,379.00
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 434.50
ALL SEASON REMODELING&EXTERIORS STATE SURCHARGE(VALUATION) 13.19
17344 PUMA ST.NW TOTAL 447.69
RAMSEY,MN 55303
(612)221-3318
Minnesota State License#:20639167
OWNER
KANIVE,JUSTIN&ALYSSA
950 WILLOW VIEW DR
LONG LAKE,MN 55356
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 applic. t is res-onsible for assuring all required inspections are
reques -d i confo ance with the State Building Code.This permit may be
revok a at or due cause.
/ , 6_44
Aiplicant Permitee Signature Date Issuey Signature Date I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
=City of Orono
,.Building, Per,mitApplication for Internal Work
(windows, doors, siding, re-roof, etc.)
Mail ngAddress r/>l"00 75' 7
fl,N. PO Box 66
Permit number. i r
�. Crystal'Bay,MN 55323-0066 Date received: �../
n " Street Address Received by:
e4 ,d \ ., 2750,Kelley Parkway
_i,...,4:1„$ ,� r, Plan review fee:
°,: v. ,MN 55356;,
�� � Orono
Total°Fee: 7 G�
Main: 952-249:4600 Fax 952.249-4616 www.cl.orono.mn.us l
This.application form must be completed in full and all required information must be submitte=i
Incomplete applications will be returned. (Please print)
ENERALINFORMATION:
:Job Site Address , O ✓t f 1,. :. ', gh.tie
Will this be,,a Parade oft"Homes, Flea odelers Showcase.Home or other Display Home? 0 Ye 0 No
if yes,.a special event permit is required With Police Department and City Council approval 60 days prior to the event' Shuttle`bus ervice will be
required unless.applfcant demonstrates sufficient omstfe parking is available. 'Non permitted events will not be allows
CONTRACToR.I APPLICANT INI'ORMATIO
Name: Alt Tsai 1 ,:'4ry� rrva L�.e
Siete-License*icense.* �'t 6"3 Q J,, Expiration Date:
Phone; 7.4 ',.'rsr 1:3 . (office)
(c
Mailing Address: _ l 7 3 Pv , � City: /��r
': iiN 7ZIP. i ticell)
Contact Person A Applicant is: •ham- •`iliau I Homeowner (Circle One)
'Email acrd/or Fax: ;' Ail S+ ssoy►,re,'csott.1 .-0.4fri
:PROPERT'Y OWNER INFORMATION:
,Name ,,Ti-s't•h $c.4,,'''rir
'Phone:(day):4 '` 01 3'rg- . 'v741,
Address: �' City: ZIP:
Email and/or Fax
.PRC!JEBORMATION:
Type of ProCTjeiNEct: Any earth movement may .quire
[i Door(s) 0 Remodel _
MCWD review&peen
Q U1(ate'r Damage
-,[Q`.Wndow(s) 0 Re air Minnehaha Creek Watershed Dist ct(MCWD)
p 0 Storm Damage 18202 Minnetonka+Biv
0 Si0 Restoration , Deephaven,MN 5539
Otfier(specify) Phone: 952-471-059.
e-roof Q"Fire'Darrrage Fax: 952 471-0682
ehahacreek.•
Overalls`Project Description ( df " " /
Estirnsted construction Valuation of Project:(ex I d � E"
mg land). . $
APPLICANT ACKNOWLEDGEMENT
s • -Agrees to provide all information required or requested by the Building Department;
•. Certifies that the information supplied;is true andtCorrect to the best of his/her knowledge. The applicant reco nizes that they
are solely,responsible for submitting a complete application being aware that upon failure to do so,the staff h-. no alternative
but to reject it-urntihit is complete;
• Some.o`all of the information fthat.you are asked to.provide'on this application is classified by State law'as ither private or
confidential Private data is information which generally cannot be given fo the public but can be given to th subject of the
data. Confidential data is information which generally cannot be given to either the public or the subject o'the`data. Our
purpose and intended use of this information to an ivallyUpdate our records and records of other govern ental agencies
required by law,'.If you refuse to ' 'p• y the 1 ``•''� atlon..the application may not be issued.
. , or
Applicant's Signature: <.- , .
'.--.
Date: �^2'"f/'
DATE TIME '
CITY OF ORONO CALLED IN lll//J
INSPECTION NOTICE SCHEDULED //--
PERMIT NO. 00/1-0678'7 COMPLETED
ADDRESS '1 SO .f < 0 U 7eL3
OWNER TELEPHONE NO.
CONTRACTOR Alt 5 e / ,S00
DESCRIPTION /`` '� ( (COO
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
• ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y
0 FRAMING CI MECHANICAL FINAL ❑ TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
• ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
• ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
Li PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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4.1 Lu ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.) BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El 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 site:
Inspector. �(/ � (5-S
White Copy/Inspector's File Canary Copy/Site Notice
DE TIME
II
CITY OF ORONO ALLED IN
INSPECTION NOTICE SCHEDULED —1 I
PERMIT NO a0/f�t7' / COMPLETEDM
ADDRESS 95O 10i//ow V ` ew b
OWNER � TELEPHONE NO.&O? 90 /`4
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CONTRACTOR a $ S69-r\ RP/ -0eta'Q
>; DESCRIPTION -TCL_ `9'
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W ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING
• ❑ POURED WALL L0 MECHANICAL RI 0 LAKESHORE/WETLANDS
y
Q 0 FRAMING ❑ MECHANICAL FINAL 0 TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
1, ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL
<--- OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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GW/J®'WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑I CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
LI CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on sit - I
Inspector. l
White Copy/Inspector's File Canary Copy/Site Notice
1 DATE TIME i/
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED g--/7—/I D�'�
PERMIT NO. Wr e 7(1 7 COMPLETED n
ADDRESS 9SD �Ji/(OZ «
1J J �" -
OWNER / TELEPHONE NO.
CONTRACTOR Al/ ���S5 .,
DESCRIPTION !�
Li ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
ti ❑ FRAMING ❑ MECHANICAL FINAL
El TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ 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:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
KCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
• BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El 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 site:
Inspector. (!) �
White Copy/Inspector's File Canary Copy/Site Notice