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Home My WebLink About2011 - 01257 - roofing ' CITY OF ORONO PERMIT NO.: 2011-01257 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/18/2011 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 850 WINDJAMMER LA PIN : 07-117-23-11-0010 LEGAL DESC : PIRATES COVE : LOT 006 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-OTHER ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 20,000.00 NOTE: METAL ROOF APPLICANT PERMIT FEE SCHEDULE 339.25 NEW LIFE CONTRACTING STATE SURCHARGE(VALUATION) 10.00 2478 HILLWOOD DRE TOTAL 349.25 ST. PAUL,MN 55119- (651)224-3442 Minnesota State License#: 20249486 OWNER KHAN, FAIZ&KATHLEEN 850 WINDJAMMER LA 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 revo ed at any ti for due cause. a Il 1 -�/�--�-i cox.-► l e -1 Appljant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i , City of Orono <\ Building Permit Application for Maintenance / Renovation 42 (windows, doors, siding, re-roof, etc.) `_ Mailing Address: Permit number: CBax 66 ' \ Crystal Bay, MN 55323-0066 Date received: 0 �� Received by: Street Address: i�` 1 o~ 2750 Kelley Parkway Plan review fee: ,4. ON, 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 applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: 2 11//r�aiiWr 5f L7//e- Will 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 INFOR ATI N: Name: /�� /C/7 ' , e-t67 State License# ,/y749-`71Y Expiration Date: J cj/•/ Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: 62tCri '`-qtyI'`f%; (office) (cell) Mailing Address: 1,J'/. LJ �r�I/Wd ?di/e• City: %�_ ��/ ZIP:. � 5 Contact Person: /� 9, {jj9 Applicant is: Contractor 7 Homeowner (Circle One) Email and/or Fax: 957 • -1715-75//- /( PROPERTY OWNER INFORMATION: Name: ;'\. v'/%/t; / k`),I7 Phone (day): (, 7� • , 95 Address: YS) M ea177//-7 /`' if''' '' ,, % city: (,,,-, 77ZIP: 6-7t79b`/ Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ElRemodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) V Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deepha /❑ Re-roof, cedar ❑ Restoration ❑Water Damage Phone:ven, MN 55391 Phone: 952-471-0590 ;Re-roof, other(specify) 0 Siding ❑ Other: (specify) Fax: 952-471-0682 ifV\&TiPc-L ❑Window(s) www.minnehahacreek.ora I Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 1 C6 J 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 information is to annually update our records and records of other governmental agencies required by law. If you refuse to supt, inforrP tiophe.app cation may not be issued. Applicant's Signature: Zb' /7/4.,,e' Date: /0 ./L //J Last Updated: 08-09-2011 ` DATIME CITY OF ORONO CALLED IN INSPECTION,.NOTICE ,74,-7. SCHEDULED // ft // PERMIT NOI)// -O101COMPLETED` ADDRESS U Wtgd aj OWNERLE• •NE O. CONTRACTOR I, DESCRIPTION 4ULt��i Lu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 • OWN ERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc cc O Pi(.1' Lj cc cc W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE CCEl CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT El CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ours in advance. (952) 249-4600 Owner/Contractor on site: / Inspector. White Copy/Inspector's File Canary Copy/Site Notice OP- r) � D � D�T / TIME CITY OF ORONO CALLED IN /6 INSPECTION NOTICE SCHEDULED (J / pe" 6A(e0/ PERMIT NO.(9011 -0/cp COMPLETED ADDRESS 3F5() 1,0 neij- hin/W_ (�.� OWNER TELEPHONE NO' (O(9‘ /Ip! " 7 °67 CONTRACTOR / e. L t) l COO- DESCRIPTION d-c t G' 112111_lL rf(// C CS IQ ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILL G Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL CI TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE El SITE INSPECTION • ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v 0 DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI 0 SEP:Iit FINA El FOUNDATION/REMOVAL OWNER/CONTRACTORTOMEETYOLI: YES NO o COMMENTS: CC W CC 00> &21) 5(.1-Th cc 0 /v TY—r W z W CC • WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CI ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 Owner/Contractor on sit . Inspector. White Copy/Inspector's File Canary Copy/Site Notice