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Home My WebLink About2011 - 00532 - roofing F CITY OF ORONO PERMIT NO.: 2011-00532 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/28/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 875 WINDJAMMER LA PIN : 07-117-23-12-0030 LEGAL DESC : PIRATES COVE : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 6,750.00 NOTE: TEAR OFF REROOF- Gt4phatt- APPLICANT PERMIT FEE SCHEDULE 147.50 NEW LIFE CONTRACTING STATE SURCHARGE(VALUATION) 3.38 2478 HILLWOOD DRE TOTAL 150.88 ST.PAUL,MN 55119- (651)224-3442 Minnesota State License#:20249486 OWNER BROGHAMMER,BRENT&CAROLYN 875 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 revoked at any tim�focause. 6? e` / / ' 614A,A,Pt #/,%/37/ // Applidan'tTermitee Signature Date Is /d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.)— Address: -11v ��L 0,4. MailingPOBox 66 Permit number. ao//�00�3" * 0 Crystal Bay, MN 55323-0066 Date received: / 4/4 / A . Street Address: Received by: ��l 0101 c) 2750 Kelley Parkway Plan review fee: 9kzsilo Orono, MN 55356 ldr Total Fee: , r3/ 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: g"(S' L Land( t-net MLA'''. 1 a,� Will this be a Parade of Homes, Remodelers�9howcase 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 sere will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Ki-e_4 A7 Lice__ 1j n4-r'ar--'t . 'i nc._. State License# Zo244ct44 Expiration Date: 3/31 / 12 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: 1_05-1_2a 1---.7444--/-2 (office) (cell) Mailing Address: $j , ✓tca'1d Ave, City: ., p.,... 1 ZIP: Ss1c- Contact Person: 3---,,,.._/4„,-,,...i„.„.., Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: a✓4 4- t^G.f kon O t,A.0- n--tL,- Phone (day): LA t 2.-7jFSIP- D-r Address: $75 �. l c.).lr.icti rnrrtO.e- ICt..r1� SS. p City: Oron (S ZIP: . , Email and/or Fax �} PROJECT INFORMATION: Type of Project: Any earth movement may require I=1Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration 111Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 �Re-roof El Fire Damage Fax: 952-471-0682 // �� www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ (_Q-1G-IS 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 supply the information,the application may not be issued. Applicant's Signature: Date: COI 21 ri Last Updated: 03-01-2011 5 __ DATE TIME / CITY OF OROti7 CALLED IN r 3 / INSPECTION NOTICE CHEDULED — /( PERMIT NOs:./o//-00S3 CO/M'PLETED ADDRESS 5'7s �/ (4 '% ` '� L OWNER 1 / TEA PHO / NO. CONTRACTOR (-e) l l l DESCRIPTION ��h :'. 1.4 ❑ FOOTING ❑ PLUMBING FINAL `� ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ti ❑ 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: cz W Q. ct o cc I, (/I S Gt if G jô - JJ fir-41Afi 0 W (20CR It Q W Z W CC C/ Lu WotiNcORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 L OwnerlContractoronsitf , �e: � ` Inspector: �� {/ RS White Copy/Inspector's File Canary Copy/Site Notice ,0�)(r r. I I TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. %- A I sF_,32-COMPLETED ADDRESS - v ' OWNER TELEPHONE NO. (L$I 3:9-11- CONTRACTOR -' L ► -: Yl'� DESCRIPTION V ,cm W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL CI MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING 111 MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION • ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINN_ / 0 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO a COMMENTS: cc cc O cz 0 U- W CC W W CC • ❑WORK SATISFACTORY:PROCEED .PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CZ ❑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 site: n Inspector. L U (rl !J White Copyllnspector's File Canary Copy/Site Notice