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Home My WebLink About2011 - 01030 - roofing CITY OF ORONO PERMIT NO.: 2011-01030 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/09/2011 (952) 249-4600 FAX: (952)249-4616 • ADDRESS : 4435 WOLVERTON PL PIN : 31-118-23-31-0009 LEGAL DESC : FOXFYRE ESTATES : LOT 003 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 15,000.00 NOTE: VALUATION OF PERMIT:$15,000.00 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 265.50 T&K CONSTRUCTION SERVICES, INC. STATE SURCHARGE(VALUATION) 7.50 3638 CARDINAL RD MINNEAPOLIS,MN 55415- TOTAL 273.00 (952)938-3325 PAID WITH CC# 4900 Minnesota State License#:20506444 OWNER GRANDSTRAND, DAVID&KAREN 4435 WOLVERTON PL MAPLE PLAIN,MN 55359 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 time for due cause. —— f C CYn (� / / 9---7 Ap`plica[nt Permttee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Sep 09 11 09:10a T&K Construction Services 952-938-3325 p.2 City of Orono ,Building Permit Application for Maintenance I Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: CBox 66 Permit number: r /+%O'' _ O\,\ Crystal Bay,MN 55323-0066 Date received: Received by: 'to ,r Street Address: ti 2750 Kelley Parkway Plan review fee: o$�a Orono, MN 55356 411:sret Total Fee: Main: 952-249-4600 Fax: 952-249-4616 vAvw.ci.orcno.mn.us This application form must be completed in full and all required •@formation must be submitted. Incomplete appli ations will be returned--ase print) GENERAL INFORMATION: Job Site Address: A i IE C—e_ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes WI No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus sirvice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR!APPLICANT INFORMATION: Name: 17K ,00,t' (Ui., t(v SCV ), ✓1C�: State License# a S0 (., et 4 4 Expiration Date: 3 ) j a r i 3 Lead Certification Number. Expiration Date: (for work on homes that were constructed prior to 1978 Phone: ' S � - 51)33•(office) (cell) Mailing Address: -z ykr�;,„,.( i( � City: ZIP: Contact Person: 6. n ;ratvt-g.o Applicant is: Contractor / Homeowner (circle One) Email and/or Fax: � . {d,T-K. Co uA is c t c1e� c.z u & - q S - •S'-'" PROPERTY OWNER INFORMATION: Name: Phone (day): - 5'-'91- — c Address: e4 ,p( City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project Any earth movement may require ❑ Door(s) ❑ Remodel 12Fire Damage MCWD review 8 permits: Minnehaha Creek Watershed District(MCWD) *Re-roof.asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deepha❑ Re-roof,cedar ❑ Restoration ❑Water Damage Phone:v95, MN 55391 Phone: 952-471-0590 ❑ Re-roof,other(specify) ❑Siding 0 Other: (specify) Fax: 952-471-0682 ❑ www.minnehahacreek.orq Window(s) Overall Project Description: Te - Estimated Construction Valuation of Project(excluding land) $ j S-4 t 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 su•'I the information,the a••lication ma not be issued. Applicants Signature: Date: 41-49 ' I 1 6)/ j DATE TIME L� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. /l-e/e- .0 COMPLETED ADDRESS (74 5 Cge. OWNER TELEPHONE NO.lD /a age) 667 CONTRACTOR 7 - C DESCRIPTION D FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ct ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W Q. CC 0 cc cc W CC WCC d WORK SATISFACTORY:PROCEED _ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISS 1 CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. U 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 Owner/Contractor on site: ' Inspector. L.- White Copy/Inspector's File Canary Copy/Site Notice