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Home My WebLink About2011 - 01430 - roofing CITY OF ORONO PERMIT NO.: 2011-01430 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 11114/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 200 WOODHILL RD PIN : 02-117-23-12-0001 LEGAL DESC : UNPLATTED 02 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : ROOFING-RUBBER ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 25,000.00 NOTE: STRIP ROOFTOP SUNDECK,NEW RUBBER ROOF.REPLACE SUNDECK APPLICANT PERMIT FEE SCHEDULE 413.00 CARVER CONSTRUCTION INC STATE SURCHARGE(VALUATION) 12.50 9586 GANDER LANE TOTAL 425.50 MINNETRISTA,MN 55375- (763)458-0954 PAID WITH CC# 3273 Minnesota State License#:20377469 OWNER CLUB, WOODHILL COUNTRY 200 WOODHILL RD WAYZATA,MN 55391 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 requestreques4 in co ormance with the State Building Code.This permit may be re . y if e for due cause. J , ,0A_ // 1 � / Ap. leant Permitee Signature Date Issued` Signature Date e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. - City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: d 0/ / -0 / e/3 67 011 Cr Bax 66 �� Crystal Bay, MN 55323-0066 Date received: / / "�' —1/; a i Ov y: . s, Street Address: Received by: 1, l f,�(l o~ 2750 Kelley Parkway Plan review fee: 9g�sHo4w Orono, MN 55356 Total Fee: �!TMJ,. 50 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: -2c..----v. LAJokes0 ff-rc.1/4._ 0.40 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes NNo 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 INFORMATION: Name: 604-v 4 `-(C-vc 0"/( ice` State License# , 'C 200-1'7cto Expiration Date: 3' 'Z,ci3 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (office) -7G3`t' d°t37 (cell) Mailing Address: ei S3w (d A",,,, 641_4, City: (,v, 7ws%. ii,yvZIPS3-n y Contact Person: l,n•kCr9.2,144A_. Applicant is: of-13ac or / Homeowner (Circle One) Email and/or Fax: 1--(,,,,,e ectik-er coeisie,ef'ovi.,• PROPERTY OWNER INFORMATION: Name: L)J 1-i7 c - 6- JnfIN(1-)>' Gi-i 6 Phone (day): r-.,--- 34S —O'1 g`'( Co U5 (ovsrA.psaN _Co% - - nn,4N 62)-- Address: --Z-e,- LA/c.)_)0 ft AR City:a0,t/t vA -)4- ZIP: s-5-3c?( Email and/or Fax 5 v Q u..o..,0t-iv-,-1,�,CM PROJECT INFORMATION: Type of Project: Any earth movement may require El Door(s) 0 Remodel 0 Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd • ❑ Re-roof, cedar 4St Restoration 0 Water Damage Deephaven, MN 55391 Re-roof, other(specify) 0 SidingPhone:: 5295471- 6820 0Other: (specify) Fax: 952-471-0682 g*p,( � 0 Window(s) www.minnehahacreek.orq Overall Project Description: 5netp /0,,F72),o .‘,.. ,pc,/V4, 2vgdfJL 4,.,.c f &Ocec, - t -I.- Estimated Construction Valuation of Project(excluding land) $ ZSTv�s., 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 inform.tion is to annually update our records and records of other governmental agencies required by law. If you refuse/ -Ilipolyt I- information,the application may not be issued. Applicant's Signature: ✓-- Date: U(iY/(( Last Updated: 08-09-2011 ATE TIME CITY OF ORONO CALLED IN I I (ATE I I INSPECTION NOTICE 7 SCHEDULED 1 1 X21 III • F PERMIT NO. 401/ -L f LRC) COMPLETED ADDRESS LVocri h c I I ( —firr ) OWNER TELEPHONE NO. -16 3- 4 E CONTRACTOR --�—_ Cr v6 DESCRIPTION r`Q C` r L ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL El TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE Cl SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPT C INAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES NO o COMMENTS: cc W CC O CC 0 LAW W W WCC �WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY • BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 :;:: tt01. onracon site: r. White Copy pector's File Canary Copy/Site Notice