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HomeMy WebLinkAbout2011-00913 - roofing CITY OF ORONO PERMIT NO.: 2011-00913 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/22/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 820 OLD CRYSTAL BAY RD S PIN : 04-117-23-43-0008 LEGAL DESC : AUDITOR'S SUBD.NO.229 : LOT 027 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 434-RESIDENTIAL VALUATION : $ 19,000.00 NOTE: VALUATION OF PERMIT:$19000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 324.50 ABLE RESTORATION GROUP STATE SURCHARGE(VALUATION) 9.50 18312 KEY WEST CT LAKEVILLE,MN 55044- TOTAL 334.00 (952)378-8000 Minnesota State License#:20637232 OWNER HUST,BRIDGET 820 OLD CRYSTAL BAY RD S WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant ermitee Signature Date I:sBy Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Oronoet, i_,fri__a____0. Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) ‘!, Mailing Address: Permit number: ,2O//-OZ 91 0 PO Box 66 0 Crystal Bay, MN 55323-0066 Date received: ,vZ // - Received b 1` RW F Street Address: y (,�; ,1 A. G~ 2750 Kelley Parkway Plan review fee: �`zczs$os'� Orono, MN 55356 Total Fee: 3 f� 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: ?t) a d LAY STA L / / y (10 Q v W ay Z 13 mtiv Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ,g 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 INFORMATION:i Name: A b(, /�SI fa•'''‘ ( ra,.p r,_c State License# 3") ?-3'a- Expiration Date: -K/'1 j a-6 i'- Lead Certification Number: M Q ► 3'7 L I N Expiration Date: f (for work on homes that werekonstructed prior to 1978 Phone: q5-).- 0 S5 (office) (cell) Mailing Address: i "13 46 ictn4 p, 4../.4... City: Lq ,„=IKk ZIP: 1 SOk L1 Contact Person: 0 u S.;„ ,r,- S Applicant is: =mantra / Homeowner (Circle One) Email and/or Fax: 0 „5.i...i n G/4 6 1 e of S t or n4-;o.,-,9 r o„Ip . ( 0 1-'--) PROPERTY OWNERINFO�RMA;ION: Name: ( f Phone (day): l� —S'D1-"1-15 - 7 1 S -- -p S(J Address: .0-o Q 1 J- 1 .,(Ad 8 Y td City: 1„J'q y z 4-9 ZIP: S5 3 9 / Email and/or Fax N✓. PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits: ❑ Door(s) ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) cEl Re-roof, asphalt ❑ Repair A Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 10Re roof,other(specify) Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ 6 0-0Q, 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: �' .i�i' Date: ID:DID-a !f Last Updated: 08-09-2011 �•TE TIME CITY OF ORONO ` �A LED IN �f / INSPECTION NQ TICESCHEDULED AL7v PERMIT NO. d — �� COMPLETED ADDRESS r%/i IL _, OWNER TELE HONE NO. — V.2,6 CONTRACTOR A-4/ S DESCRIPTION 107/4-ae e/i I- • ❑ FOOTING ❑ PLUMBING FINAL ❑ AV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL El TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION .4C ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W a cc •P, 6-#. of 5 —���_ 1 cc LL W cc W W cc d Lu El WORK SATISFACTORY:PROCEED pt.,10JECTCOMPLETE CC W CICORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. CI PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR Cl INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on -le: Inspector. White Copy/Inspector's File Canary Copy/Site Notice GY ?i2/� 76 A/C___ DATE / TIME CITY OF ORONO CALLED IN /° INSPECTION NOTICE �9� SCHEDULED PERMIT NO. O OMPLETED (A ADDRESS 700' of ( i 6, f7ote s OWNER /�,,, d LEP ONE NO. CONTRACTO- i./�I�'II�i� M. DESCRIPTION 1�11Li6 7 CJ 71°72) W ❑ FOOTING ❑ PLUMBING Fl ❑ EXCAV/GRADING/FILLING • ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL E 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 ct i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI LISEPTIC FINAL ❑ FOUNDATION/REMOVAL ‹.--- OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: CC W Q. N. 0 W cc .),2 . . , , c-- .:z v_ poJi., , i, _...)( .,,..4 ,, 4' 7 I i b r-- c /L-f 11 W z W cc 0 LU IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: / Inspector. C_-� L l /5 White Copy/Inspector's File Canary Copy/Site Notice