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HomeMy WebLinkAbout2011-00497 - roofing �, CITY OF ORONO PERMIT NO.: 20��-0049� � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/2U2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4215 FOREST LAKE DR PIN : 07-117-23-12-0026 LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN : LOT 004 BLOCK 003 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 10,682.18 NO"I'E: "I'F,AR OFF REROOF HOUSE,GARAGG AND SHED APPLICANT PERMIT FEE SCHEDULE 206.50 WALKER ROOFING CO., [NC. STATE SURCHARGE(VALUATION) 5.34 2274 CAPP RD ST PAUL, MN 55114- MAIL-IN FEE 2.00 (651)251-0910 TOTAL 213.84 Minnesota State License#: 4229 PAID WITH CC# 4291 OWNER LOUGLIN,JOHN& RUTH 4215 FOREST LAKE DR MOUND, MN 55364 AGREEMENT AIVD SWORN STATEMENT The work for which this permit is issucd shall be peribrmed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This pemiit is for only the work describcd 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.'�his 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[ime atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conYormance with the State Building Code.This permit may be revoked at any time f due cause. � oZ � � 02/ � // Applicant Permite ignature Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. JUN-20-2011 02 :57 PM WALKER, ROOFING 6512510916 P. 01 __.._. .a . ... ...�� �pr�r���ai�vi� ��� ����ernal WOI'K •► (windows, doors, slding, re-roof, etc.) 4 ��•==��•— MelllnpAddr�ss: �g�� PO 6ox 66 Permlt number; 026//- pZ� 7 � . � Cryetal Bey, MN 55323-0066 Date received: � � � ;°t:. �� Stre6tAddress.• Received by: / 2750 Kelley Parkwey Plen review fee; �+�� � Orono, MN 55356 .Main; 852-249-4900 Fax; 952-249�816 www,ci,ornno.mn 1A TotelFee; � ��� j� U This epplication form mu�t be completed in full and aii required information m�st be ubmitted, Incomplete eppllcatlo�a wfll be returned. (P/ease print) GENERAL INFORMATION: Job Site Addreas; 2 I � ' T WIII thia be a Parade of Harries, Remodvlers 8howcase Wome o�other Dlsplay ome7 Yes o N ya*, e speclel swnf pemrlt la roquirod w/fh Pollce Department end Clty Councll epproval QO days pnar to the event. Shuttle bus servlce wUl be requlred unle8s eppl'icanf demonstretes suAYclent on-sl�e perkinp is evallable, Non-pemrittod eVenta wlll nof be ellowed. CONTRACTOR!APPL�CANT INFORMATION; Name: � � �y, State Licenae# �,�'�f� Expir�tion Date: /2 Lead Certificatlon Number: .- — - �V Expir�tion Date� (for work on homas that wsro consbucted prior to 1678 ,� 07�ZS Phone: ��� ( .- ',��,t � u q t 0 (office) �� M�iling Addree�; 2 u Q�D � Clty: c,,� Z�p; ' Contact Person: Applic�nt is; nt�a / liomeowner �c�►��e o�a� Emall andlor Fax; �,tif � , � PRQPERTY OWNER INFORMATION; Neme: � N � Phone(day); 51 � � - Address: t Its 1' L�►.,� �. CitY; ��e►J ZIP; �� (a l� Emeil and/or F�x PROJECT INRORMAYION; Type of Projoct: Any oorth movemant may requlre ❑ Door(s) ❑ Remodel ❑Weter Damage MCWD roview 8 permlts: Minnehwh�Creek Wetershed District(MCWD) ❑Wlndow(s) �&epair ❑ Storm Damage 16Z02 Mlnnetonke Blvd ❑ Siding ❑ Restoretlon ❑ Other, (spacly) Deephaven, MN 55381 ,►�Re-roof ❑ Fire Damege Phone; 952-471-0590 v — Fex� 962-471-0882 �kY,frilLlnehahacreek ora _Overall ProJect Descrlptlon: �-�p�L. �� �}.�/,p �� �C a.� �„�„ „ y�j L,,�p,�py�„Er SN�. Estlmeted Constructlon Veluatlon of ProJact(excluding land) $ � �p �$�, I � APPLICANT ACKNOWLEDGEMENT: • Agreee to provida ell information required or requeeted by the Bullding Depertment; • Certlfles that the inform�tlon supplied Is true �nd correct to the best of hia/her knowledge. The eppllcant recognizea thet they are solely respohsible For submitting a complete �ppllcation being �w�re thet upon fallure to do so, the staff h�s no alternative but to reJect it untll It le complate; • Some or ell of the inFormetion that you ere asked to provide on thla epplicatlon le clessifled by Stste law ae elther prlvete or confldentlal. private dete la information which generally c�nnot be given to the public but can be given to the subJect of the dete. Confidentl�l date la Informetlon which generelly cannot be given to either the public or the subject of the data, Our purpoee and intended use of this informetlon ie to annuelly updete our records and records oF other governmentel �genciea re uired b lew. If ou refuse to eu I the)nform�tlon the a lic�tlon me not be Iseued, Applicent'e Sfgnature� Date; v � � Laat Updaled� 03-01-2011 �(..�A� �� -�� U� S� N � rh 8� , DATE TIME , / CITY OF ORONO CALLED IN V INSPECTION NOTICE SCHEDULED PERMIT NO. �alL-OD�/Q� COMPLEfED � ADDRESS f�/S Fa r��� L,e, pr. OWNER TELEPHONE NO. CONTRACTOR ��k�/ /loo�'�S a DESCRIPTION U�-e-rQo� . � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WppD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � �/� ��"�tt '� ✓lD 7/i'IQL /f�LS�ett�LG.t �'�� �?i 7 J O . _ � 1�1d fC4�' D'�-r /�SS�f •� `�Go��e� e� O - � W , , _ � �G Y��7�. Q fO� /�O dl�Q � I! W ' � �✓Q/(C �n.��_ �� �.�e/J��7<< �.`'.�' ` � _ ��wc��' �irc.r/t.0 J _ d W� ❑WORKSATISFACTORY:PROCEED ROJECT COMP�.EfE W ❑CORRECT WORK 8 PROCEED ❑ ISS ERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlCorttractor on site: Inspector. C�s�►..,-'--�C White Copyllnspector's File Canary CopylSite Notice C���� DAT � I I TIME � CITY OF ORONO CALIED IN - INSPECTION NOTI E SCHEDULED — PERMIT NO.��� �" ���� � COMPLETED ADDRESS T°�� 5 �G U//-Lf /v�L� OWNER TELEPH NE NO. 1(03 7 TZ 3�-S� CONTRACTOR �/�'��'�/� � � DESCRIPTION �1 �'� /�'�d 1 � ' l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o ; � � C '�v' �� .�� C� � � a � 0 � W � Q � Z w � W � � d � �WORK SATISFACTORY:PROCEED P JECT COMPLETE W ❑CORRECT WORK&PROCEED r I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED � INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on site: Inspector. '�' White Copyllnspector's File Canary CopylSite Notice