HomeMy WebLinkAbout2010-00941 (Re-roof) . �►
CITY OF ORONO PE��T No.: 2010-00941
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE IssuEn: 10/04/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1335 ARBOR ST
PIN : 10-117-23-31-0051
LEGAL DESC : MARKVILLE
: LOT OOl BLOCK 002
PERMTT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 6,500.00
NOTE: TEAR OFF REROOF
APPLICANT pERMIT FEE SCHEDULE 147.50
HOME SURE INC STATE SURCHARGE(VALUATION) 5.00
2624 ANTHONY LANE#115 TOTAL 152.50
ST ANTHONY,MN 56307-
(612)353-5781 PAID WITH CC# 9677
Minnesota State License#:20580207
OWNER
GARCIA,BARBARA
P.O. BOX 114
CRYSTAL BAY,MN 55323-
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. 1'his permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shali be compied with whether or not specified herein.This permit will
expire and become null and void if constsuction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days aY any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
C'�"v22R-�-�C.�� /oi � i i a ���v �7i i /O
Applicant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Oct 0410 01:23p Michelle 612-208-1188 p.1
. . �..
City of Orano
Building Permit Appiicati�n for Internai Work
{windows, doars, siding, re-roof, etc.j
Mailfig Address: Permit number: c20/D-O b 9' ��
O.�„�„�O PO Box 66
C rystal Ba y, MN 35323-0088 Date received: � ��
a� StreetAddress: Reoeived by:
� �,� �' � 2T50 Kelley ParKway Plan review fee:
��,�$,�� Orono, MN 55356
7ataf Fee: ���� ��
Mai�: 952 249-4600 Fax 852-249-4616 ww�,v ci.orono.mn.us '[
This application form must be completed i�full and all required infarma6on must be submitted.
Incomplete applicatians will be retumed. (Pfease print)
GENERAL INFORMATION: �„3�� ���r �-:
Job Slte Address: �
V1rll this be a Parade of Homes, Remodelers Showcase Home or other Display� Home? ❑Y�s No
lfye.s,a speclal event permit is►equhed with Pollce Department errd Ci(y Cour�u7 epprova!60 days piiarEc�e eve►rk Shu!(le bus sennc�e wr7!be
required un/ess app►dcar�t demnnstrates�clenf on-s�parking is avar7sb/e. �fon-,pernrdted events wla nct be a/fowasd.
CONTRACTOR 1 AP�P1LlCANT INFORMATION:
kVame: TIDInn.��U1✓Z� I Y'►G •
State License# �o S 53 0�a� �xpira6ari Date:
Phone: 3-S l 8 ( office cell
Mailing Address: a`I �n 6�, l.n. /IS Ci • or� ZIP: g'
Contact Person: �'v(r �2. � Applicant is: ontracto Ha eowner cc�rcieo��
Email andlor Fax:
PRCIPERTY OWNE�.�JFOI�MATION-
Name: �SaY�>a�1� �c—TA�%��l
Phone(day): q ,�2� '�I'7 3 - 59
Address: ���5 bbr S+ citv: ��d'1�,o z�p: u 5�3
Email and/or Fax
PROJECT 1NFORMATtON:
Type of ProJect Any earth movement may require
MCWD revl�uv 8 permits
❑ Door(s) ❑ Remodel �Water Damage
Minnehaha Creek Watersh�District(MCWD)
❑Window(s) ❑ Repair ❑Storm Damage 18202 Mir�netonka Blvd
Deephaven,MN 55391
❑Si ' g ❑ Restoratiun ❑Other. (specify) Phone: �'i2-47�k-05�
Fax: 952-471-0682
Re-roof ❑ Fire Darnage wv�rw.mi�nehzhacreek.ora
Overall Project Desc�iption: p �
Estimated Construction Valuati�n of Project{excluding land) $ ��(�
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all ir�formation requlr�ed or requested by tt�e Building Departrnent;
• Certifies that the information suppli� is true and correct to the best of hislher knowledge. The applicarrt rec�gnizes that they
are solely re.sponsible ior subm�ng a c�mplete applicatian being aware that upon fail�e to do so,the staff has no alfemative
hut to reject it�mtil it is complete;
• Some or all of the iniormatlon that you are asked to provide on this application is classified by 5tate law as either private or
confidendal. Private data is ininrmation which generally cannot be given to the public but Can be given to t�e subject of the
data. ConfcdeMial �ta is information vtifiich ge�erally cannot be given to either the public or the subject of the data. Gur
purpose and irdended use af this information is to annually update our recards and records of other gwemmental agenCies
r �ired b lew If ou refuse to su I the infa ation #he lication ma not be issued.
Applicenfs Signature: Date: /� y r o
Last Updated: Q5-04-2009
, , , ��.;:�ense lookup Page 1 of 1
License/Certificate Detail
Here are the details for the license/certificate you are currently looking for:
License name: HOMESURE INC
License doing business as:
License address: 2924 ANTHONY LN,STE 115
City state zip: MINNEAPOLIS, MN 55418
License number: 2ossozo�
License type: RESIDENTIAL BUILDING CONTR
Company structure: CORPORATION
License status: ISSUED
license original issue date: s/2/2o05
License expiration date: 3/31/2012
License print date: 9/2o/2oso
Qualifying person: RONALD J. VOSIKA
Continuing education hours required to renew license: 14
Contractor's phone number: 612-3535781
Enforcement action: No
Another Lookup?
https://secure.doli.state.mn.us/licensing/licensing.aspx 10/4/2010
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CITY OF ORONO CALLED IN �� � ��
INSPECTION NOTIC /� CHEDULED / /�
PERMIT NOo?l�l�'G��7�COMPLET
ADDRESS ���� '
OWNER LEPHONE NO.1�°�3�3^57��
CONTRACTOR �� -
� DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FINAL ❑ AV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ KESHORENVEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ 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
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDA770N/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORREC7 UNSAFE CONDITION WlTHlfd HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURPt
❑STOP ORDER POSTED.CALL IPISPECTOR ❑CITATION ISSUED
�INSPECTtONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in adtianca (952) 249-4600
OmrnerlContractor an site�
Inspector. `
WhRe Copy/lnspector's Flle Canary Copy/Slte Notice
DAT TIME �
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CITY OF ORONO CALLED IN
INSPECTION NOTIC SCHEDULED l�%/� ��
PERMIT NOG����'����� COMPLEfED
ADDRESS ��� ���Y� �
OWNER TELEPHONE NO.��� ��-3 Sl��
CONTRACTOR
� DESCRIPTION �e�-�/1
� ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ 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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERlCONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTIOM1► TEMPORARY
V BEFORECAVERING PERMANENT
OCQRRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR 1MLL HETURPI
❑STOP ORDER POSTED.CALL IPISPECTOR �CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 forthe next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor an sit •
Inspector.
White Copylinspector's Flle Cenary Copy/Site Notice