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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 v � T TIME � 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 y COMMENTS: � a j 0 a � 0 � � W � Q � z W � W � � � ❑WORK SATISFACTORY:PROCEED �FROJECT COMPLETE W ❑CORRECT WORK 8 PRO�EED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY 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 � C� l�—� 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: � W C j O � � O � W � Q � Z W � W � � � � / WORKSATISFACTQRY:PROCEED ❑PROJECTCOMPLEfE W F�ORRECT WORK S PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 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