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HomeMy WebLinkAbout2011-00690 (re-roof) ' CITY OF ORONO PERMIT NO.: 2011-00690 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISsuED: 07/2U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3510 BAYSIDE RD PIN : OS-117-23-13-0016 LEGAL DESC : AUDITOR'S SUBD.NO.203 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 20,960.00 NOTE: 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 T[ME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. TEAR OFF REROOF HOUSE AND GARAGE APPLICANT PERMIT FEE SCHEDULE 354.00 LAKEWOODS REMODELING INC. STATE SURCHARGE(VALUATION) 10.48 9001 E. BLOOMINGTON FREEWAY ST BLOOMINGTON, MN 55420- MAIL-IN FEE 2.00 (952)888-5550 TOTAL 366.48 Minnesota State License#: 20443066 PAID WITH CC# 5647 OW1vER LARSEN, GREGG & STEPHANIE 3510 BAYSIDE RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State[3uilding 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 specitied 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 rev ed at any time for du cause. � � 7i al i // �� ;� C�-tr� �7i a �i ! Applicant Permitee Signature Date Issu By Signature Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 67126/2'011 15:03 9528885554 PAGE 01 , Gifiy of Orona Building Perm�t Applicat�on for Internal INork (windows, doors, siding, re-roof, etc.) /Q Mailing Address: Permit number: � � ' � � � � .�\ PQ Box 66 � � Crystal 6ay,MN 55323-0068 tiate received: � � � 5lreet Address: Received by: �+ ' � 2750 Kelley Parkway Plan review fee: ���Ko4'�' Orono, MN 55356 � �' �� Total�ee: � Main; 952-249�600 Fax� 952-249-�616 www,ti.orono.mn.i�� This appllcation form must bo completed in full and all required information musf be submitted. Incomplete appfications w(II be raturned. (P/ease print) GEN�RAL INFORMATION: Job Site Addr�ss; ��Q Will this be a Parade of Homes, Remodalers Showcase Wome or other Display Hvme? Yes No If yas,a special event permit is required wMh Polrca Depariment and Crty Council approval BO days pnor tn the event. Shuffle bus seror�wj►!bct required unless sppf;cant demonsfrafes suffrcient on-slle parkinq is evailable, Non parmr'tfied evenfs wN!not bo alfowad. �ONTRACTOR!APPUCANT INFORMATION; Name: � � State License# ' p " Expiration Date: ,3/_ Lead Certification Number: �Q ������ Expiration Date: �_ ��� (for work on homes that were consfructed p�ior to 9978 Phone: S - — (office) ��`/ /� 3�a�..�� (cell) Mailing Address: po� ,� �, r�f�ity: . ,�, ZIP: s- Contact Pe�son; �}e J � Wl� 1��,�^ A plicant is: Contracto ! Homeowner �ci��i.o�a� Email and/o�Fax; LW PROPERTY OVWNER INFORMATION: � ��� ���' ��l � ��� Name: �r �.�r�e.�,,, _ � C— �/1 Phone(day): ! a, / `�.��L�� Address: _�'�� City ZIP: Email andlor Fax PRQdECT INFORMATION: Type of Project: Any earth movement may requlre ❑ Door(s) ❑ Remodel ❑Water Damege MCWD revlew&permlts: Minnehaha Creek Watershed District(MCWD) �Window(s) ❑ Repair ❑Storm Damage 18202 Minnotonka elvd Dee haven.MN 55391 ❑Siding ❑ Restoration []Other; (speCify) Ph ne; 952-071-0590 �Re-roof ❑ Fire Damage Fax: 952-471-0687. www.minnehahacreek.ora Overall Project Description: 'T p Estimated Construction Valuati n of Project� uding land) $ � 9�p , a c� APPLICANT ACKNOWLEDGEMENT; . Agrees 10 provido all information required or requested by the 8uilding Department; • Certifias that the information supplled is true and correct to the best of hlslher knowledge_ The appllcant recognizes that they ara solely responsible for submitting a complete application being aware that upon fa;lure to do so, the staff has no al�ernative but to reject it untll!t IS complete; • Sorne or all of the informatlon that you aro asked to provide on this applicetion is alasslfied by Stete law as oither private or confidentlal. Prlvate dala is informatlon whleh genEraffy cannot be given to the public but can be glven to the subject of the data. Confidentlal data is informatlon which genarally cannot be given to either the pwblic or the subJec! of the data. Our purpose and intended use of thls information is to annually updato our records and records oF other governmantal agencies re uired b law. ►f ou refuse to su I the lnformation the a 1lcation ma not be Issued, Applicant's Signafure; Date: Las[Updated: 03-01-7.011 D 9T TIME � CITY OF ORONO CALLED IN �/� INSPECTION NOTICE Q SCHEDULED � � PERMIT NO. �D��—OD(07�COMPLETED ADDRESS �5/D ���.��-[� � OWNER TELEPHONE NO. � �a 3a� �S� � CONTRACTOR �'� /�����"'� >: DESCRIPTION /- ��""� �B"`7" � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a � i`� � i� a f� � �F �,� � ��� c -� .-�:..:� � 1� 0 1� �� �� �-f .� iu S�. � r.� o ������ �+ ��� S -�-C� W � � Q Z IV � �i ,�J � � L,`; �" �� ��' � �-'' L1�� w � � � � a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ Owner/Contractor on site: Inspector. �-r Whiie Copyllnspector's File Canary CopylSite Notice DATE TIPAE v CITIo OF ORONO CALLED IfV INSPECTIOIV IdOTICE SCFiEDULED PERMIT NO. abj�-ao6 go COMPLEfED l7'—��`�� 6ADDRESS 3r5�G /,j�yS�Q � OWNER T��.EPIiO�E i�0. C�(�ITRACTOR �e�� � .l,�S �: DESCRIPTIOtV Ier- �'C�'{� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING c� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ iUECHANICAL FINAL � ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC 9VIAINT �OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FIfVAL ❑ FOUNbATION/REMOVAL � OWNER/CONTRACTOR TO AAEE6'YOU:_YES_fV0 � COIIAMIEIilT�'s: %Por -o�-F - g- 3 ' // !�/Gs�3 � *OLD PERMIT - NO FINAL INSPECTION REQUESTEL � J O >. ,�j�1 - � /r rT[ � ✓�n L�,� tisan, rJ rd f/<pP� O � � Q 1 D f K ��.�s Ca,,,,,o%{c � � /� � I/"��Grt��` �ii'!!/r� � � � 4a ❑WORK SATISFACTORY:PROCEED �dECT COMPLETE � ❑CORRECT WORK&PROCEED W ❑ ISSUECERTIFICATEOFOCCUPANCY � ❑CORRECT WORK,CAIL FOR REIPdSPECTIOM TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN IPISPECTOR WILL RETURN ❑STOP ORDEfl POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.C,ytL TO ARRANGE ACCESS. Ca11 for the next inspection 2�hou�in advance. (952� 24J-460o Owner/Con4ractor ora si��: Bnspector �-, h,��- v � White Copyllnsp�2cior's�dle Cereary CopyfSite Notice �.5��.��.� �` �'��i� i✓ 9 DA�/ TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE n SCHEDULED PERMIT NO.��������`� COMPLETED ADDRESS S�b OWNER TE PHONE NO. � ' / CONTRACTOR >; DESCRIPTION � � lu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPL4INT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:SI�Q-✓�rn - 95a - �'��- 5^�� � W a � J �O � / � `f✓ �!2 O � W � Q � Z W � W � � GW �WORKSATISFACTORY:PROCEED �jROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REOUIRED.CAII TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-460� OwnerlContractor on site: Inspector_ White Copyllnspector's File Canary CopylSite Notice DATE TIME �% CITY OF OR O CALLED IN INSPECTION NOTICE G, SCHEDULED PERMIT N0. �Q(�—��� /v COMPLETED ADDRESS � � OWNER TEL Fj.QNE NO. ` CONTRACTOR ��Q� �: DESCRIPTION � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � 0 POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE�NSPECTION 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � j � � � r �� O � ' � � W � z �� ��� � (C � � �(�-�'-G W � W � j d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDIT�ONWITHIN 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. (g52) 249-4600 OwnerlContractor on e: inspector. l White Copylinspector's File Canary CopylSite Notice