The URL can be used to link to this page

Home My WebLink About2011-01162 CITY OF ORO O PERMIT NO.: 2011-01162 2750 KELLEY PAR WAY ORONO, MN 553 6- �ATE ISSUED: 09/30/2011 952 249-4600 FAX: � 95 249-4616 ADDRESS : 4355 BAYSIDE RD � PIN : 06-117-23-12-0007 LEGAL DESC : UNPLATTED 06 117 23 : LOT 000 BLOCK 000 � PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL � CONSTRUCTION TYPE : ROOFING -ASPHALT � ACTIVITY : O/S BUILDING- UNDEFINED � VALUATION : $ 17,000.00 � NOTE: VALUATION OF YERMIT:$17000.00 ROOFING PERMITS ISSUED WI1'HOUT ENOUGH NOTICE FOR TEAR OPF INS CTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BL1NG STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVF,RTISING SIGNS MAY ONLY BE ON TI[E PROPERTY DURING T TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUS"I'L3E REMOVED. APPLICAPIT PERMIT FEE SCHEDULE 295.00 INCLINE EXTERIORS INC STATE SUR HARGE(VALUATION) 8.50 26175 BIRCH BLUFF RD SHOREWOOD, MN 55331 TOTAL 303.50 (612)471-9065 � Minnesota State License#: 20168831 � OWNER WHITE, GREG& LYNN 4355 BAYSIDE RD MAPLE PLAIN,MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate � pennits. All provisions of laws and ordinances governing this type of work i shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the da[e of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be r �ed at any time for due cause. �l� � �� /�u',.J�� l�� l l p icantPermitee Signature Date Issued By i n ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB E. Sep 30, 1_1 11:21a Schenkel 9524701781 p,1 C ity of O or�o Buiidir�g Perrnit Applicati n for Ir�ternallNork (windows, doors, sidi g, re-roof, etc.) Mailing Address: permit number. O70 /—f> / O.¢,�,�,0 PO Box 66 Crystal Bay,MN 55323-006 Date received: 9 �,� Street Add�ess: Receivecf by: �,� �titi 2750 Kelley Parkway Plan reviewfse: �q�E�o$�v Drono, MN 55356 Tafal Fee: ��. �� Main: 952-249-46fl0 Fax: 952-249�fi'�6 www.ci. rono.mn.us This applica�ion form must be completed in full and al required information must be submitted. Incamplete appEications wfll be tu ed. (Ptease prin� GEI�ERA�INFORMATIOhf: �� d�� Job Site Address: � Will this be a Parade of Hotnes, Rernodeters 5howcase Home r other Display Home� Yes Ho !f yes,a specia�event psrmit is�equired with Police Deparfment and City Coun /appmval 60 days prior to the evenL Shuftla bus senri�e wr71 be ra�uired unless applicant demorrsb afes sr�rcienf on-site parking is vailable. Non-pennitted events wFff not be eflowed. CONTRACTOR�APPLICANT lNFORMATION: Name: �i-�.c.l� �2 �,n�.o..r- r'�,S�.S �' C State License# �.�,� Exp�ration Date: J3 Lead Certification Number: N,4-f �J �yG�—� � Expira:ian Date: �� (for work an homes that were constructed prio�to 1978 Phone: �� `�7� cU E� (office) (cell) Mailing Address: �,� _ ,y� )� o�-o[ City: S S��l�k ZIP: ,T,��/s"�3/ Contact Person: ��,) Appl nt is: Co tractor / Homeowner �c�R�e o�e� Email and/or Fax: � _ 7 — l 7 '/ . PROPERTY OWNER INFORMATION�- t (�`� i�ame: �-��Q- �l`� Phone(day): � Address: City: ZIP: Email andlor Fax � PROJECT INFORMATION: ' Type af Pruject: Any ea�th movement may requi�e MCWD review 8 permits: , ❑Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed Dis�rict(MCWD) ❑Wis�daw(s) � Repair ❑ Storm Damage 18202 Minnetonka Blvd Deepha�en,MN 55381 ❑Siding ❑ Restoratian � Other: (specify) Phone: 952�7'I-0590 '�Re-roof ❑ Fire Damage Fax: 9�2-479-0682 www.m i n n e h a fn a cree k.o r4 Overall Project Descriptinn: Est�mated Co�structian Valuation of Project(excluding Eand) $ Cj 'd - APPUCANT ACKNOWLEDGEMENT: • Agrees t�provide all infarrnation required ur requested by the Buildin Depar3rnent; � .� - • Gertifies that the inforrnatio� supplied is t�ue and correct to the best of his/her knowledge. The applicant reoognizes that they are solely respo�sible for subm�tting a complete application being a are that upon failure to do so, the staff has no alternative but to reject i�until it is complete; • Some or aH of the informa6on that you are asked to provide on thi appfica��n is classifie� by State faw as either prNaie or confider�tial. Private data is infiormation which generally cannot be iven to the public but can be given to the subject of the daFa. Confiden�ial data is inf�crnation which generally cannot be g en to either the p�blic or the subjecE of the cfata. Our purpose and intended use of this inf ation is o annually pdate ur reoords and records of other govemmental agertcies re uired b law. if ou refuse to s� the info ation,the a licatio a not be issued. ApplicanYs Signature: �� 3 � �,r Date: l.ast Llodated: 03-01-2011 CI� ��TE II TIME y OF ORONO CALLED IN INSPECTION NOTIC� SCH�DULED ' PERMIT NO. oZOI/-G//6� COMPLEfED -f,c / ADDRESS 3�S� � � � OWNER TELEPHONE NQ. CONTR/�lCTOR �'! I � �' r�o�' �: DESCRIPTIO(V � � ❑ FOOTING ❑ PLUMBlNG FINAL ❑ E CAV/GRADING/FILLING q ❑ POURED WALL ❑ PAECHANICAL RI ❑ KESHOREIWETLqNDS � � FRAMING ❑ MECHANICAL FINAL Q ❑ T EE REMOVAL Z ❑ INSULATION ❑ �/JOOD BURNER/FIREPLACE �❑ SI E INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ P OGRESS � ❑ FINAL ❑ SEWER HOOK-UP O C MPLAINT � ❑ DEMO-SITE ❑ SEPTIC 9VlAINT. LLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ H RD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL I❑ UNDATION/REMOVAL � OWNER/CONTRACTOR TO AAEEY'YOU:_YES_NO i � COMMEIVTS: e �o� ��s �L�ro:. nrcQ� � *OLD PERMIT - NO FINAL INSPECT ON REQUESTEL � � O � ��sc d- �a ' o �cks•�"Je oF ", �Q e� �t� i � �oo � � � � ��G �K�rl4L�'ia.� �ov�� /,var K 2 ��r� �a /� g ' ,� ��.�</�O j a � ❑WORKSATISFACTORY:PROCEED PROJEICT C MPIEfE W ❑CORRECT WORK&PfiOCEED ❑ ISSUE�ERTI ICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR RElNSPECTION T MPORARY V 9EFORE CQVERING � P RMANENT ❑GORRECT UNSAFE CONDITION WITHIN HOURS_ � pHOT4 TAK N INSPECTOR WILL RETURM ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION IS UED ❑INSPECTION REQUIRED.C�iLL TO ARRANGE ACCESS. Cail forthe next iraspec#ion 24 hours An advanc�e. ( 52) 249-4600 OwnerlCont�actor ore site: Inspector �i.. White Copyllnspactor's File Careary�ICopyf ite Notice �� DATE TI� E � CITY OF ORONO CALLED IN �� INSPECTION NOTIC/E� SCHEDULED /�-�-// PERMIT NO.��/�v I I�Z COMPLETED ADDRESS y � OWNER TELEPHONE N0.45�' `�?��-� t�� CONTRACTOR �D � >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADIN�FILU G Q ❑ POURED WALL ❑ MECHANICAL RI ❑ �AKESHORE/WE�LAN Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL� Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTIOf� Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS I � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT I v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � i _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER R�MOV L � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/R�MOV L Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � W a J O � � O � W � Q � Z W � W � � GW ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � � ❑CORRECT WORK&PROCEED G, ISSUE CERTIFICATE OF O�CUP NCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � V BEFORECOVERING PERMANENT I ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN I INSPECTOR WILL RETl1RN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z4�-4 �0 Owner/Contractor on site: r` Inspector. White Copyllnspector's File Canary Copy/Site Notice