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HomeMy WebLinkAbout2011-00214 (roofing) CITY OF ORONO PERMIT NO.: 2011-00214 . 2750 KELLEY PARKWAY ` ORONO, MN 55356- �ATE �SSUED: 04/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2454 CASCO POINT RD PIN : 20-117-23-12-0021 LEGAL DESC : NAVARRE : LOT 000 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BU[LD[NG- UNDEFINED VALUATION : $ 1,375.00 NOTB: TEAR OFF REROOP APPLICANT PERMIT FEE SCHEDULE 54.25 ROBERTS,JANET STATE SURCHARGE(VALUAT[ON) 5.00 2454 CASCO PT RD WAYZATA, MN 55391- TOTAL 5925 PAID WITH CC# 5061 OWNER ROBERTS, JANET 2454 CASCO PT RD WAYZATA, MN 55391- ACREEMENT AND SWORN STATEMEIVT The���ork fbr���hich this perniit is issued shall be perfomied accordinb to � the approved plans and specitications,applicable City approvals,and the State Building Code. This pennit is for only Uie work described and does not grant permission for additional or related���ork which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire ai�d become null and void if construction authorized is nol commenced within I 80 days of lhe date of issuance,or if construction is suspended for a p�riod of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance�vith the State Building Code.This permit may be revoked at a� � ime f �cause. �• - � ' � -- '�� �yJ� � � � '�- �,��� �� -''/K �� ���- `��i � �� � � � pplicant rmi . 'gnature Datc ]ssued 13y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) � �—� Mailing Address: r � g,�,� PO Box 66 Permit number: G� � —Lx� � Crystal Bay, MN 55323-0066 Date received: 1 �� ��� I I ��,. , � ,�a�- � a. t� �,,��i;g �, I Street Address: Received by: �',�, '����� �ti 2750 Kelley Parkway Plan review fee: t�'kESHOg'�� Orono, MN 55356 / _ —� Total Fee: ���� �J Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: � L-) �Cj y� '� ' Q(, I i`� � � � � (��1��'�L`� ��� � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �lo� If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: � ., 5F �t C v1 t� 1 Q State License# Expiration Date: Lead Certification Number. Expiration Date: � (for work on homes that were consfructed prior to 1978 Phone: cj�Z _ � -� � _ �-�,u z (office) (cell) Mailing Address: 2 y Po r �� fl City: .�V�,{�R�= ZIP: Contact Person: J�� �� ��j3E� rtS Applicant is: Contractor / omeow f (Circle One) Email and/or Fax: ---- PROPERTY OWNER INFORMATION: Name: �v�,�.��.'fi (�c� ���'T� Phone (day): 7�3 _ �S�._ 7�y � Address: �z c f S-� �`�1 SCc� Y(�t �ti T t�a�l� City:��V� �.� ZI P: ����� � Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require � ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Re-roof Phone: 952-471-0590 ,� ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �3"l� �� 5 APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies re uired b law. If ou --t I the information,the a lication ma not be issued. ___ _ _.-- _ - � —. --- 1 _ l z � � Applicant's Signature: � - , Date: L Last Updated: 03-01-2011 DATE TIME " CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMiT IVO. ��I' ODoZIS! COMPLETED —01�` ADDRESS a�/�� C45 c a �, ��Q. OWNER TELEPHOfVE fVO. ct�n�TRACTo� �.�5 T4t�t �: ��se�iP°rior� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLqNDS ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SL4B ❑ WATER HOOK-UP � ❑ FINAL ❑ PROGFiESS ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC PVIAINT. ,J�FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑HARD COVER REMOVAL � ❑ PLUM8ING RI ❑ SEPT�C FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACYOR TO MEE'Y'YOU:_YES_NO � COMMENITS; - ' � *OLD PERMIT - NO FINAL INSPECTION REQUESTEL o _nCuS� �a/y� GYe.��e� �q��of' �idf /��1� o - c eb�o w r �� 4. � o� :�, ra.� �ra�r �.,cep � — CsNna� !�«c�'s• �l� /bo�f' ov�r bac,� � .! � � — � � _ ' �/�� �/eK�,� <o,` D�o v�,�o�� -- w � u.F�r K ao���.s r°o..n��� .r � /�G�/w�r.t ���'�l� j -- d � ❑WOFiKSATISFACTORY:PROCEED ,�P.@QJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY o ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑GORRECT UNSAFE CONDITION WITHIId HOURS. �j pHOTO TAKEN INSPECTOR WIIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATIOM ISSUED ❑INSPECTION REQUIRED.C�LL TO ARRANGE ACCESS. Call for the next ir�spection 24 hou�in advance. (952� 249-4�00 OwnerlContractor on site: Inspect�/� 7f White Copylinspecdor's Fdle Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.,��%� ( —���� � � COMPLETED � - ��"f- l � ADDRESS � `I �LI ��SC��> t�-1- I�� OWNERT�,1. �2 f���'S Q/`�LEPHONE NO. CONTRACTOR � � �' >: DESCRIPTION �C� �'� � C� �� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORENVETLANDS y ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a 0 1� , � ��:.�S SC�c� !�i���� l� � f� � �—` �' � ��L-, , 0 � W � Q � Z W � W � � d � �7�yVORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46�� Owner/Contractor on site: Inspector. �._r_� ��:� ��� White Copyllnspector's File Canary Copy/Site Notice