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Home My WebLink About2011-00663 - roofing ' CITY OF ORONO PEaM�T No.: 2oii-oo663 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 07/18/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1475 CHERRY PL PIN : 08-117-23-33-0025 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 005 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTNITY : O/S BUILD[NG-UNDEFINED VALUATION : $ 4,800.00 NOTE: ROOFING PERMITS ISSUED WITHOUT GNOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQU[RE 24-48 NOTICE,PR[OR 'CO 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 TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVGD. APPLICANT PERMIT FEE SCHEDULE 118.00 WEATHER-TITE EXTERIORS STATE SURCHARGE(VALUATION) 2.40 1984 QU[NBALEE RD DEPERE, WI 54115- TOTAL 120.40 (704)577-5901 PAID WITH CC# 5779 Minnesota State License#: 20638654 OWNER PIPER, GEORGE&JANET 1475 CHERRY PL MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant pemlission for additional or related work which requires separate perniits. 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 becomc null and void if construction authorized is not commenced within 180 days of thc date of issuance,or if construction is suspendcd 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..'th the State Building Code.This permit may be revoked at an time for d ause. LI �'l�'� ��c�--1 � �� C �� / / App � t ' e Signature Date Issued By gnature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � t City of Orono Building Permit Application for Internaf Work (windows, doors, siding, re-roof, efic.) Mailing Address � ��,0�.� PO Box 66 Perrnit number: �(J �L�(�(p� 3 � ��\ Crysta]Bay, MN 55323-0066 Date received: �� ' s,j� Street Address: Rec,�ived by �`\�'�, '��p� �� 2750 Kelley Parkway Pkan review fee: �;� :`�11'�' \�gEsi�o'�� Orano; MN 55356 `=--� Total Fee: l �D E �� Main. 952-249-4600 Fax: 952-249-4616 www.ci.orona.mn.us This application form must be completed in full and all required information must be submitted. )ncomplete applications will be returned. (Please print) GENERAL INFORMATION: ��,�f Job Site Address: .'y�.� �y`fri /`�''�G3 � �� ,> > Wil!this be a Parade of Homes, Remode4ers Showca e Home or other Dispfay H me? ❑Yes If yes,a specia/event permit is required with Police Departmenf and City Council approval 60 days prior to the event. Shuttle bus se�vice will be �equrred unless applicant demonsbates su�cient on-site parkrng is available. Non-permitted events will not be allowed CONTRACTOR/APPLICANT INFORMATION: Name: !-r�i I i'�, `�`��r'v State License# Expiration Date: �•-� f— �,C` Lead Certification Number: Expiration Date: (for work on homes fhat were constr cted prior to 1978 Phone: ' — �j "[ - (office) � _- � /' ' ,� (cell) Mailing Addrass: r` . �,,",,, .,� Cit • � �� ZIP:,�" `/ Contact Person: �, Applicant is: Contractor .,1 Homeowner �c��cie o�e� Email and/or Fax: ; �,�,,d�'�w.� ,Es �;,.9z,,�,.;( � �'�,v, PROPERTY OWNER INFaRMATION: , Name: ��r� � i�,�'. Phone (daY): �/�,�- 6�'�� 5� Address: ��,r,,,� rF City_ ZIP: Email and/or Fax PRQJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑Remodel ❑Water Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) []Repair rm Damage 18202 Minnetonka Blvd ❑Siding ❑Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952�71-059a e-r�of ❑ Fire Damage Fax: 952-471-0682 www.min n�hahacreek_orc �verall Project Description: ;,� ` .G,� Estimated Construction Valuation of Project(excluding land) $ , /�G APPLICANT ACKNOWLEDGEMENT; • Agrees to provide all inFormation required or requested by th2 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 n�alternative but to reject it until it is compJete; • 5ome or all o#the informaiion that you are asked to provide on this application is classifred by State faw 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 informafion which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is..�o._�nnually update our records and records of other governmental agencies re uired b law. lf ou refuse to su I the i rmation,�ie a lication ma not be issued_ Applicant's Signature: • ;j Date: �� /.�'= ,�cr r/ Last Updated: 03-01-2011 �� TIME ✓ C TY OF ORONO �FI��LLED IN �� ` INSPECTION NOTICE_� SCHEDULED � �� PERMIT NO. COMPLETED ADDRESS OWNER T� ONE NO.� � �� J CONTRACTO — � � >`; DESCRIPTION � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � 1 �� ,� �"�,c' ]�c�7-- 0 a O� \ .{''� ( �) / l. �V �f� � �'Y /� L�J ` W � Q � Z W � W � � d �. W ❑WORK SATISFACTORY:PROCEED �{2�OJECT COMPLETE . � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑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� Z49-460� OwnerlContractor on site: Inspector. � S `- White Copy/lnspector's File Canary CopylSite Notice