HomeMy WebLinkAbout2011-00446 - roofing . �•. CITY OF ORONO PERMIT NO.: 2011-00446
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 06/10/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 4785 CREEKWOOD TR
PIN : 30-118-23-33-0009
LEGAL DESC : PAINTERS WOODS
: LOT 007 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 21,144.98
NOTE: TEAR OFF REROOF-ASPHALT
APPLICANT pERM[T FEE SCHEDULE 368.75
WALKER ROOFING CO., INC. STATE SURCHARGE(VALUATION) 10.57
2274 CAPP RD
ST PAUL, MN 55114- TOTAL 379.32
(651)251-0910 PAID WITH CC# 4291
Minnesota State License#: 4229
OWNER
UNDERH[LL, LONNIE W/MARSHA
4785 CREEKWOOD TR
, MAPLE PLAIN, MN 55359
I
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. 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 specified 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 pemiit may be
revoked a any time for due cause. ��������
��1�L.G"C-t�C�� l l l /D l//
Applicant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
JUN-09-2011 03 :21 PM WALKER, ROOFING 6512510916 P. 01
�
City of Orono
Building Permit Application for Internal Work
�windows, doors� sidln � re-roof, etc.)
Melling Addrgss; /�,� (�
,,;;���-�^-'-�� Permit number;
��I„Q,�, PO Box 86
�O \ Crystal Bey, MN 55323-0�96 Dete recelved:
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� � , � ��.'�_„ �/' Street Address; Received by:
� � �' 2750 Kalley Parkw�y Plan review fee�
i,a�, , �j Orono, MN 55356 � . 2
�" �-��� Total Fee: �j��• J�
Mein; 852-248�600 Fax: 852-249-4918 www.ci,orona.mn.us
Thi��pplic�tion form must be completed In lull and all required Informatlon must be submitted.
Incomplete appllcatlons wlll be returned, (Please print)
OENERAL INFORMATION• .� C � ��D ,�,�
Job 8ite Address:
WIII thle be a Perade of Homes, Remodelers Showcase Home or other Dlsplay Home? Yea No
K ypa,a speclal event pe�mlt Is required wlth Polke Depertment end Clty Council epprovel 60 days prior fo!he evenk Shuttle bus ssrulee wlll bo
�equlied unlees appNcent demonsb�tes suh'Icfent on•site p�rkinp ia eveileble. Non-permitted evants wlll not be allowed.
CON7RACTOR/APPLICANT INFORMATION:
Neme' p� ►�
State Licen�e# fH�,,2� Explratlon Date; �
Lead Certificetion Number� �'— ��q�� (o _ Q�� � Explratlon Date: � �
(for work on homsa that►ewro conatructod prlor t� 1878
Phone: .��9� (office) (cell)
Mailing Addregs; 1�{ p� City, („ ZIP; (
Contact Peraon; � Applicant is; actn I Homeowner �ci.��.o�el
�mail andlor Fax:
PROPERTY OWNER INFORMATION:
Name; �.0�11 E i1et�� �`I �C-C..
Phone(day); r7 6 3— G _��•�L 1
Address, �-� $ .f��/C. r„tm�0 City: ����,yq,j^/ ZIP� T., s''�Sq
Emall and/or Fax
PROJECT INFORMATION:
Type of ProJeat: �ny sarth movement may roqul�e
❑ Door(s) ❑ Remodel ❑Water Demege N�CWD revlew d permlta:
Minnehaha Creek Watershed Qistrict(MCWD)
❑Window(s) �Repelr ❑ Storm Dam�ge 18202 Mlnnetonke Blvd
❑ Slding ❑ Rostoratlon ❑ Other: (apecify) phoneeV952-471 0 001
�.8e�roof ❑ Flre Demage Fex: 852-471-0682
www,minnehahacreek.ora
Ov�r�ll ProJect D�acrlptlon: � ��.
Estimated Construction Valuatlon of ProJect(excludlnp land) $ 7 ►,����$
APPLICANT ACKNOWLEDOEMENT;
• Agrees to provide all informatlon required or requested by the Bullding Depertment;
. Certl(lea th�t the Intormetion eupplied is true end correct to the beat ot hla/her knowledge. The applicant recognizes that they
are solely responsible for aubmitting a complete appllcation being awa�e that upon feilure to do so, the etaff hes no elternative
but to reJect It untll It I�complete;
• Some or all of the informatlon that you are eaked to provlde on thls applicetlon le clesalfled by Stete lew es elther private or
confldentlal, Prlvete date is informetion whlch general�y cennot be glven to the public but can be given to the subject of the
data. Confldentlal dete le informatlon whlch oenerelly cannot be given to either the public or the subject of the data. Our
purposa and intended use of this infprmation ie to ennuelly updete our recardo and recorde o( other governmentel egenciea
re uired b law. 14 ou reFuse t su th ' formetion the� lication ma not be issued.
Applicant's Signature: - Date;
l.det Updflted: 03-01-2011
T/ TIME V 1
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CITY OF ORONO CALLED IN i
INSPECTION N ICE SCHEDULED �
PERMIT NO. ���—� COMP ETED
ADDRESS l�S DDGC /'
OWNER TE PHONE N . �—
CONTRACTOR
�: DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED [_� PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on sit • �
Inspector. J
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