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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: �� ��� � � , � ��.'�_„ �/' 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 /�� 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: � W � � C_ /T� � �T =r/`'� � a � � � �1�, �'-�-t���.S �N Wu, � ��� Q � f � � 8 � �1� � W � � d 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 White Copyllnspector's File Canary CopylSite Notice