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HomeMy WebLinkAbout2011-00688 - roofing CITY OF ORONO PERMIT NO.: 2011-00688 2750 KELLEY PARKWAY f ORONO, MN 55356- �ATE [SSUE�: 07/20/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 235 CRESTVIEW AVE PIN : OS-117-23-14-0019 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 000 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 4,250.00 NOTG: ROOF[NG PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO 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 COMPLF,"I'ED'I�HE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 1 18.00 TODAYS EXTERIORS INC. STATE SURCHARGE(VALUATION) 2.13 11308 70TH PLACE N MAPLE GROVE, MN 55369- TOTAL 120.13 (763)425-0803 Minnesota State License#: 20387451 OWNER QUADERER, BRYAN 235 CRESTVIEW AVE LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to thc approved plans and specifications,applicable City approvals,and the State Building Code. 7'his permit is for only the work described and does not gran[permission for additional or related work 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 and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspec ns are requested in c a e with the State Buildin is permit may be revoke any time � r due cause. � t� � Z�Cr � � � � l / App icant Permitee Signature Date Issu By 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: Permit number: �D f —bQ � O�v D,�O PO Box 66 �, Crystal Bay, MN 55323-0066 Date received: b I ��'� �- Received b a � •`��a� s, Street Address: y� � �� �ti�' 2750 Kelley Parkway Plan review fee: ��9kESH�4� Orono, MN 55356 Total Fee: � p2 d,/3 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: �I'�S 7r/r E� �E Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �o If yes,a special event permit is required with Police Department and City Council approval 6�days prior to the event. Shuttle bus se i/vi ce wil!be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INF�RMATION: 3 Name: ��4 .S' �rr'�rs �� State License# a p 3 � `��{ �( Expiration Date: �,3 3� z o�3 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to f 978 Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��;A� �.l q �F�.F� Phone (day): (o� Z '�Y� - 7cj S Address: City: ZIP: 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 Phone: 952-471-0590 Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: o� Estimated Construction Valuation of Project(excluding land) $ !�Z k,� , 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 inform ' o nnually update our r and records of other governmental agencies re uired b law. If ou refuse to s the inf ation, the a licatio a be issued. ApplicanYs Signature: Date: 7 �v Z�l f LastUpdated: 03-01-2011 1`b DATE TIPJIE �0��F ORONI� CALLED IN �PVS���.'�I�RI�Id1�`���� C) SCkEDULED ���IIII����,e�[7I�'0�3��T a COMPLETED __�5/ AD�RE� .2�'S L'restvie�J /�ye _ �1FdBNER TELEPhIONE NO. �OPdTR/�G`TOR ��it�s CXfe���s �r1C. -- �: �ESG631PTIOPV _ � ti ❑ FOOTING ❑ PLUMBING FINAL � EXGAV/GRADING/FILLING � O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ fViECHANICAL FIPJAL � ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION � ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COPAPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT �O�.LOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REPhOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REPAOVAL � tllMIdERICOIdYRe4CTOR TO AAEET'YOU:_.YES_NO o �:�������: � 4 *OLD PERMIT — NO FINAL IN5PECTION REQUESTED � �-- - -- ` ��-- �. � - o ��� lG��,lc��:, .����,a�d �, - � � _ � ,, ��` � � � � j � ' � ❑WORKSATISFACTORY:PROCEED �OJECT COPAPLETE i � � ❑COflRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY o ❑CORRECTFNORK,CALL FOR REIfdSPECTIOPd TEPJIPORARY V BEFORE COVERIPIG PERPvIANENT ❑CORRECT UPdSAFE CONDITIOIJ WITHIfV HOURS. � pHOTO TAKEN IPlSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL IIVSPECTOR �CITATIOiV ISSUED O INSPECTION REQUIRED.CALLTO ARRAtdGE,4CCESS. (��66�����e�a�ex�`s�s��a�e����o���o¢�a�9�a�e�� Q���� ���n���� �v�e�e�PCe�n�r��g���a�a�at�: �r�s��4�� i � � —-- �Pdhite Copyllnspec4or's File Canary CopylSi4e�lo4ice '7• �" � DATE TIME CITY OF ORONO CALLED IN 7 � l INSPECTION NOTICE SCHEDULED PERMIT NO. - � � COMPLETED ADDRESS_Q��S � ��/ OWNER � T H NE NO��"��-����1 CONTRACTOR �: DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FIN � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL I ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O � � O � ti � Q � Z W � W � � d � `W�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CZ)RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN �NSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (J52) 249-4600 OwnerlContractor on site: Inspector. ,,�';� White Copyllnspector's File Canary Copy/Site Notice