HomeMy WebLinkAbout2011-01570 - roofing „�,. CITY OF ORONO PERMIT NO.: 2011-01570
� � 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 12/20/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1 180 ELMWOOD AVE
PIN : 07-117-23-14-0033
LEGAL DESC : SKARP& LINDQUISTS FERNHILL LA
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 11,500.00
NO"CE: VALUATION OF PERMIT: $11500.00
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ROOFING 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 COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 221.25
WRIGHT AT HOME SERVICES, INC. STATE SURCHARGE(VALUATION) SJS
10676 MONTICELLO LANE N
MAPLE GROVE, MN 55369- TOTAL 227.00
(763)493-2724
Minnesota State License#: 20565445
OWNER
WELSH, JENNIFER
1 180 ELMWOOD AVE
MOUND, MN 55364
AGREEMENT AND SWORN STATEMENT
l he 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 compicd with whe[her or not specitied herein.This permit will
expire and become null and void if construction au[horized 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 al1 required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cau
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Applicant Permi ignature Date Iss d By Signature Date
SEPARATE PERMITS REQU RED FOR WORK OTHER THAN DESCRIBED ABOVE.
, . �i�y a� �ro�o
` � Buifding F'ermit A,ppii�a�io� for NEaintenance / f�eno�sa�ion
(windows, doors, siding, re-�-oof, efc.)
Marling Address: Permit number. ��� - U�J ��
j�v O,j�O PO Box 66
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Crystal Bay, MN 55323-0066 Date received: ��a'OZ�–/
�� �'�j�� s, i Street Address: Received by: �
�'� ���`'�'l � 2750 Kelley Parkway
o� Plan review fee:
�'�kEsxo��� � Orono, MN 55356
Total:Fee: �� �, G,�
Main: 352-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application forrn must be completed in full and all required information must be submitted.
incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: ���Q E �y�„wcp� �� -
Will this be a Parade of Homes, Remodelers Showcase Home or other Disp�ay Home? ❑ Yes ❑ No
If yes,a special event permit is requrred with Police Department and City Counci!approval 60 days prior to the event. 5huttle bus service wil!be
required unless applicant demonstrates sufficient on-site parkrng is available. Non-permitted events will not be aflowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �,��r ;u�,k �.-� 1-tr�.v,� �r i�� ` T' �
State License# ..C-��� y,{� Expiration Qate: 3� 3 t - 1 Z
Lead Certification Number: ����--, S6B�s f; - / Expiration Date: �_�� - � �
(for work on homes thaf were constructed prior to 1978
Phone: _ _��� (office) (�j(�2-a�U - ��' (cell)
Maifing Address: -�-� �f City: �� ZIP:
Contact Person: �,�r Appiicant is: n / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: _�.�n:�� �r �dc���
Phone (day): � s� .�.-��� -a� ���
Address: City: ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) � Remodel MCWD review&permits:
❑ Fire Damage Minnehaha Creek Watershed District(MCWD)
`� Re-roof, asphatt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restorafion ❑Water Qamage Deephaven, MN 55391 '
❑ Re-roof, other s eci Phone: 952-471-0590
( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description: 1 t�., - o,(,�' �,�„1 �� _ ,r�;,�
Esfirnated Construction Valuation of Project(excfuding land) � � ''`�
APPLICANT A�KNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department; i
• Certifies that the information supplied is true and correct to the best of his/her knowfedge. The applicant recognizes that they
are solely responsible for submitfing a compfete appfication 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 ctassified by State law as either private or
confidenfia�. Private data is information which generally cannot be given to the public but can be given to the subject of the
data. Confidenfial 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 annualfy update our records and records of other governmental agencies
re uired b taw. If vou refuse to su I the information,the a ficaf mav not be issued.
AppiicanYs Signature: � — Qate: vZ `1
Last Updated: 08-09-2011
D E TIME ✓
CITY OF ORONO GT��E�w � �
INSPECTION NOTICE SCHEDULED / � ���
PERMIT NO. COMPLETED
ADDRESS ���-
OWNER TE EPHONE N0��43 T�� a7a !
CONTRACTOR - �--
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>; DESCRIPTION
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l� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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O ❑ 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
I! i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
, J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑ C�RRECT 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. �952� 249-46QQ
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
��� DATE TIME ✓
CITY OF ORONO CALLED IN �a
INSPECTION NOTICE SCHEDULED l '� 8
PERMIT NO.ao�i d/570 COMPLETED
ADDRESS ���d �y���� �'�—'
OWNER TELEPHONE N0.7�3 `{�i 3 Z7�`�
CONTRACTOR �� �� ���_
�; DESCRIPTION r" ��� ���/
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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 O COMPLAINT
J ❑ 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
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� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED C- I SUE CERTIFICATE OF OCCUPANCY
� ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. �95Z� Z49-46�0
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice