HomeMy WebLinkAbout2011-00048 - roofing �� �
CITY OF ORONO PERMIT NO.: 2011-00048
2750 KELLCY PARKWAY
ORONO, MN 5�356- DATE ISSUED: O1/24/2011
(952) 249-4600 FAX: (952) 249-4616
ADURESS : 45 FERNDALE GREEN
PIN : 36-1 I 8-23-44-001�
LEGAL DESC : ALLO-RAE TERRACE
: LOT O10 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
COIYSTRUCTION TYPE : ROOFING -ASPI{ALT
ACTIVITY : O/S BUILDING - UNDEFWED
VALUATION : S 6,895.00
NOTE: 'll',AR OPI' REROOP-ASPI IAL�[�
APPLICANT PERMIT FEE SCHEDULE 147.�0
NORTHERN EXPOSURE EXT INC. STATE SURCHARGE(VALUATION) 5.00
9097 S HWY DR
LEXINGTON, MN 55014 TOTAL 152.50
(763)783-1 121 PAID WITH CC# 6818
Minnesota State License#: 20527650
OWNER
DAVID, JOSIIUA& NICOLE
45 FERNDALE GREEN
WAYZATA, MN 55391-
AGRGEMENT AND SWORN STATEMENT
I�he���ork for�chich this permit is issued shall be pert�irmed according to
thc approvcd plans and specitications,applicablc City approvals,and thc
Stale Buildin�Code. �I'his permit is for onl��the���ork described and does
not erant pcnnission ibr additional or related�cork���hich rcquires scparate
permits. nll provisions of la�vs.ind ordinances governing this lype of worl:
� shall be compied�vith���hether�u not specitied herein.This permit will
expire and becomc null and vuid 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 after work has commenced.
The applicant is responsible for assuring all required inspections are
rcquested in conformance�vith the State f3uilding Code.This pennit may be
revok�d�at am'time for d cause.
/ i� i // / la /
A icant Permitee " nature Da e Issue L3y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
J��r� 24 �� 10:37 Conr�ie �avid 763-783-1811 p.1
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� C�ty of Qrono
,
B ild�ng Permifi A.pp�ication for �nternal UVork
�windows, d��ors, sid�ng, re-roof, etc.y
��� Mailrng Addres;: ��IO -�O� �
��� � PO Box 66 Permit number:
V �.
� �� I Crysta�Bay, MN 55323-0066 Dale received: / Z /!
,� ��Z; » _
��, : ��: h) S�reetAdd�ss: ReceNed by:
'�'t$� � o ���� 2750 Kelley Parlcway Plan reviewiee:
�� Qrono, MN 55356
Total Fee: � �� � , �
Main: 952-249-4600 Fax: 952-249-4i1 6 w w w.c i.o r o rt o.m n.u s
This app�ication foRn must be compleled in full and all required irrFormation must b submitted.
I camplete applications will be returned. (Please print)
GENERAL INFORMATION: �
Jo Site Address: �5 ; ����y �' '
WII this be a Pa�ade of Hame , Remodelers Sriowcase Home o�other Display Home? Yes
I yes, a specia�event permiF is requ� with Police Departm�nt and Cit Council a rovaf 60 da s NO
�' � r qufred un/ess applicant demonstrafes sufrrcien on-sife pa�ng is avai able. Non perrni�ed events willtnot be allowed.eNice wiU 6e
CONTRQCT !APPLICANT I FORMATION•
Name: T "lP.� YGc��k: /�p��N �c.
State License# p � �-r
�cpiration Date: �-3/- �,��
Phone: C�S/- - 7� � office � -J �-!/2l
Mailing Address; , cell
' - Cit ' ir-� .�/ ZI P: j's'Q . .
Contact Person: , /�,t{C� �',,;,��}�, Applicant is: Contractor / Homeowner
Emai! and/or Fax: 7�?._pg 3 _ ���� (CErcle One]
PROP�RTY OWNER INFORMATIO� �
Name:i D �D
PF�one{day): C� 2- 3 Z- 3 f 7i �
Address: [�S �qt-r•�Ara-(-� r.,'�! e.ewl ' City� (�If�iZ�'4 ZIP� .S3 q�
Email and/or Fax
IPROJECT INFOR ATION:
Type of Project:
Any earth movement may rec�uire
Q Door ) MCWD review 8 ermits
❑ Remodef ❑Water Damage p
I ❑Wind s) �Re air 9 Minnehaha 8202 M n e�ion{ca Blfvd��MCUVD)
� P ❑St�rm Dama e
❑Sidin ❑ Resioralion Deephaven, MN 55391
�.01her:(specify) Phone: 952-471-0590
e-ra f � Fax: 952-471-0682
❑ Fire Darr�ge 'd �� www.minnehahacreek ara
Overall roje DescripEion: ,-
Estima ed Cons#ruction Valuation of Project(excli�ding land) $
, � � ,.—
APPLI NT ACKNOWLEDGEMENT:
• grees to provide al�information required or reque:ted by the Building Deparlment;
• riifies thai the information supplied is lrue and c.orrect 10�he best of hisJher knowledge. The applicant recognizes that they
are solely responsible for subm�tting a complete aF�plica6on being aware that upon failure to do so, ihe staff has no altemative
but fo reject�t until it is complete;
• Some or all of the information that you are a�ked to proyide on this application �s classified by State law as either private or
confidential. Private data is information which ge�ierally cannot be given to the public but can be given to the subject of the
data. Confrdential data is information which gene rally cannot be given fo eilF�er ihe public or lhe subject of the data. Our
purpose and intended use of this information is tc annually update our records and records of other govemmental agencfes
_ required by law. If ou refuse ta supply the informa�ifln the a lication ma nat be issued.
i
Applicant's Signature: Date: `—Z�^��
Last Updated:,05-04-200�
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TE TIME
CITY OF ORONO c LED IN
INSPECTION NOTIC _ 0 cHEou�E� '
PERMIT NO. � OO � COMPLETED
ADDRESS
OWNER EL'EPHONE NO. � �l /
CONTRACTO
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>; DESCRIPTION
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� ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL � TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
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Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPtAINT
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
� COMMENTS:
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GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ',- ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORFiECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
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� Z49-4600
Owner/Contractor on te:
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice
� � �/— T /, TIME �
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CITY OF ORONO CALLED IN �
INSPECTION I SCHEDULED � � '
PERMIT NO.� —Dd COMPLETE
ADDRESS �`�
OWNER TELEPH NO. ��`�� 7
CONTRACTOR
>; DESCRIPTION "��"" �
�
� ❑ FOOTING ❑ PLUMBING ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SfTE 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
J ❑ PLUMBIN ❑ SEPIIC�FINAL ❑ FOUNDATION/REMOVAL
� OWN TRA ET YOU:_�r YES_NO
� COM NT$ , ►7�~ �/L-�
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� '�,WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Cat1 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site: ' �
� � � 7
Inspector. � - "�-jr
White Copyllnspector's File Canary CopylSite Notice