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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 ► � 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� � � � TE TIME CITY OF ORONO c LED IN INSPECTION NOTIC _ 0 cHEou�E� ' PERMIT NO. � OO � COMPLETED ADDRESS OWNER EL'EPHONE NO. � �l / CONTRACTO � >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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: � W a � J O a � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ',- ISSUE CERTIFICATE OF OCCUPANCY W � ❑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 � � � 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-� a L� � � O � � O � W � Q � Z W � W � � d � '�,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