Loading...
HomeMy WebLinkAbout2011-01510 - roofing �. CITY OF ORONO PERMIT NO.: 2011-01510 . � , 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 12/02/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 760 HUNT FARM RD PIN : 31-118-23-11-0010 LEGAL DESC : HUNTINGTON FARM : LOT 001 BLOCK 009 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 24,000.00 NOTE: VALUATION OF PERMIT:$24000.00 PARTIAL ROOF ONLY 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. Gv�oz.� � �Loux' /r�a�t�lyuz'' APPLICANT pERMIT FEE SCHEDULE 398.25 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 12.00 12366 RIVER RIDGE ROAD MISC FEE--� jb(,(/�(,� F�� 398.25 BURNSVILLE,MN 55337- (612)861-7000 TOTAL 808.50 Minnesota State License#:20593656 PAID WITH CC# 1521 OWNER KURNVILLA,MICHAEL&LEENA 760 HUNT FARM RD LONG LAKE,MN 55356 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 gra►�t permission for additional or related work which requires sepazate pertnits. 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 180 days of the date of issuance,or if consVuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due�ause. �LG��.G �- i i � r Applicant Permitee Signature Date Issued B ignature e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � r ' City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Malling Address: Permit number. O�,�,�.0 PO Box 66 Crystal Bay,MN 55323-0066 Date received: Street Address: Received by: � �ti`� 2750 Kelley Parkway P�an review fee: '�g�Ho�.g+ Orono,MN 55356 Total Fee: 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: � O � Job Site Address: Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? Yes No If yes,a special event perrnit is requiried with Police Department and City Council approva160 days prior to the event Shuttie bus se ice will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPL,�CANT INFO TION• Name: �iin� r�. nrt M o'i State License# 9'� Expiration Date: '� �Z Lead Certification Number. /�f "�"' (j_ Expiration Date: 6 � Phone: 6 f 2— �.-'jODt'j (office) (cell) Mailing Address: Z�j b 6 ;v�i : • C�tY� �S V�►� Z�P: $�$�3 3 Contact Person: ;�,�. ,"„� Applicant is: nt actor / Homeowner �ci.�i.o�a� Email and/or Fax: ,�v;,,� � PROPERTY OWNER INFORMATION: , Name: f��G��,-C� �t?�J� ��� Phone(day): / Address: ��b .�- e,,�,,,� � City: �riO ZIP: �3,j�b Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8� rmits: ❑Door(s) ❑Remodei ❑Fire Damage Minnehaha Creek WatershedD(str(ct(MCW�) ❑Re-roof,asphalt ❑Repair �Stonn Damage 18202 Minnetonka Bivd �(Re-roof,cedar �Restoration ❑Water Damage �eephaven,MN 55391 Pho�e: 952-471-0590 ❑Re-roof,other(specffy) ❑Siding ❑Other:(specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Descriptfon: !.v �,n �''�'� OM.1 LY� _Estimated Construction Valuation of Project(excluding land) S _�-(� DOO 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 h(slher 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 aitemative but to reject it until it is comp{ete; • Some or ail of the information that you are asked to provide an tliis application is dassifled by State law as either private or confidentiai. Private data is informaUon which generaily cannot be given to the public but can be given to the subject of the data. Confidential data is information which generatly cannot be given to either tfie public or the subject of the data. Our purpose and intended use of fhis information is to annually update our recvrds and records of other govemmental agencies r uired b law. If ou refuse to su I the fnformation,the a tication ma not be issued. ApplicanYs Signature: Date: �Z � ��� Last Updated: 08-09-2011 DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED 3�l3-/Z PERMIT NO. °�0���� 5 �D COMPLETED ADDRESS �� �1-�-� ��� � OWNER TELEPHONE NO. 9S� ZlS ��52,-1 CONTRACTOR s��� C�s�` � DESCRIPTION ��? *��� — �� ��� O� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL p FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W C J � �--- O a � O � W � Q � 2 W � W � � d � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 Owner/Contractor on site: Inspector. o. /`'L White Copyllnspector's File Canary CopylSite Notice