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HomeMy WebLinkAbout2011-00841 - roofing " CITY OF ORONO PERMIT NO.: 2011-00841 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE IssuEn: 08/i U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 55 LANDMARK DR PIN : OS-117-23-22-0010 LEGAL DESC : BAYSIDE LANDING : LOT 001 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 32,000.00 NOTE: VALUATION OF PERMIT:$32000.00 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 488.25 ELITE REMODELING SERVICES INC STATE SURCHARGE(VALUATION) 16.00 13246 DOWNEY TRAIL TOTAL 504.25 APPLE VALLEY,MN 55124 (952)646-2480 Minnesota State License#:20638744 OWNER PERKINS,DANIEL&PATRICE 55 LANDMARK DR LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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 sepazate permiu. Al(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 are requested in conformance with the State Building Code.This permit may be revoked at any ti r due cause. `�� �� � � �� �'/ // / / Applic itee 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: 0 � PO Box 66 Permit number. - a//-QG � �� �\ ��� Crystal Bay, MN 55323-0066 Date received: l� �l // � �'��r"'., ��� Received by: Street Address: �'.�, r � � �ti 2750 Kelley Parkway Plan review fee: L9kESH 4'�/ Orono, MN 55356 ` "'- -=' Total Fee: �v , �.J 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. (P/ease print) GENERAL INFORMATION: -n Job Site Address: �S `�n� w�.,l�►�� U j Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFO MATI Name: l,'� s.••�9 �PJt�t State License# �o� 3g�YY Expiration Date: ,3 j� �a. Lead Certification Number: T 3d3.� /p v/«S Expiration Date: 7�����, (for work on homes that were constructed prior to 1978 �� Phone: 9 � •6Y6— �y$ (office) G��—�- —8 O (cell) Mailing Address: � �(' City: � (/q(/ ZIP: �j Contact Person: y ,4, (� Applicant is: ac o / omeowner (Circle One) Email and/or Fax: �,� �( �,.�,;( �� 9 ��('-,� $�/ PROPERTY OWNER INFORMATION: Name: �aN Pv�:n�.f Phone(day): 9S�— y73 — $,j 7 Address: s'� Gq,��n.,�n,/'�C �� City: Oro�ln ZIP: s"f?;"� 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: �s�' �i„�►F r7 tS Estimated Construction Valuation of Project (excluding land) $ 3� ovp 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 information is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: Date: ��// Last Updated: 03-01-2011 =��� � � � AT // TIME CITY OF ORONO CALLED IN INSPECTION O ICE /� �L SCHEDULED //.�D� PERMIT NO.����'^��` / COMPLETED ADDRESS � OWNER TELEPH NE NO. - �✓�' ��a CONTRACTOR s� a DESCRIPTION `L� �7 � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT�ON/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O � � O � W � Q � Z W � W � � d W���ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W' ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on site: Inspector. ►�� _� -� - � White Copyllnspector's File Canary CopylSite Notice � DAT // TIME ' / CITY OF ORONO CALLED IN V INSPECTION�J,O ICE Q��,L SCHEDULED PERMIT NOi°%� � �" / / COMPLETED ADDRESS S� , ���YL G�/Z.� �� OWNER TELEP E NO. ��-°��'�-��� CONTRACTOR ��'/`I ��iL� >; DESCRIPTION � � � � ❑ FOOTING ❑ PLUMBING FINAL XCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 _ �7 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � j � � �i J � ..�—(� �rJ l.�- O � � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLI RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor site: Inspector. White Copy/lnspector's File Canary CopylSite Notice