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HomeMy WebLinkAbout2011-01241 - roofing r � CITY OF ORONO PERMIT NO.: 2011-01241 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/13/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 85 LUCE LINE RIDGE PIN : 31-118-23-34-0005 LEGAL DESC : PAINTERS CREEK : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTTVITY : O/S BUILDING-UNDEFINED VALUATION : $ 12,687.65 NOTE: VALUATION OF PERMIT:$12687.65 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 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 236.00 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 6.34 12366 RIVER RIDGE ROAD BURNSVILLE,MN 55337- MAIL-IN FEE 2.00 (612)861-7000 TOTAL 244.34 Minnesota State License#:20593656 PAID WITH CC# 1521 OWNER BALZER,BARRY&JACQUELINE 85 LUCE LINE MAPLE PLAIN,MN 55359- 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 dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied wikh 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 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 aze requested in wnformance with the State Building Code.This permit may be revoked at any time for du cause. l�;Y�(,���L.� io l /�l /� � lD/ I �J/ J I Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. O�T-13-�011 06:49 From: 6785736615 To:952z494616 Pa9e:1�1 City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, sidin , re-roof, etc.) Mailing Add�ess: Permit number: -.O/oZ � O.�D�O PO Box 66 Crystat Bay,MN 55323-0066 Date received: /�/ / Street Address: Received by: 2750 Kelley Parkway Plen review fee: �i� �� Orono,MN 5535B Total Fee: �Q3 4�•�/ Main: 952-249-4800 Fax: 952-249-4B18 www.a.orono.mn.us This application form must be completed in full and all�equired information must be submitted. Incomplete applications will be retu�ned. (P/ease print) 6ENERAL INFORMATION: . Job Site Address: �� �- �� � Will this be a Parade of Homes� Remodelers Shawcase Home o othsr Oisplay Home? Yes o 1!yss,a special event permit is reqai�ed w�Oh Police Department and City Cauncil appivval 80 days prior to dhe e�nent Shuttle bus seivice will be required unless applicant demonstrates sufr�cient on�sile paricing is avaiyable. NonyoemnYted ewnts will not be a/lowed. C4NTRACTOR/APPLIGANT tNFORMATION: Name: ;^ State License# ZuS�3 6 S` F_xpiration Date: Lead Certification Number. Expiration Date: (io►work on homes U►at woere eonsbuci+ed prior to�978 Phone: . . e�� (office) (cell) Mailing Address: City: � ZIP: �3� Contact Person: s�,,�i p„� Applicant is: Contractor / Homeowner �c��ie one► Email and/or Fax: �� A ���,,� �,p�`{��,�... . u�.. • PROPERTY OWNER INFORMATION: ' Name: � '$,�,�,Z,� Phone(day): ����qy S - IL3 � Address: a5 Lv�,C,�, I..+�i�, �t,,Gd,e� Clty: ('�/aN..� ZIP: s3' 3�' Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑Remodel ❑Fire Damag� MCWD review b permits: ,_.,L Minnehaha Creek Wabershed DisVict(MCWD) Q12e-roof,asphalt ❑Repair I�torm Damage 18Q02 Minnetonka Blvd ❑Re-roof,cedar (�Restoration ❑Water Damage Deephaven,MN 55391 Phone: 952-4�1-0590 ❑Re-roof,other(specify) ❑3iding ❑Other(specify) Fauc: 952-471-0682 ❑Window(s) �ww.minnehahacreek.ora Over�ll Project Description: Estimated Construction Valuation of Project(excluding laod) S 1'�� b�'�• (ps APPLICANT ACKNOWLEDGEMENT: • aqrees to provide sll ir�orm�tion required or requested by the Building Department; • Certifies that the informetion supplied is true and coRect to the best of his/t►er knowledge. The applicarrt rscogni�es that they are solely responsible for submitting a complet�application bsing avwr�th�t upon failure tv do so, tho staff has no alternative but to rejad it until it is camplate; • Some or all of the infonnation that you are esked to provide on this eppllcation is dassified by State law es either privete or confiderrtial. Private dets is informatian which generally csnnot be given to the public but can be given to the subjed of the data. Confidential data is infoRnation which �enerally cannot b� given to either the public or ths aubject of the data. Our purpose and intsnded use of this informadon is to annually update our reoonfs and records of other govemmental agenaes re ui�ed b �aw. If u rafuse to su I ihe informatian,the s lication ma not be issued. n��r�..�a..,e+s......a�....- l 1 , C JI� / � n..a.... � .� � 1'� � 1 � af ✓ DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO.�!1•6�.2-y� COMPLEfED -/ / ADDRESS g�� L vCc ��.r a /�.�52 OWNER TELEPHONE NO. CONTRACTOR S��w �Ka��4�ti � DESCRIPTION R�-raa��' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TFEE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a *OLD PERMIT - NO FINAL INSPECTION REQUESTED � /�d ���'�o-�� i�e-f.0�G���•• I`CGor��_ �. � . � f��tG /��K��/�E�/o�, �J/'nvlOcd W � Q z !�/�/'K ,POD��s Gb►�r,al�z� w � � j .Q2.�'wt�L �n.c!¢� � ❑WORK SATISFACTORY:PROCEED ' ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. �-� w�.� �� White Copylinspector's File Canary CopylSite Notice - DATE TIME CITY OF ORONO CALLED N � I`� la-- INSPECTION�OTICE ,/�� SCHEDULED PERMIT NO. O�/—D/2 7 � COMPLETED ADDRESS L�C � L�`� � OWNER TELEPHONE N . 9� Z/S ��J`Z CONTRACTOR S��� �-��� �: DESCRIPTION �w�� � � � �� ��" ��� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL � OWNER/CONTRACTOFi TO MEET YOU:_YES_NO � COMMENTS: � W C o �� G-��r�S �_/� ��rG- � � 0 � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED F�ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR J CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnedContractor on sit : Inspector. � � /''/ KL� White Copyllnspector's File Canary CopylSite Notice