HomeMy WebLinkAbout2011-01110 - roofing CITY OF ORONO PERMIT NO.: 2011-01110
- • 2750 KELLEY PARKWAY
� ORONO,MN 55356- �ATE IssuEn: 09/28/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 540 NORTH ARM DR
PIN : 06-117-23-31-0006
LEGAL DESC : VICTORIA ESTATES
: LOT 004 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTNITY : O/S BUILDING-UNDEFINED
VALUATION : $ 41,641.00
NOTE: VALUATION OF PERMIT:$41641.00 REROOF HOUSE,GARAGE AND SHED
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 595.75
THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 20.82
2690 CUMBERLAND PKWY, STE 300
30339- MAIL-IN FEE 2.00
(763)542-8826 TOTAL 618.57
Minnesota State License#:20268257
OWNER
PIEPHO,CONNIE
540 NORTH ARM DR
MOUND,MN 55364
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 grant 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 aot 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 conformance with the State Building Code.This permit may be
revoked at any time for due�ause.
l���v�/vC _/l � � / /
Applicant Permitee Signature Date Issued B gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED VE.
SEP/22/2�11/THU 11 : 50 PM Elder Jones Building FAX No, 952 854 4909 P. 002
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City of Orono
Building Perm�t Applicatiort for Mnternal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address_ Permit numbef: �l - //�
g,��, PO Box 68
O, � Crystal Bay, MN 55323-0066 Date received:
Strset Address: Received by:
�� o� 2750 Kelley Parkway Plan review fee:
. o�,� Orono,MN 55356
Tota) Fee: �`���
Main: 952-249-4600 Fax: 952-249�4696 wuMni.ci.orono.mn.us
This application form must be completed in full and all required infolmation must be submitted.
Incomplete applications will be returned. (P/ease print)
GEN�RAL INFORMATION:S�� �'Q�� d r,� ��/ �,�
Job Site Address: r�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If yea,a speaal avent pe�mit is�equlred with Police Depertment and Clty Council approvs/6U days priar ro the event. Shuttle bua seivice will be
required unless appllcanr demonstrsfes sufficient onslt�parking!s availab/e. Non-parmhted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: THD At-Home Serv�ices, Tnc. 0 d�
State License# 2690 G�imberland P1cwy, Ste 300 Q�'� q - G b y
Phone: �����
Mailing Address: Cumberlaaad Office Park Z�P:
Contact Person: Atlanta, GA 30339-3913 lomeowner {c�r�i.or,a�
email and/or Fax: Lic�#2026$257 Ph. 763/�42-8826
PROPERTY OWNER INFO MATION: Q
Name: 0� Q r �a h u
Phone(day): ? - � Q Y� ,
Address: D o �/` Ci. : �0(�l� � zIP: s S 3 � �
Email and/or Fax •
pROJECT INFORMATION:
Type of Project- Any earth movement may requlre
� MCWD review�permits
❑Door(s) ❑ Remodel ❑Water Damage •
Minnehaha Creek Wate1'shed District(MCWD)
❑�ndow(s) � Repair ❑Storm Damage 18202 Minnetanka Blvd
Deephaven, MN 55391
❑Siding ❑Restoration ❑Other(specify) Phone: 952-471-0590
F2x: 952-471-0682
f�e-roof []Fre Dama e www.minnehahacreek.om
Overall Project Descri tion: u o 0 l�d +' .S l
Estimated Construction Valuation of Pro'ect(excluding land) G
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all ir�formation required or requested by the Building Department:
. Certifies tl�tat the ir�fortnation supplied is true and �rreCE to the best of his/her knowledge. The appUcant recagn¢es that they
are solely responsible for submitting a compleis application being aware that upon failure to do so, the staff has no altemative
but to reject it until it is complete;
• Some or all of the information ihat you are asked t0 provide on this applicatlon is class�ed by Stete law as either private or
cortfidential. Private dat2 �s iriformation which generally cannot be given to the publfc 6ut can be given to the subjeet af the
data. Confiderttial data is informatlon which generally cannot be given to elther the public or the subject of the data. Our
purpose and intended use of this information is to nnually update our records and racords of other govemmental agenCi66
r uired b law. H u re�Fuse to su I the informat' n, e a lication ma not be issued.
.�'�� �ate: �T L�3��� � .
Applicant's Signature_ � —
�,..��,�w��• n�_nn_onna �
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LICENSE IS NOT TRANSrERABLE ��-�p qT '(vM� Srf�V(C�S INC
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2750 Kelley Parkway �
P.O. Box 66
Crys�al Bay, MN 55323
(952) 249-4600
Fax: (952) 249-4616 .
FAX TRANSMISSION COVER SHEET
Date: � �
To: �/D /� -
Fax: �� � � o �`'- D �
Re: ��� L.� - � or-� �.rr� J�r� v�
Sender: �Dl'�!e�
YOUSHOULD RECENE PAGE(S), INCLUDZNG THIS COVER SHEET.
IF YO U DO NOT RECENE ALL THE P�1 GES, �
PLEASE CALL (952) 249-4600.
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1/THU 11 : 49 PM Elder Jones Building FAX No, 952 854 4909 P, 001
1920 East 8D'"Street,Ste.#211; Bloomington,MN 55420
952-345-6047—Direct 952-8\54�909-Fex � � � �
To: Orono, City of Attn: Bldg_ Dept. �rorn:
Fax: 952-249-4616 PaB�=
Phone: 952-24911600 Date:
Ite: Building Permit(s) C�:
❑ Urgent ❑ For tLeview ❑ Please Commont X Please Reply ❑Piease Recycle
• Comments:
Please call when the permit fee(s) have been figures. So I can cut a check and come to the city to pick
up the permit(s).
Thank You,
Jb�, � � h o�� b � �.� r �s als �
952-345-6047 /J ��
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DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NAOTIC� SCHEDULED
PERMIT NO. �CD�,I' d��l� COMPLETED _ -30-/�
ADDRESS S�t'� /�Fo�-F� �C�,,,� 0,--
OWNER TELEPHONE NO.
CONTRACTOR �.r�.�%1��
� DESCRIPTION !�- �oa�
� ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FIWNG
q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
Z ❑ INSULATION ❑ TREE REMOVAL
❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q � RADON SLAB ❑ WATER HOOK-UP
❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT.
Q ,�OLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTiC FINAL ❑ FOUNbATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMEf�lTS: r10 �4,,,,,-of"{ �•isoeYl�r... r+�o�d�Q
a *OLD PERMIT - NO FINAL INSPECTION REQUESTEL
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Wa ❑WORKSATISFACTORY:PROCEED �LCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR RElNSPECTION TEMPORARY
V BEFORE COVEAING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS_ ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next irespection 24 hours in advance. (952) 249-46�0
OwnerlContractor on site:
Inspector.
ite Copy/lnspector's F61e Canary CopylSite Notice