HomeMy WebLinkAbout2011-01438 - roofing � �r
CITY OF ORONO PERMIT NO.: 2011-01438
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 11/15/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 580 NORTH ARM DR
PIN : 06-117-23-42-0005
LEGAL DESC : VICTORIA ESTATES
: LOT 006 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 31,000.00
NOTE: VALUATION OF PERMIT:$31000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 477.50
WEATHER-TITE EXTERIORS STATE SURCHARGE(VALUATION) 15.50
1984 QUINBALEE RD
DEPERE, WI 54115- TOTAL 493.00
(704)577-5901 PAID WITH CC# 5779
Minnesota State License#:20638654
OWNER
JOHNSON,BRYCE&PAULA
580 NORTH ARM DR
MOLJND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
❑ot grant permission for additional or related work which requires sepazate
pennits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in c anc ith the State Building Code.This permit may be
revo ti cause.
r / �S'/ �l� l/ / /�/ l
App ant Permit Si re Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
.
� �
city of Orono
Buiiding Permit qpp�ication for Maintenance 1 Renavation
(windows, doors, siding, re-roof, etc.j
�O�\ Mailing Addr�ss:
\ PO Box 66 Permit number. p�� /� /
Q Q\, Crystal Bay, MN 55323-0086 Date received: _
�� ' �, Street Address.• Received by:
��� OronoKMN 55356 y P�$n reviewfee:
�
Main: 952-249-4600 Fax: 952-249-4616 Total Fee: �7�
rn�.ci.orono.mn us ��,v(./
This apptication form must be completed in#ulI and all required ir�formation must be submitted.
Incomplet�applications wi11 be r�eturned. (P/ease print)
GENERAL lNFORMATIOfV: -
Job Site Addreas: �Q • ��
�II this be a Parade of Homes, Remodelers Showcase Home or ather sptay Home? y�
Hyres,a specia!evenf pennit is required with Police Deparfinent and City Couqqil approyal BO de
required un/ess appljcairt demonstrafes sufiffcier►t on.s/te g 1'3 Prror fo the evenk ShutHe 6us service will be
parldn is available. NorFpermitfed events will notbe al/oweal,
CONTRACTOR 1 APPLICANT INFORMATION:
Name: /�,��.�T7���, � T 1`�' � .
State License# �'�°z`����'
a c Expiratian Date: �^�'/- ��
Lead Certification Number: �
1? ' r r Expiration Date: �� �� �.����
(for worh on homes�et rvere coristruMed pyor 1 78
Phane: r�,�f- (office) '--�"t S'� < S��,C` � � (ceU)
Mailing Address: �- r
Contact Person: City: ZIP:�j'"`� .5--
- Appticant is: Contractor / Homeowner {circls one)
Email and/or Fax: ��.�
PR�PERTY OWNER INFORMATION:
Name:
Phone(day): ' ,�
Address: �, �-�.� City: 2fP:
Email andlor Fax
PROJECT tNFORMATION:
Type of Project:
Any earth movement may require
❑Door(s} ❑ Remodel ❑Fire Damage MCIND review�permits;
❑Re-roof,as halt Minnehaha Creek Watershed District(MCWD)
P ❑Repair ❑Storm Darrrage 18202 Minneto�ka Blvd
roof,cedar ❑Restoration ❑Vilater Damage Deephaven,MN 55391
❑Re-roof,other fs�ec�[y) ❑Siding ❑Other. s eci Phone: 852-471-0590
� p fi') Fax: 952-471-0682
❑Wirtdow(s) vy�.minnehahacreek orn
Overal!Pro"ect D�scrl tion:
Estimated Constniction Valuatlon of Project(excluding land) $
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Ce�tifies that the ir�formation supplied is true and corract to the best af his/fier knouNedge. The applicant recogn¢es that they
are solety responsibte for submitting a complete application befng aware that upon failure to do so, the staff has no a�ematiae
but to rejact i#un�7 it is complete;
• Some or all oP the information that you are asked to provide on this application is classified by State iaw as either
confidential. Pmrate data is information whicti generalfy cannot be given to the public but can be given io the subject of the
data. Confidential data is information which generally cannot be 8iven to either the pubfic or the subject of the data. Our
purpose and intended use ot this information is to annually update our rec.orcls and records of other govemmental agencies
re uired law. !f u refuse to 1 ' n,the a licafion ma not be issued.
ApplicanYs Signature: Date: l t�� .�G(�
L2stUpdBted: Q8-09-201ti
/D / TIME ✓
CITY OF ORONO CALLED W `` � `J
INSPECTION NOTICE/� SCHEDULED �
PERMIT NO. ���V� � COMPLETED
ADDRESS .��U /������- L c� �
OWNER TELEPH,ONE NO.
CONTRACTOR `��
>: DESCRIPTION �Q� �
�
� ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/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
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
C
�
J
� l�`� (�19-�-S
�
�
0
�
W
�
Q
�
Z
W
�
W
�
�
�
��G�VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
���❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 tor the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. �
White Copylinspector's File Canary CopylSite Notice