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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