HomeMy WebLinkAbout2011-00708 - roofing � • CITY OF ORONO PERMIT NO.: 2011-00708
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 07/25/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 706 NORTH ARM DR
PIN : 06-117-23-43-0004
LEGAL DESC : AUDITOR'S SUBD.NO. 362
: LOT 003 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING- UNDEFINED
VALUATION : $ 10,500.00
NOTE: 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 206.50
NEW LIFE CONTRACTING STATE SURCHARGE(VALUATION) 5.25
2478 HILLWOOD DR E
ST. PAUL,MN 55119- TOTAL 211.75
(651)224-3442
Minnesota State License#: 20249486
OWNER
Wells Fargo Bank NA
3476 STATEVIEW BLVD
MACX7801-013
FORT MILL, SD 29715-
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 separate
permits. All provisions of laws and ordinances governing 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[ime after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance ith the State Building Code.This permit may be
revok d at any time for d cause.�
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App, ant Permitee Signature Date �/ ��/ ��
Issued 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.)
MailingAddress: �' ` �'1� '
P�i�h�r�be�` <«���".�t� r
��0,�� PO Box 66 �.��� ��
Crystal Bay, MN 55323-0066 p�1��iV�x, � ;' � °e�,
� �. Street Address: ���.��
��' 2750 Kelley Parkway p��j��{� `
'���Ho�.$' Orono, MN 55356 ,
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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:
Job Site Address: �C7� � o�� -�r w. ���u� G��'^� ��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes ❑ No
If yes,a specia/event pem►if is iequired with Police Department and City Council approva/60 days prior to the evenk Shuttle bus service will be
requiied uNess applicarrt demonshates sulficient on-site pa�lcing is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: 'f�t W ` �� r��r c� cfi�
State License# 2,p Z y°� ��(,� Expiration Date: � �3 �o Z_
Lead Certification Number: �� �. Expiration Date:
(for work on homea that were constructed prlor to 1978
Phone: ��j- I- 2 2�l•3 H L-I Z (office) (cell)
Mailing Address: ��y ��-a-�,.ci �rz. City: S-�- a�` ZIP: SS��S
Contact Person: �'���-�.� v :v.�\<v g Applicant is: Contractor / Homeowner �c�r�i.o�.�
Email and/or Fax: � S Z.. y p S • 6 �L� �
PROPERTY OWNER INFORMATION:
Name: �p�„v�., C-�ood wa-Q-�P
Phone(day): � S 2. 3 3 �-1�SO 9
Address: `��� �,q��� �� ��.. City: G ZIP: � 53��
YCNO
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:
Estimated Construction Valuation of Project(excluding land) S � C� , S O C7 •�o
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
confldential. 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
r uired b law. If ou refuse to su I the info tion,the a lication ma not be issued.
Applicant's Signature: Date: � t l
Last Updated: 03-01-2011
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CITY OF ORONO �LLED IN ! /�Tf// TIME
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INSPECTION OTI E06 0�/ SCHEDULED � --��
PERMIT NO. � 7 b COMPLETED
ADDRESS s �� -
OWNER TELEPHONE NO. � j � �5�� ���
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CONTRACTOR �- � J •
�: DESCRIPTION �� �-'� -C'
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� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL � ❑ 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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED
O INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
� �Inspector. 1��.
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN �` �
INSPECTION NOTI E Y SCHEDULED '� — � ___L7 ?�✓�
PERMIT NO.��������U COMPLETED
ADDRESS 70� N��- �� ��Y'
OWNER TELEPHONE NO. �5i �'z � ���Z
CONTRACTOR /Vew � � �
�: DESCRIPTION r ` ,�-�`'� ���
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAI
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W ❑CORRECT WORK&PROCEED 'C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
�NSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAII INSPECTOR �CITATION ISSUED
O INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice