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HomeMy WebLinkAbout2011-00867 - roofing r �, , CITY OF ORONO PERMIT NO.: 2011-00867 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/16/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 790 NORTH ARM DR PIN : 06-117-23-44-0001 LEGAL DESC : AUDITOR'S SUBD.NO.362 : LOT 008 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 12,000.00 NOTE: VALUATION OF PERMIT:$12,000.00 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 221.25 EVERLASTING HOMES INC STATE SURCHARGE(VALUATION) 6.00 P O BOX 914 BURNSVILLE,MN 55337- TOTAL 227.25 (952)435-2148 PAID WITH CC# 2143 Minnesota State License#: 3024 OWNER ENGLER,CHRISTOPHER&CLAUDIA 790 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 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �, —f��____ / / � / � / �pplicant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,.� �.,. n,� ,� „��,,���-. � . , City of Orono h �y � ` _� {��� Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) � Mailing Address: "� �.: �,0,�. PO Box 66 Permit number: ��%!�— ; , ' O Q Crystal Bay, MN 55323-0066 Date received: / � ���� �'� �> Received by: "� a �' �;4�,� �. Street Address: � �S',�, 1 t p6���, G� 2750 Kelley Parkway Plan reviewfee: "�t L N" � Orono, MN 55356 ,� 9'kESHO�` '� - Total Fee: ��� � � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �i This application form must be completed in full and all required information must be submitted. �,� Incomplete applications will be returned. (Please print) '� �� GENERAL INFORMATION: � Job Site Address: `; =i ; ,� �-, �f� �f„-` /J� -� "� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �-bo- � If yes, a special event permit is required with Police Departmenf and City Council approval 60 days prior to the event. Shuttle bus service will be � required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. x �; CONTRACTOR/APPLICANT INFORMATION: , � Name: - ^,,� L -� State License# ��j� y Expiration Date: ,j a 6 /a � Lead Certification Number: � � �� Expiration Date: � �:;;; (for work on homes that were constructed prior to 1978 �'� ; ` Phone: ��� -�l 3 S .-. �� ,f�` (office) (cell) � 4 � Mailing Address: ��O � � � k ��y City:���,,.�,J� �� ZIP: ��- � � � a ` Contact Person: �' , � Applicant is: Contractor / Homeowner (Circle One) � �,� c �'L �c._ �a � �� f r�i Email and/or Fax: 4 S-J ^ ���s-- - �'G 4 y � �_ ����� PROPERTY OWNER INFORMATION: �'; � , � Name: �l4 �,�,e;� ;� � Phone (day): �� �� �' Address: -7 � p _ � , Cit ZIP:S�,S' �Sv� �{ 4 ' v, t-� �r.� r� t' Y� � �_,l u � Email and/or Fax ryk. s � ' � PROJECT INFORMATION: �a � ; Type of Project: Any earth movement may require � �'� MCWD review&permits: � � ❑ Door(s) ❑ Remodel ❑ Fire Damage °� Minnehaha Creek Watershed District(MCWD) � ��roof, asphalt ❑ Repair orm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 � Phone: 952-471-0590 �� ❑ Re-roof, other(specify) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 � � ^ ❑Window(s) www.minnehahacreek.orq �� $,,;' ;� Overall Project Description: ,� ` ` Estimated Construction Valuation of Project(excluding land) $ � ������ � �� ,�.' f� � 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 '' confidential. 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 ofi other governmental agencies � re uired b law. If ou refuse to su I the information,the a lication ma not be issued. � ApplicanYs Signature: _ �X�i` Date: �/�G/o�v // ;� �..�:. � • Last Updated: 08-09-2011 �' ��:`' _ . = .: `�'�; _ ., ,. ._. ..x .a.,� �_,.... ,_ . � i � �r� • D T TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED � �/V( PERMIT N0.o��l�—���� COMPLETED ADDRESS ��� / G�� ����- OWNER TELEPHO E NO�✓�' Z`�S�� CONTRACTO �� �: DESCRIPTION �- � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ 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 � ❑ 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 a � � O >. � O � W � Q � Z W � W � � GW t�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Wr ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. l I'1 . White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICg SCHEDULED PERMIT NO. o?b//- as867 COMPLETED � 30—/�/ ADDRESS 7�d /Y �/'/rt �Or� OWNER TELEPHONE NO. CONfTRACTOR �V�r/4Sfi� s ��z5 �T�s- � DESCRIPTION Q�' ��'F � � ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FIWNG q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ,�EOLLOW-UP a ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTHACTOR TO MEET YOU:_YES_NO � COMMENTS: �" � ' a *OLD PERMIT - NO FINAL INSPECTION REQUESTEL � J O �. _ O - �/G // It ir�cL�tew. �ro!/lt9Cd � W � �.�/O r� �c,D.pG-�4/'S �3M fJ�e�� Q � Z /� - � 0�Q/'IK. � �//J4�� � � J d � �WORK SATISFACTORY:PROCEED ��PqgdECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTlON TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. � ,i�. �� White Copyilnspector's File Canary CopyfSite Notice