HomeMy WebLinkAbout2011-01329 - roofing s �
CITY OF ORONO PERMIT NO.: 2011-01329
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE IssuEn: 10/26/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1360 NORTH ARM DR
PIN : 07-117-23-41-0085
LEGAL DESC : VOLK JOHNSTON ADDN
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT ,
ACTIVITY : O/S BUILDING-UNDEFINED " �
VALUATION : $ 12,000.00
NOTE: VALUATION OF PERMIT:$12000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. ;
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. '
APPLICANT pERMIT FEE SCHEDULE 221.25
WEATHER-TITE EXTERIORS STATE SURCHARGE(VALUATION) 6.00
1984 QUINBALEE RD TOTAL 227.25
DEPERE,WI 54115-
(704)577-5901 PAID WITH CC# 5779
Minnesota State License#:20638654
OWNER
GAMBONE&WENDY JOHNSON,JAMES
1360 NORTH ARM DR ;
MOUND,MN 55364 ;
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whe[her or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 day,�'t�the date of issuance,or if construction is
suspended��'or a period of�l$Q�days at any time after work has commenced.
The applicant is respon�iWe for assuring all required inspections aze
requested in c �ce with the State Building Code.This permit may be
revoked at tim fo c
E�� ���� � �a � ��%/ �p, ,?,�� �� �
,Applicant e rtee Signature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. .
City af 4rono
Building Permit Appfication for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
l_� Mailing Addrvss: Permit number: p� ,—d � z
�.�Q,�,� PO Box 66
�O � Crystal Bay, MN 55323-0088 Date received: �
,, � �,;, Street Address,- Received by:
�'�,�, ' / 2750 Kelley Parkway Plan review fee:
�
`�,�,��'/ Orono, MN 55356
�� r-� Total Fee: pf o�7 �
Main: 952-249-4600 Fax: 852-2A9-4616 vwvw.ci.arorto.mn.us
This applieatian form must be campletec�in full and all required iriformation must be submitted.
Incomplete applications will be returned. {P/ease print)
GENERAL INFORMAl10N:
Job Site Address: �'" ! r.
Will this be a Parade of Hcmes, emodelers Showcase ome or other Display Home7 Yes
l�yes,a specis/evenf permiP is required with Police Department and City wunci!approva!60 days pnor to the event. ShulNe bus service wi!!be
�quired un/ass applicant demonstraiss sufficient on-sife par/vng is available. Non�em'iifted events wi11 not be allowed.
CaNTRACTOR/APPLICQNT INFORMATION:
Name: i�c� � v_ �'`�'i� �..�� �,.
State license# ,r,� ' r Expiration Date: '3•.�/� ����a�.,
Lead Certification Number. Expiration Date:
(for work on homes ihat we�consbv ted prlorto?978
Phone: � ,�- " �.�,/.. ' (office) - ,�'�y •- 7 f (cell) i
Mailing Address: ;' .�� City: ZIP: —' �' s"'
Contack Person: ,,. ' ,�> Applicant is: Contractor ! Homeowner (Clrole One) i
Email and/or Fax: - r 7
PROPERTY OWNER INFORMATfON: �
...–
Name: �-. �
Phone(day): � � � � �
Address: C��Y� Z�P� �
Email andlor Fax ,
PROJECT 1PIFORMATION: ;
Type of Project• Any earth movement may require
� MCWO review 8�permits: �
❑Door(s) ❑ Remodel ❑Fire Damage Minnehaha Creek Watershed District(MCWD) �
e-roof,asphalt ❑ Repair ❑Storm Damage 18202 Minnetonka Slvd
❑Re-roof,cedar ❑ Restoration ❑Water Damage �ePhaven, MN 55391
Phone: 952-471-0590 �
❑Re-roof,other(spacify� ❑Siding ❑Other.{specify) Fax: 952-471-0682
❑Window(s) �n�ww.minnehahacreek.ar�
Overalt ProJect Description: ' •(..-'., c�C► � '
Estimated Construction Valuativn of Pro'sct(excluding land) $ ,�Ci �
APPLICANT ACKNOWLEDGEMENT: ,
. Agrees to provide all information required or requested by the BuildinQ Department;
. Cert�es that the information supplied is true and correct to the best of his/her knowledge. The applicaM recognizes that they
are solefy responsible for submitting a compiete application being aware that upon fai{ure 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 provlde on this application ia classified by State law as eiiher 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. Confsdentiat data is infom�afion which generally cannot be given to either the public or the subject of the data. Our i
purpose and intended use of this information is to annually update our records and records of other governmental agencies
re uired b law. If ou refuse to su n, � lication ma not he issued. �
Applicant's Signature: --�-' Date: � � i
�`�� D TIME ✓
CITY OF ORONO CALL� � �`� -��-�, �
INSPECTION NOTICE SCHEDULED �� �c��L
PERMIT NO.����- o t 3a� COMPLETED
ADDRESS 136� /��� l�'� �
OWNER ���-� � �n�TELEPHONE NO.��Z �7Z���7�
CONTRACTOR ���� �L�
� DESCRIPTION �� n� /{�Y�e� (�/� �tMD�.'4
�
11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �
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GW ❑WORK SATISFACTORY:PROCEED ntiittOJECT COMPLETE
� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on site-
Inspector.
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