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HomeMy WebLinkAbout2014-01050 - roofing CITY OF ORONO PERMIT NO.: 20��-o�oso 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssUEn: 09/13/2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 1370 NORTH ARM DR PIN : 07-117-23-41-0050 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 008 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 11,000.00 NOTE: VALUATION OF PERMIT: $11,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUS"I'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 S[GNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 206.50 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 5.50 5145 INDUSTRIAL ST SUITE 103 MISC FEE 0.00 MAPLE PLAIN,MN 55359 TOTAL 212.00 (763)479-8700 Minnesota State License#: 20631574 OWivER VILLAFANA,JUDE&CARRIE 1370 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 separate permits. Ail provisions of laws and ordinances governing[his 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 B ilding Code.This permit may be revoked at a y time for d use... > � �� � ZC-� / / plicant Permitee Signature ate Issued By gnature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. p� . R� � .. . �_ � � .x,��" - # ���#��� `�t,,�° f'S`' � . .�., . � ��yf�� % � �,^'�! �� .s�'dw-� City of Orono � ��,t � �'�� ��'�L �� � - . Building Permit Application for Maintenance / Renovation -:����k�.�� ' �� �>;' • (windows, doors, siding, re-roof, etc.) � Mailing Address: � �' �,0,�. PO Box 66 Permit number: � O Q Crystal Bay, MN 55323-0066 Date received: ,� �� ., �a �t� ,� 3 � �, � Street Address: ' Received by: �',�c,t t �"� �ti 2750 Kelley Parkway Plan review fee: �kESH�4� Orono, MN 55356 _� Total Fee: ��:' Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �°x; 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: _' _% �d�j�/„��� ,����..' � l����= , � � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �-IQo _�'�' If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be �` required unfess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. ..4� CONTRACTOR/APPLICANT INFORMATION: �,. „��I Name: �����/�2 ��/�'JS ��UG�"� �� �/f.o%=1��-iiU ���iti - State License# � ,���, �� �.��'-� xpiration Date: 3/�3 jjl�, i �'' Lead Certification Number: �� Expiration Date: T� ` � (for work on homes that were constructed prior to 1978 �a Phone: �����.� �� q „��'U� (office) (cell) �:� Mailing Address: City: ZIP: L� � Contact Person: Applicant is: Contractor / Homeowner (Cirde One) N, �:� Email and/or Fax: k PROPERTY OWNER INFORMAT ON: � 4"� Name: � �— �:,^ ��i��f� . � /j/�- � �� /= "� ��� Phone (day): � ? Address: J ,/�' h �� ��/yj �� City: �iq o �j� ZIP: yj���� �� / 6��/ lJ l,/Pi- � �� Email and/or Fax T � ' °�T �°� ,:�:; ��. �:;� �� PROJECT INFORMATION: ' Type of Project: Any earth movement may require � ' � ❑ Door s MCWD review&permits: ;� Y 3, O ❑ Remodel ❑ Fire Damage � Minnehaha Creek Watershed District(MCWD) :�� ; � [� Re-roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � �F< ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 �� Phone: 952-471-0590 y ❑ Re-roof,other(spec�fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 � �„ www.minnehahacreek.orq ❑Window(s) ,� #�'; Overall Project Description: � Estimated Construction Valuation of Project(excluding land) $ % , v Q � , �� �r, � � 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 of other governmental agencies � r; re uired b law. If ou refuse t su I the information,the a lication ma not be issued. � � � � ApplicanYs Signature: / GQ ' ��-= Date:�����l � � � .. Last Updated: 08-09-2011 :-� , � ATE TIME _ / CITY OF ORONO CALLED IN O �� �' INSPECTION NOTICE ��Q��cHEDULED Z i PERMIT NOr-��// "-' co PLETED ADDRESS ���� /� L� �d/�l �L� OWNER TELEP NE NO. �������`�3� CONTRACTOR � - L�� >; DESCRIPTION � � ❑ FOOTING P ING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ M CHANICAL RI ❑ LAKESHOREM/ETLANDS � ❑ FRAMING p MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � . C �{���� �.j �� .1 o � f �'�- C �. � 0 � W � Q � z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETl1RN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: n _ Inspector. � ,�i' �� ���/� White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN 9'e�� INSPECTION NOTICE SCHEDULED I PERMIT NO.o�v/�'���`S� COMPLETED � ADDRESS �370 ���'� �� �r OWNER TELEPHONE NO. �b3'y7q—�700 CONTRACTOR l� ' � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS:_ L�l C:�fu/� � _ B� � W a � J O _ � � O � W GC ( Q � Z W � W , / � V � � . . .. __._..__. W ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE , W �r.naRFr,j�2gKg pgQC�ED � w�„��w ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION, - � --�{tAAfi^��..._QY�_ V BEFORECOVERING.. PERMANENT ❑COFIRECTUNSAFECONDI`flQNWITNIN HOURS. p pHOTOTAKEN d' INSPECTOR WILL RETURN"'"-�-- - ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 Owner/Contractor on si : inspecto� �w � White Copyllospecto�'s File Canary CopylSite Notice