HomeMy WebLinkAbout2011-00678 - roofing � ' CITY OF ORONO PERMIT 1v0.: 2011-00678
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 07/19/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 360 NORTH ARM LA
PIN : 06-117-23-24-0012
LEGAL DESC : NORTH ARM ESTATES 4TH ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS •
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 12,000.00
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 221.25
TAYLOR BROCK CORPORATION STATE SURCHARGE(VALUATION) 6.00
6253 BURY DRIVE TOTAL 227.25
EDEN PRAIRIE,MN 55345-
(952)888-2000 PAID WITH CC# 1206
Minnesota State License#: 20175079
OWNEI3
Rohan Lund,Inc.
360 NORTH ARM LA
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. 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 app' ant is responsible for assuring all required inspections aze
reques d n formance with the State Building Code.This permit may be
r time fo ue cause.
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Applic t Permitee Signature Date Issu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
1i3�/19/�1011/TUE 08: 57 AM Fax Server FAX No, - P. 001/001
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City of Orono `
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: permd number �. -� �O � .
O�,�.j�O PO Box 66
m
Crystal Bay,MN 55323-0066 DBte:receiveii `� . L.
� s, St�eet Address: Received by:
��`� 2750 Kelley Parkway Plan review fee
��o�,*� Orono,MN 55356 ;
Total Fee: , ` ���i�;/ � ,
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 appllcations will be returned. (Please prinf)
GENERAL INFORMATION:
Job Site Address: �j(p� ��(�— (w- (..c►an�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o
!f yes,a speclal event permlt!s requlred wlth Pollce Depariment and CJty Counci!epproval 80 days prior to the event. Shuttle bus service will be
requlred unless appllcant demonstretes sufl7clent on-site parking is available. Non-permltted events wA!not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: T o/ ,., ✓bc� o/ ,/'
State License# ZOI"1 TO'1`� Expiration Date: 3 $1 I�
Lead CerGfication Number: Expiration Date:
(for work on home�that were constructed prlor to 1978 �"
Phone: - )�' $Qj�� ZOO� (office) W�Z � ZZ� - �-{�p (cell)
Mailing Address: Z 3 '� City: (��pN v ZIP: 553(o
Contact Person: �W G Applicant is: ac o / Homeowner �c�r�i•o�o�
Emaii and/or Fax: 5Z- �/3�. cfp p�
PROPERTY OWNER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Projoct: Any earth movement may require
❑ Door(s) ❑ Remodel ❑Water Damage MCWD review 8�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.mi nnehahacreek.orca
Overall Project Description:
Estimated Construction Valuation of Project(exciuding land) $ �Z,, OPJ�
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Certifles that the information supplied is Vue and correct to the best of hislher 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 provfde on thls applicaUon is classlfled by State law as efther prfvate or
confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the
data. Confld�tial 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 govemmental agencies
re uired b law. If ou refus o su I he information the a lication ma not be issued.
Applicant's Signature: G� Date: � /� ��
i��r i i�Ar�• nz.man��
DATE TIME �/
CITY OF ORONO CALLED IN
INSPECTION NOTICE c, SCHEDULED
PERMIT NO. �h��� DO6?7f COMPLETED �.�'�
ADDRESS 36� N IR��c L.e.r
OWNER TELEPHONE NO.
CONTRACTOR T�cc'l6 r L�r-o�,� L$P,/�•
� DESCRIPTION �-�oe�`
� ❑ FOOTING ❑ PI.UMBING FINAL ❑ EXCAV/GRADING/FIWNG
q ❑ POURED WALL ❑ MECHANICAL R� ❑ LAKESHORE/WETLANDS
y 0 FRAMING ❑ MECHANICAL FINAL
Z ❑ INSULATION ❑ T�EE REMOVAL
❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROdRESS
� ❑ FINAL ❑ SEWER HOOK-UP O COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT.
OLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL HARD COVER REMOVAL
J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMEPlTS: �o ��4�-o{�- „���„ �c�,�,eQ -
a *OLD PERMIT - NO FINAL INSPECTION REQUESTEL
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� ❑WORKSATISFACTORY:PAOCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
o ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING
PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION�SSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.'�-��,�. ��
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