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HomeMy WebLinkAbout2011-00835 - roofing f , ., CITY OF ORONO PERMIT NO.: 2011-00835 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/10/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3450 NORTH SHORE DR PIN : 08-117-23-43-0021 LEGAL DESC : LYDIARDS PARK LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 12,341.00 NOTE: VALUATION OF PERMIT:$12341.00 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 236.00 ZIP ZAP REMODELING&RESTORATION STATE SURCHARGE(VALUATION) 6.17 844 140TH LANE NW TOTAL 242.17 ANDOVER,MN 55304- (763)23&1632 PAID WITH CC# 4241 Minnesota State License#:20638815 OWNER ODDEN,WILLIAM 3450 NORTH SHORE DR WAYZATA,MN 55391 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 permiu. 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 consVuction is suspend r a per' d f 18 days at any time after work has commenced. The a lic t is re p ibl or assuring all required inspections aze req sted in conf ce ith the State Building Code.This permit may be rev ked at y ' e or d e cause. � � t6 � � 1 / / Applic t P t S re Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � • ` City of Orono Buiiding Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: ��,�,j��.� PO Box 66 Permit number. �U61� �a � c\ 0 'I Crystal Bay, MN 55323-0066 Date received: lC� u, a � 9„ �, Street Address: Received by: �, '�`� �.�, � � G� 2750 Kelley Parkway Plan review fee: �`�xEsxoi''� Orono, MN 55356 _� ----' Total Fee: `�� c�a. ! � 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. Incomptete applications will be returned. (Please print) GENERAL INFORMATION: � ' IS.-� N ' S�'1 0 �� �� Job Site Address: � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,a special event permit is required with Polrce Department and City Council approval 60 days prior to the event. Shuttle bus servic will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will rrot be allowed. CONTRACTOR/APPLICANT INFORMATIO Name: � P �G►ytadi I�n Iecs�-a fa� �c�t L7.•G State License# ��,`� g g t �" Expiration Date: S Za i Z Lead Certification Number: � � � Expiration Date: (for work on homes that were corestructed prior to 1978 Phone: ��3 Z 3� �G�Z (office� (ceu) Mailing Address: t� �f a t�• G�' N I�•J CitY: �fQ � Z�P: �'S Contact Person: .� ,�,(L�f Applicant is: Homeowner �c�►�o�,e� Email and/or Fax: � l��.� g y i P��rs rK�clb�!K� • G o+� . PROPERTY OWNER INFORMATION: Name: �1 1 od�I�� . , Phone(day): Gj,Sp1 L17) ?� 7 7 Address: Sq.�s a J c�.��� City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ oor(s) ❑Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) Re-roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof,other(speciry) ❑Siding ❑ �ther: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: �o�,r 6 ,�. ,� Jc�G ` ov G+�+ � Estimated Construction Valuation of Project(excluding land) $ �Z �,1{ r APPLtCANT 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 app�ication 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 informati ich enerally cannot be given to either the public or the subject of the data. Our purpose and intended use of thi nfor tio is o annually update our records and records of other governmental agenaes re uired b law. If ou refuse t su I e' he a lication ma not be issued. ApplicanYs Signature: Date: ��I� � Last Updated: 08-09-2011 c�' DATE TIME v CITY OF ORONO CALLED IN l� C' INSPECTION NOTICE ,� �sCHEDULED PERMIT NO. �G�!—O� ��cOMPLETE ADDRESS ��5d /V�l'� ��U�C-- OWNER TELE ONE NO. ��� � CONTRACTOR � � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL F�NAL Q ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO u�i COMMENTS: � W a o -� -5 r� �-�- i o.• 3d ,�N-, � � 0 � W � Q � z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIO►V REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice / ���� DATE TIME CITY OF ORONO CALLED IN / INSPECTION NOTICEb��� SCHEDULED PERMIT NO. �d!!�C � COMPLEfED - " ADDRESS ��f S O .�(/ s,(o r-c �6�� ,� OWNER TELEPHONE NO. CONTRACTOR _Z � �n �i!wtis-���t � i DESCRIPTION �e— �`�'� / � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG � O POURED WALL O MECHANICAL RI ❑ LAKESHORFJWETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOpD BURNER/FIFEPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP � PROCaRESS ��F1RAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNIDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YpU:_YES_NO h COMMENTS: a !�� ,�r�+�trt �- /�D �iKq� /s�ISBeL•�tert r��l�QS� � J 0 � �?D ta��— d�F{ ��s,o�e� rc�����2 0 � W Q (�o�K �,0,1.�c�� l'owt ��� � � W � � � �WORK SATISFACTORY:PROCEED �pOJECT COMPLETE w ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE Cdl/ERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� Owne tractor on site: � , � t Inspector. �`� White Copyllnspector's Ffle Canary CopylSite Notice