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HomeMy WebLinkAbout2011-01453 - roof,new door,new window CITY OF ORONO PERMIT NO.: 2011-01453 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 11/21/2011 (952)249-4600 FAX: (952) 249-4616 ADDRESS : 4040 NORTH SHORE DR PIN : 07-117-23-44-0092 LEGAL DESC : N/A : LOT MB BLOCK MB PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 6,000.00 NOTE: VALUATION OF PERMIT:$6,000.00 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. ROOF, N Ew DCO , New w r-l06 vv APPLICANT PERMIT FEE SCHEDULE 132.75 GRUSS,CONNIE STATE SURCHARGE(VALUATION) 3.00 4040 NORTH SHORE DR TOTAL 135.75 MOUND,MN 55364- OWNER GRUSS,CONNIE 4040 NORTH SHORE 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. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and bec. :null and void if construction authorized is not commence• withi 180 days of the date of issuance,or if construction is sus.end:. for a -riod of 180 days at any time after work has commenced. Th ap.licant i•responsible for suring all required inspections are req ..ted in•.nformance wi e tate Building Code.This permit may be rev.. •. any tim- or due duce c /)dam d / .J�Yi . /(1-! /�/�� Appli ant Permitee ignature ' Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Oron© ��� , Building Permit Application for Maintenance / Renovation 10(400 c (windows, doors, siding, re-roof, etc.) �= Mailing Address. Permit number: 0 0 CO Box 66 Crystal Bay, MN 55323-0066 i Date received: 0 v b y rC. s, Street Address: Received by: •S4,L 1�„ _roti 2750 Kelley Parkway Plan review fee: "1kOrono, MN 55356 Total Fee: 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 applications will be returned. (Please print) GENERAL INFORMATION: 4O'O �d�n L ��E ,tne.l U� Job Site Address: ` � tL/ 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 Police Department and City Council approval 60 days prior to the event. Shuttle bus serve e will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ( c----- State License# < Expiration Date: Lead Certification Number: --- Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER Iyy.W�ORMATION: Name: LSO 03 10 ( )((/U S Phone (day): ' It. . I •mr- Address: y� h. O -� 1�� City: �� ZIP: ..II Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require Door(s) ❑ Remodel ❑ Fire Damage MCWD review& permits: Minnehaha Creek Watershed District(MCWD) Re roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar E Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re roof, other(specify) Phone: 952-471-0590 ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 I Window(s) www.minnehahacreek.orq Overall Project Description: R i Ntt,V rx0Yc i N it t,-) (,L.9 G1431tZtx-0 t Estimated Construction Valuation of Project(excluding land) $ (p b(f)0� 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 dat Is inf rmation which generally cannot be given to the public but can be given to the subject of the data. Confidential data is i r ation which generally cannot be given to either the public or the subject of the data. Our purpose and intended se f thi g informatio is to annually update our records and records of other governmental agencies required by law. If you ref ise t suppl the '`f fr,rmation, the application may not be issued. Applicant's Signature: Date: a ) NO Cl Last Updated: 08-09-2011 / P V CITY OF ORONO , CALLED IN /_/ TIME INSPECTION NOTICEhSCHEDULED 2/of /5 PERMIT NO. (9V I1 OIL/SS Cr - COMPLETED EOp ADDRESS/�y /7 O y C) /V Oi -h �1( e [ � OWNER 1, t e Cor.cc TELEPHONE NO. "7&3----2c23 CONTRACTOR S° (6. 3: DESCRIPTION ., c L Lj LI FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • Li INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION • ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES y NO o COMMENTS: CC W Q. CCO CC O LU CC W W CC LUORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER 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: r , 133 Inspector. White Copyllnspector's File Canary Copy/Site Notice rI'T'/ TIME CITY OF ORONO CALLED IN /A INSPECTION NOTICE ,1 SCHEDULED LO PERMIT NO. 2OGI-O`T5 COMPLETE* ADDR r A.%L . A OWNER a I ! f ltS5 TELEPHONE N07, - - CONTRACTOR DESCRIPTION • 0 FOOTING PLNG FINAL 1=1EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ME ANICAL RI ❑ LAKESHORE/WETLANDS H ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO cl• COMMENTS: cc Q. cc cc O W W Q 12 W W CC 0 4.1 0 WORK SATISFACTORY:PROCEED 4510J ECT COMPLETE CC W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. ( ,L White Copyllnspector's File Canary Copy/Site Notice