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HomeMy WebLinkAbout2011-01480 - roofing 4 CITY OF ORONO PERMIT NO.: 2011-01480 � ' - 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 1U2812011 952 249-4600 FAX: 952 249-4616 ADDRESS ; 4215 NORTH SHORE DR PIN : 07-117-23-43-0006 LEGAL DESC : ORCHARD BEACH : LOT 002 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,200.00 NOTE: VALUATION OF PERMIT:$6200.00 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 TI�PROPERTY DURING TI�TIME TI�ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 147.50 INCLINE EXTERIORS INC STATE SURCHARGE(VALUATION) 3.10 26175 BIRCH BLUFF RD SHOREWOOD,MN 55331 TOTAL 150.60 (612)471-9065 Minnesota State License#:20168831 OWNER WALDOCH,DOUGLAS 4215 NORTH SHORE DR MOLJND,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. T'his 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 constrvction is suspended for a period of 180 days at any time after work has commenced. The applic is responsible for assuring all required inspections aze reyuested' conformance with the StaYe Building Code.This permit may be revo ed t y ' e for due cause. i i //i 8i /� Ap ic Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , City of Orono ' Buiiding Permit Appfication for Maintenance / Renovafion (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: !�- C�/ ��v 0,� PO Box 66 Crystal Bay, MN 55323-0066 Date received: �/ Z � �� v� ��y � �a �' s, � Streef Address: Received by: ��,nt9 . �?�,„'��G� r 2750 Kelley Parkway Plan review fee: fr��� Orono, MN 55356 kEsxo�`'� Total Fee: �5 d. �p� 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: � / `1.. Job Site Address: �� � � _�/^ ,(-� ;� I� (^ i �'�`VI �C � ! S I„o�-( Will this be a Parade of Homes, Remodelers Showcase Home or other Display H me? Yes ❑ No If yes,a special event permit rs required with Police Department and City Counci!approva/60 days p�r to the event. Shuttle bus service wil/be required unless applicant demonstrates suffrcienf on-site parking rs available. Non-permitted evenfs will not be allowed. CONTRACTOR/APPLICANT INFORMATION: e Name: "; � � �.-,,� /�, _�. G�1��i-t r.a:>,-i r z r` State License# ��,��„r:;�;��.� Expiration Date: ,�_�� _// Lead Certification Number: Expiration Date: (for work on homes that were construcfed prior to 1978 Phone: �%(�-` �-�� ���,s- (office) (cell) � Mai(ing Address: G C.���� Gj;�� 4 ,s'�vd-� � City: ��,., w ,,�j ZIP: ; f J�� Contact Person: � �� Applicant is: �tor / Homeowner (Circle One) Email and/or Fax: `� PROPERTY OWNER INFORMATION: Name: '��,� �,�a � Ic.:�. l �� u��� Phone (day): ,,� Address: City: (���-�,�,�� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review&permits: ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) � Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq � Overall Project Description: �^ ,- . � �c� Estimated Construction Valuation of Project(excluding land) $ ���-��� 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 appficafion 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 appfication 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 subjecf of the data. Confidential data is informafion 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 re uired b law. If ou refuse t I the information,the a lication ma not be issued. ApplicanYs Signature: Date: ��— 2 � — l � Last Updated: 08-09-2011 DATE TIME v CITY OF ORONO ALLED IN INSPECTION NOTICE SCHEDULED < __(: ✓� PERMIT NO. �C�// � COMP TED � ADDRESS Z1.5 �� �" � OWNER � LEP ONE NO. ��� '�7/'�'Q(2S CONTRACTOR �.J �: DESCRIPTION �-'t—��L- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � � � �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W CORRECT WORK R PROCEED r ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on site: Inspector. � Y �f� White Copyllnspector's File Canary CopylSite Notice 3� DATE TI CITY OF ORONO CALLED IN INSPECTION Id0'TICE /�� SCHEDULED PERMIT NO.o'ZG7��D/7S�O COMPLETED ��_'_/�O ADDRESS ���5 N. S.(a�� t�i' , � ��N� TELEPHONE NO. CONTRACTOR _.___��G��I i ��c✓'�a+�,� � DESCRIPTION �e—��� � ❑ FOOTINd ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG ct I] POURED WALL ❑ MECHANICAL RI ❑ LqKESHOREJWETLANp3 Q0 FRAMING ❑ MECHANICAL FINAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK•UP ❑ PRppRESS �G�'- ❑ SEWER HOOK-UP � Cppqp�� J ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP w � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAqD COVER REMOVAL r ❑ PLUMBINQ RI ❑ SEPTIC FINAL `� ❑ FOUIJDATIOWREMOVAL � OWNERICONITRACTOR TO MEET YOU:_.YES_NO � Co��EN�$: a saJ.� d�f " /il� �!?E� I?S�etL�ia.[ f�9Ptd�►� j O , _ O �[z_rece�� �'f �eQi-o� i�S���'�.�, �13a��� � W . Q L )Or Il m�DP��S r�..is�l L� — �' ` Z W — �``�`� , � j o ' W� ❑WORK SATISFACTOR1p PROCEED �'PROJECT COMPLETE � ❑WRRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTfON TEMPORARY V BEFORE C�/ERINO PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WFLL RETURN 0 STOP ORDER P03TED.CALI IN3PECTOR �CITATION ISSUED ❑IN3PEGTION REQUIRED.CALL TO ARRANOE ACCESS. Call for the next inspection 24 hours in edvance. (g52) 249-4600 Owner/CorMracto on site: Inspector. ,/•f �' White Copylinapector's Flte Canary CopyfSlte NoUce