HomeMy WebLinkAbout2011-00682 - roofing 4 �.�
CITY OF ORONO PERMIT NO.: 2011-oo6s2
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/20/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 4448 NORTH SHORE DR
PIN : 07-117-23-31-0013
LEGAL DESC : BERGQUISTS 2ND ADDN TO SAGA HI
: LOT 007 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 16,609.00
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 Tf�PROPERTY DURING THE TIME Tf�ROOF IS BEING DONE.
ONCE WORK IS COMYLETED TI�SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 295.00
COTY CONSTRUCTION INC. STATE SURCHARGE(VALUATIOl� 8.30
5716 GLEN AVE TOTAL 303.30
NIINNETONKA,MN 55345
(612)933-3536 PAID WITH CC# 3950
Minnesota State License#:20431519
OWNER
SENN,MiTRIEL
4448 NORTH SHORE DR
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
1'he 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 gant permission for additional or related work which requires sepazate
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 authotized 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.
1'he applicant is responsible for asswing all required inspections are
requested� conformance with the State Building Code.This pertnit may be
r ed t any time for due use.
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Ap icant Permitee Signature ate Issu y Signature Date
SEPARATE PERNIITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE.
T�+esda;+,.luly 19,2011 4:09 PM Coty Construction 952-934-0099 p.02
Gity of Clrono
Building PQrmit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
/��O;�Y� Malling Address: Parmlt number. �dl l�D�P $
O,� ,�� PO Box 86
� C r y s m l 8ay.M N 5 5 3 2 3-fl 0 6 a o�r e c e�v�a: 7/,�-D //
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2750 Kelley Parkway Plan reviaw fee:
��� �4,� Orona,MN 58366 aT
`�_�. _:! 7otal Fee: 3(��, �C.J
Main: 96Z-249��iUU Fax: 962-249-4616 www.ci,orvno.rnn.uq
This application form must be completed in full and all r�quired intormaGon must be s bmtttod,
Incomplete appllcativns will 6e ret�rned. (Pl��print)
GENERAL INFORMATION:
Job Site Address: 4448 N.shore D�ive
Will this be a Pa�ade of Homos, Remodelsrs Showrcase Home or other Diyplay Home? ❑Yo� � Nd
I!yes,a speciel svont peni�lt Is requ,red w1U�P�ce Dapartmont anr/Cily Cau�►u7 npprcvel6D dr�ys prinr ta fhe oucnf ShutU�l DUS so�vfce wiU 1�
requir$d un/ea�eppUcanf demuneVritrs suflicieiU wl•slfe pa�lcfng�s aVallAble. No�permlffed events uJiU not be aUlowed.
CON7RACTOR 1 APPLICANT INF�RMA710N:
Name: Coty Construction and Re'modeDhg
State Licens�# BC-20431519 Expiraiion Oate: p�131/201Z
f�tlone: (992)934-7800 (offioe (612 599-8387 ceIIL
M�iling Address; �/�d��Qn Ay� CI . Minnetonka zlp; a�sa�
Contact Person: Pa Co _ Applicent Is:�Contractor / HomQowner (Clrcla 4ne)
Email drydlo�I'ax; er, tna.cotvconstruclion.com �9 26 1934-0099
pROPERTY OWNER INFORMATlON:
Name: Murlel Senn .
Phone(d�y): �952 d) 72�{486 .— Ci�,• Orono ZIP: 55364
AddrAss: 4448 N Shvre Drive
Email and/or Fax —
PROJECT INFORMA710N: ,
Type of ProJect' My eerth movement may requlre
' twCWD�evlow&Permil�
❑Dooris) �Remodc� �Water Damaga
Mlnnehaha Crook Walershod DislriCt(MCWDj
❑Winduw(s) Q(tepait ❑5torrn Damage 18202 Mfnnetanka Blvd
Deaphavrn,MN �91
❑Sidin� �Rsstorripon []Olhar.(speCify) Phone: U52-471-0680
F�x: 8�2�471-0682
�Re-roof []Fire Oamago w,ww.minnAhahacreek,o�4
Oderall P�ojoct De�cription: —
Estimatod Construction Valuation of P�oject(excludiog land) $16,609.00 , _
APPLICANT ACKNOWLEDGEMENT:
. Agrees to provlde all 1nPormaUan requirod or requested by the Butlding Qepartmanl;
. Ce�tlfl@e that tfle Iniomuation SUppllod Is ttua and crnrecl to th�best of hi�lhor knowlodg�. Ths appllcant recnenlzes Ihat thQy
ars solely responsible for submf�ing a comp�e�e appll�lion be�ri�awere that upon tatlure�o do so,the st�ft has no�Itemative
but to rojod i�untll it is complet�;
• SOf08 0�ell O(1h0 infGm18li0(1 117ai you 8fC SsKed to provida on tttis 8ppliceliort ia claeaiPfad by�tate law�s eithet pflv�le o�
confldenHel. Private dat�► f�Informatlon whioltg�re0y cannol b Iven to the puhll� but can be glven to lhe suhjoct of lhe
da[2. ContiClentlal date Is informatJon whtbh goners y cannot givon ta efther tho p��blic or the subject of the �alo. Our
purpasa and inldndad use o1 U11s frdfo'RnaUan ie to uall ate aur rocorde end recottis of other flovemrnentFil ctc�encres
ro uired by law. !f You refuse to S�pply the Infor lication ma not be tssuad.
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Appllcant's 5lgnature: _ uote: o7H912o11 _
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DATE TIME V
CIYY OF ORONO CALLED IN
INSPECTiON NO IC SCNEDULED !����� �
PERMfT NO. �� � � COMPLETED
/1DDRESS
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OWNER LEPHONE NO.
CONTRACTOR
'' DESCRIPTION � �
l�y ❑ FOOTiNG ❑ PLUMBING FINA ❑ EXCAV/GRADING/FIWNG
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ ijfCDON SLAB ❑ WATER HOOK-UP ❑ PR0C3RESS
���`FINAL O SEWER HOOK-UP ❑ COMPUUNT
❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP
_ ❑ DEMO-FlNAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOU(�bATION/REMOVAL
2 OWNERICO MEET YOU:_YES_NO
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❑CORRECT UNSAFE COIdDIT10N WRHIN HOUR3. ❑pHOTO TAKEN
INSPECTOR VYFLL RETISRN
❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANG£ACCESS.
Call forthe next inspectBon 24 hours in advance. (952) 2 ��
OwnerlContractor on site:
Inspe�tor.
White Copyflnspector's Flle anary CopylSRe Notica
DATE TIME �/
CITY OF ORONO CALLED IN
INSPECTION OTIC (_G CHEDULED �
PERMIT NO. v � � C�v a�OMPLETED /�" _�—► (
ADDRESS ��-�C �� f`I�(� �t�r) �L .(Z�,
OWNER TELEPHONE NO.
CONTRACTOR �C�`i�� t�� S��✓�, `��C)�
>; DESCRIPTION 1\U �� ~ -^ � '1 �
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL � SEWER HOOK-UP ❑ COMPLAINT
J ❑ 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
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR W4LL 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
OwnerlContractor on site:
Inspector. 1�1
White Copylinspector's File Canary Copy/Site Notice