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HomeMy WebLinkAbout2011-00779 - roofing CITY OF ORONO PERMIT NO.: 2011-00779 2750 KELLEY PARKWAY F ' � ORONO, MN 55356- DATE ISSUED: 08/02/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4460 NORTH SHORE DR PIN : 07-117-23-31-0039 LEGAL DESC : BERGQUISTS 2ND ADDN TO SAGA HI : LOT 000 BLOCK 000 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,200.00 NOTE: ROOFING PERMITS ISSUED WI'I'HOUT 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 132.75 TERRANCE E[D CONSTRUCTION, INC. STATE SURCHARGE(VALUATION) 2.60 3977 GOLFVIEW DRIVE JORDAN,MN 55352 MISC FEE 0.00 (952)492-2772 TOTAL 135.35 Minnesota State License#: 20514566 OWNER LOMA,JOSEPH& LISA 4460 NORTH SHORE DR MOUND, MN 55364 AGREEMENT AND SWORIv 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 separa[e permits. Ali provisions of laws and ordinances governing 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 applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permi[may be revoked at any�xne for due cause. ./ f; - r�. �,C .�._....-._----��-2 � / i � � A plicant P rmitee Signature Date Issued By S'g ature SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO E. City of Orono Building Permit Appiication for Internal Work � ' � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O�v�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: I.� �' ^�+'' �, Street Address: Received by: �:. �'�n ' ^°�� ���' 2750 Kelley Parkway Plan review fee: L�ESH04'� Orono, 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. fncomplete applications will be returned. (Please print) GENERAL INFORMATION: � Job Site Address: �- � � G' /L� , G�c..-u. . �v-� 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 Counci!approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking rs available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: � ,,. _ , , �. Name: T���r.�i.L, �. r � �„c,..�'l (s--�-yR,..,�t.�.,.����` �� n.r, State License# ,Z � .�r-�-1 �f��(� Expiration Date 3 � �/,� Lead Certification Number: Expiration Date: ' r' (for work on homes thaf were constructed prior fo 1978 Phone: (office) (cell) Maifing Address: �� 7 � ',� r' . �,�,,�. `') City: :4y. ,,,4 � ZIP: �5-� Contact Person: � � � �' Appficant is: Contrac�o7�1 Homeowner �c�r�ie o�e� Email and/or Fax: G� �-:�y�S- - ,�-/S G'+ ` � PROPERTY OWNER INFORMATION: Name: _ ;�.`,..-t ���.,v�.a..�t �.�c.-.-,�t,GA Phone (day): �, � Z - '�.,� � _ d�=7 ct Address: t�, � '^-r � l�;'�% � � ,,c�..h...::��.t���.-.P..l� {�../►..t�;,wi City: � �..y,�.,.- ZIP: �_�-j (� y Email and/or Fax �� ,�—� 1- y� �- - �,! ,��-Z,' PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD} ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restorafion ❑ Other: (specify) Deephaven, MN 55391 '�Re-roof Phone: 952-471-0590 ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: J ,� ,,,,,��, Estimated Construction Vafuation of Project (excluding land) $ -�"'�C C� APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the informafion suppfied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsibfe 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 ctassified by State law as either private or confidential. Private data is informafion which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generalfy 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 to su I the information,the a fication ma not be issued. ! Applicant's Signature: "'""���Z,,��,,.�,,,� �,:��� � Date: cS� ,f/ ,�" / f T� . � � LastUpdated: 03-01-2011 " �" DATE TIME � CITY OF ORONO CALLED IN � Z INSPECTION�T1�EDo 77 SCHEDULED !�:��/� —✓� PERMIT NO. 9 COMPLEfED ADDRESS `�"��� N��v( J�2.Ph� /4�L� OWNER TELEPHONE NO. 9�Z ��� ���� CONTRACTOR ��'�''� �� �� �; DESCRIPTION ( 'P� ��� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLAIdDS y ❑ FRAMING ❑ MECHANICAL FINAL p 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � aW. j O � ��� �� �� 1.� ��- o � W � Q � � W � � d W �WQRKSATISFACTORY:PRQCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,GALL FOR REINSPECTIOPI TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURPI ❑STOP ORDER POSTED.CALI IPISPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspection 24 hours in advancro. (952) 249-46�� OwnedContracto an'sit� � lnspector. / C1� 6 White Copylinspecto�'s File Canary Copy/SRe Notice d� DATE TIME \ / CITY OF ORONO caLLED IN �/ INSPECTION NOTICE SCHEDULED PERMPP NO. �brl'667�f CpMPLETED _�5`I , ADDRESS �d�� df!• 5 o r� tl r - OWNER TELEPHONE NO. CONTRACTOR Ter�e��e, f,� Ca,ti� � DESCRIPTION � —�ad'� � ❑ FOOTINO ❑ PLUMBING FINAL p EXCAV/GRADING/FIWNG Q � POURED WALL ❑ MECHANICAL RI ❑ LqKESHOREJWETLANp3 Q0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION �Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROdRESS �� ❑ SEWER HOOK-UP p COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MA1NT. �OLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER HEMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � 011bMER/CONTRACTOR TO MEET YOU:_YES_Np � COAAMENTS: a rs�� .a�,r � — .20 �:`re/ �ns� ��. � r��td��� , i . 0 � T-e4� -O f'�� $'3 ' 1/ kJ��� o __ w � Q Z - ��K �%2a•�� .rcDle L�� - � W j — 7't.1 i� d __ W� ❑WORK SATISFACTOFlIF PROCEED ���P��.E � ❑(:ORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION � TEMPORARY V BEFORE COVERINO ❑CORRECTUNSAFECONDITIONWITHIN HOURS. P�MANENT INSPECTOR NRLL RERJRN �PHOTO TAKEN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANCiE ACCESS. Cali for the next inspection 24 hours in edvance. (952) 249-4600 �wnerlContractor on site: Inspe�t�r. _ Ca i.-- � White CoPYAnapectoNa Flle Canary CoPY/8(te Notke