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HomeMy WebLinkAbout2011-01160 - roofing CITY OF ORONO PERMIT NO.: 2011-01160 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/30/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 4695 NORTH SHORE DR PIN 07-117-23-32-0059 LEGAL DESC TRISTANA COVE LOT 002 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,700.00 NOTE: VALUATION OF PERMIT:$8700.00 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. APPLICANT PERMIT FEE SCHEDULE 177.00 TIMBERLINE EXTERIORS,INC. STATE SURCHARGE(VALUATION) 4.35 7026 E FISH LAKE ROAD MAPLE GROVE,MN 55311- MISC FEE 0.00 (651)329-6916 TOTAL 181.35 Minnesota State License#:20633887 OWNER WARD, STEPHEN&JOANNE 4695 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 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 assuri g all required inspections are requested in confo ce ith the to Building Code.This permit may be revoked atadv i for a ca 6> Appli P e6Sign%ZPARATE ate Iss d By Signature Date PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: PO Box 66 / Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: Kelley 2750 Y Parkwa Y Plan review fee: � gkESH�4 Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: /�� This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: ' Job Site Address: Will this be a Parade of Homes, Remodelers Sfiowcase Home or other Display Home? ❑ Yes ZNo If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle buss ice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: . Name: _T Yd " State License# ��j4, X3216_1 Expiration Date: Lead Certification Number: AM j 41q,, '76 - I Expiration Date: 5/'a!5 h S (for work on homes that were constructed prior to 1978 Phone: - 6 --&qdZ (.office) (cell) Mailing Address: City: 6 -�-e Ve ZIP: _t;. Contact Person: c e .A,', L Applicant is: ohtrafor / Homeowner (Circle One) Email and/or Fax: I&3 -ni IL- - 706C) PROPERTY OWNER INFORMATION: Name: Phone (day): `• (o'71z� Address: ,i�j `( ZV,2Y- - City: )`U�(� ZIP: 53�� 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 Restoration El Water 95 Water Damage DeephavMN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Overall Project Description: ,*—v o D Estimated Construction Valuation of P ojec xcluding 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 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 data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information 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,up ate our records and records of other governmental agencies required b law. If you refuse to supply the i orm " n,the , ication may not be issued. Applicant's Signature: 'u Date: P�o //W Last Updated: 08-09-2011 �7 CITY OF ORONO CALLED IN DATE TIME INSPECTION NOTICE SCHEDULED PERMIT NO. ;ZO//- 45 COMPLETED ADDRESS r 2 O r, OWNER TELEPHONE NO. CONTRACTOR _ Win? G/ll" Fxt:eraors DESCRIPTION tU ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG e ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING � ❑ MECHANICAL FINAL El TREE REMOVAL Z ❑ INSULATION Cl WOOD BURNER/FIREPLACE ❑ SITE INSPECTION _ ❑ RADON SLAB ❑ WATER HOOK-UP 1:1 PROGRESS INAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. )@kFOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNIDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: .l�� dsxr•� � a. y11� his?_ /�15�e�ia.c fG�[L�S��� j O � - ,� no .1 o ff o .t re_C Faf � o r W Q kJc� 0* W W44 a WW ❑WORK SATISFACTORIF PROCEED PROJECT COMPLETE W O CORRECT WORK&PROCEED ❑1 E CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Lj BEFORE COVERING O CORRECT UNSAFE CONDITION WITHIN HOURS. PERMANENT INSPECTOR WILL RETURN ❑PHOTO TAKEN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next Inspwtbn 24 hours In advances. (952) 249-4600 OWnedContractor on site• Inspector. White Copy/Inepectoes File Canary Copy/SRe Notice TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 00�O COMPLETED ADDRESS P� IfleritAG OWNER __ T L E P H 0 N E NO. CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ PLUMBIN INAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q El FRAMING El MECHANICAL FINAL ❑ 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 PLUMBING RI ❑ SPT FINAL ElFOUNDATION/REMOVAL Q OWNER NTRACTOR TO MEET YOUES NO o COMMENTS: cc W o Ci, , SA 6 0 W Q z w z LU GW ❑WORK SATISFACTORY:PROCEED O<PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. —_ PHOTOTAKEN 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. White Copy/inspector's File Canary Copy/Site Notice