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HomeMy WebLinkAbout2011-01376 - re-roof CITY OF ORONO PERMIT NO.: 2011-01376 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 11/02t2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 150 NORTH SHORE DR W PIN : 06-117-23-22-0023 LEGAL DESC : CHADWICK : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,000.00 NOTE: VALUATION OF PERMIT:$7000.00 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 147.50 BALANCING ROCK DESIGN STATE SURCHARGE(VALUATION) 3.50 13977 FIRELIGHT CT APPLE VALLEY,MN 55124- MISC FEE 0.00 (952)484-6561 TOTAL 151.00 Minnesota State License#:20543820 PAID WITH CC# 7086 OWNER DZUBAY,STEVEN&JULIE 150 NORTH SHORE DR W MAPLE PLAIN,MN 55359- 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 da s time after work has commenced The app onsible r assuring all r ired inspections are re din conform a ith the State Buildin Code.This permit may be oked at e e. f l i f C� l a 2j- Applicant ermit i tore Date Is u By Signature Date SEPARATE 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: Qv 0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Plan review fee: t9kZS1404� 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. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: /_50 /(� � sgok hgg"f- A_5, -T— 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 service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/IPLICANT INFORMATION: Name: State License# �5����� Expiration Date: 3 (3 Lead Certification Number: / 7 l©7 S� -� Expiration Date: 16 (for work on homes that were constructed prior to 1978 Phone: 52 - _ (office) (cell) Mailing Address: -7 7 - f L _ Or City: AJ.2c /ZIP: S J Contact Person: I�U'f u JE;L Applicant is: Contractor / Homeowner (circle one) Email and/or Fax: 0 eom PROPERTY OWNER INFORMATIO_�L_ Name: �y� �.�(StLl �zECkZ,RV Phone (day): Addres s: jS C7 ytJp}Zj-f{ E}©1 �fJ� (��S—f— City: ZIP: 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 ❑Water Damage Deephaven, MN 55391 ❑ eci Phone: 952-471-0590 Re-roof, others (specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Overall Project Description: f,i 0 V c Lk AC k 0 f Sum Estimated Construction Valuation of Project (excluding land) $ C)pp,©c) 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 thi ormatiorl, s to annually our ords and records of other governmental agencies required bylaw. If majiDFethe plication may of be issued. Applicant's Signature: Date: 2- Last Updated: 08-09-2011 V CITY OF ORONO CALLED IN E TIME'I INSPECTIOK N TI E SCHEDULED PERMIT NO COMPLETED ADDRESS OWNER TELEPHON CONTRACTOR DESCRIPTION UW ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAWGRADING/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 ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO COMMENTS: CC W Q. cc O O a cc O W W CC Q ti Z W Z W cc UORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RRECT WORK&PROCEED L-1ISSUECERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN 1-1 El 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: Inspector. A. A, —/,—/ C White Copy/Inspector's File Canary Copy/Site Notice / CITY OF ORONO CALLEDIN DATE TIME INSPECTION NOTICE SCHEDULED PERMIT NO.,9O1 - 61 324 COMPLETED ADDRESS b moo,e- 0 r• OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/G ING/FILLING e ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION e ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS v FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT x ❑ DEMO-SITE ❑ SEPTIC MAINT FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FCUNDA710N/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_.YES_NO COMMENTS- Abw;¢ rr 4a aL-, c- 0 �flo r-eirt i",e s o � 1?a �ccr;.- a f� t�SB�G�tsn, facJolr� 0 W Q r�d�K a� rS eO YAAll¢t-e W - �/iK s� 'fi c✓h�4f/ O UJI ❑WORK SATISFACTORY PROCEEDac J480JECTCOMPLETE W ❑CORRECT WORK S PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECTWORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PERMANENT INSPECTOR WILL RETURN ❑PHOTO TAKEN ❑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 OwneNContractor on site. Inspector.a L White Copylinspector's File Canary Copy/Site Notice