HomeMy WebLinkAbout2011-00680 - roofing CITY OF ORONO PERMIT NO.: 2011-00680
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/19/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 950 NORTH SHORE DR W
PIN : 07-117-23-22-0013
LEGAL DESC : ENGLUND 2ND ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 10,500.00
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 THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 206.50
SUPERIOR REMODELING STATE SURCHARGE(VALUATION) 5.25
1013 FAIRWAY DRIVE SE
NEW PRAGUE,MN 56071- TOTAL 211.75
(952)292-7267 PAID WITH CC# 1185
Minnesota State License#:20269710
OWNER
POLLOCK,KATHLEEN
950 NORTH SHORE DR W
MOUND,MN 55364-
AGREEMENT
5364AGREEMENT 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 assuring all required inspections are
eque�sted in c to State Building Code.This permit may be
e for due=
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Applicant Pe itee tore Date Issu y Signature Date
EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Citi► of Orono
BLAichng Permit Application for Internal Work
(whdaws, doors, sld% re-hoof, etc.)
Meifarp Address' Perrrel number a(7i
*0 4, PQ Brix 56
Crystal Pay MN$5323-0066 Date Fete*ed
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Sueft Ad�sa_
Recego ej tty
r 275X1 Kelley Parkway Plan ra-.iew fee
►� .y `� Orono UN 55356
5'
Tool Fee 7_
Main 952-24946W Fax. 952-24"616 wvrw.c orotto inn us
—._ fiii application fttrt'n must 3.k :r tUti ;)rt.t a!f•-y+jUr #6 trifoirnallon must be submAled
Incomplete applicadions wilt be returned. (P)ease print) ,
GENERAL INFORMA710N.-
Jab Site Addrasi: 1,50 NN�GW6 MY0 MWY1b"
VMthis be a Parade of"ease.Remodefen Showt:arse Home or other Dtacplay Home? r Yes No
Myll A C4i�R+R.sr4'�NRr'm1l MuJRC�i►'1A lID4Y i'#r'!Jr rtr;Nf AreU :dY .'.4runt d.t rtC�J!t �,l}A�rtlrr! r±iC Cycrin Sbtl +k pct. .'. 'F r:fJ
elt�Yred varrss i�ClkirK�irrnitarabJtes SuA'Klrnr on-a!tr y3r+w�}�ilriBitY! Alba-perA�'e,7 evrets w•w4 not Dr JACwrd
CONTRACTOR.,APPLICANT INFORMATION:
NamrGJA W I W ���odf l i✓1� I fir✓
State License # ZpZ , ' D Expiratran Dale '-5 112-6 13
Lead Cvl&ration Nuntl'.er Expiration Late.
OW WWk on htwrns iMac wars corns Csw darAw to "T#
Phone (office] f � ' 1..
5 Z -2 �1 -�`_ (ren)wi
MaAng Address n lfrxv fi 71R
Contact Person DELL q Chum _ AF.plicant is r•ntraety ) rtrrteawnef lc*vjo,orvl
Email andior Fax / IA C . 1 kb
PROPERTY OWNER INFORMATION., nn 1
Name K Q'� 1 Yo l I U W,
Phone (day) - LCU -7
Address. 5� 01�� ShyYe DYIV-b City Mn vi :-IFS
Errtag and/or fax
PROACT IWOtiMATICIft
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YCMD re mew i pariahs:
(j D-301W C 1 Rernocle. [D5�*Mater Dama3e MinfishaDta Creek INa tirtitod Dretnct(MLWD?
0 WWrdow(sl D Repan 0 Storm Damage 18202 Mwmetw*a Blva
Q aid&V D Reitorat,,-in D Omer. twtclfr; aesphaven.MN 56391
Ptuone 952.471,050
900-roa ❑F".a ownag" Fina. 952-471-066
www ftiviolgowrook r}re
Overall Projeci Uaocrriptlon:
BVI 5n
�olirneMl+td CorMst+ruction Vaivatiorr of Prt+jtct j+:xtluding tared) ;
APPLICANT ACKNOWLEDGEMENT:
Agr**s to prsivide aA Ir tr it try the Building 0epartment,
cerlil%es that tn9 Information supplied is tyre an,i correct to tine beat d tws►he+ kmWeage The appwcar4 recognzes that they
are solely resirronsib#e for suvmrttmp a carnptete application being aware that upon failure to do sa. the staff has no atternat►re
bul to rewt rt until tt Is c ompi*?e.
• Sonne or all of the Irrtorn-Qmon that you are asked to provide On th3 applKalrore r$ ctasSif+ed by Slate taw as either prwale of
cordidealLal. Pfivale calla is Worm0on*arch gen#ratty canna be given to the publ+t but can be 9wen to the subject of the
i
data. Confide,.'rai data is mfofine .,...,rt, getwallr cannel to gryen to edner tris public of the !swiett of the data Our
purpose anis -tu:t usd cf Rnr s t ;n •5 In annually upeat4 our retool and recoics of other ger err veru agonots
:__ r& it t:c.•. ( .„�i iePu a!4 ', •t t r ::rr.tho a pheation ma not be Issued
Applicant's S►gnatuf,� 'C�f �'� � _ gate 71)2-111
LAW.t11 ew '33-W m r
'7 D E TIME
CITY OF ORONO CALLED IN `
INSPECTIO OTIC SCHEDULED 'Z
PERMIT N D 0� COMPLETED
ADDRESS 66 lt)eym 4-511W-La ,-
OWNER TELEPHONE NO. 95'2- 291 7Z(o7
CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ 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
OWNERICONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS-
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❑WORK SATISFACTORY:PROCEED J<ROJECTCOMPLETE
Cc
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
tJ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor onn;;IJ17 Inspector.
White CopyMspector's File Canary Copy/She Notice