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HomeMy WebLinkAbout2011-00628 - roofing h CITY OF ORONO PERMIT NO.: 2011-00628 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 4085 OAK ST PIN : 06-117-23-41-0103 LEGAL DESC MINNETONKA SUMMIT PARK LOT 000 BLOCK 007 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,200.00 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 177.00 TIMBERLINE EXTERIORS,INC. STATE SURCHARGE(VALUATION) 4.10 7026 E FISH LAKE ROAD MAPLE GROVE,MN 55311- MISC FEE 0.00 (651)329-6916 TOTAL 181.10 Minnesota State License#:20633887 OWNER ARGABRIGHT,TIMOTHY&BARBARA 4085 OAK ST LONG LAKE,MN 55356 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 assuring all required inspections are requested in conformanc with the State Building Code.This permit may be revo=ate .due c l /moi Ap ' P itee Sig re Date Issued By 09nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 04.,0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: lwaa Street Address: Received by: *� " Gtiti 2750 Kelley Parkway Plan review fee: sxo�`� 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. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: Will this be a Parade of Homes,'Rlemodelers Showcase Home or other Displa orae? ❑ Yes LZ No ff yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se ice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: G/-S State License# 33�;--1?-7 Expiration Date: 313i Lead Certification Number: AlAj- - y ,376._ � Expiration Date: (for work on homes that were constructed prior to 1978 Phone: 3— Fff4l.2, (office) (cell) Mailing Address: E T; ( City: Contact Person: Applicant is: ontract / omeowner (Circle One) Email and/ F PROPERTY OWNER INFORMATION: Name: Phone (day): - Address: -1/0 City: a6h Z01�ZIP: 5�0 Email and/or Fax 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 ;Z*Storm Damage 18202 Minnetonka Blvd /Restoration (specify) Deephaven, MN 55391 ❑ Siding ❑ Other: Phone: 952-471-0590 Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orp Overall Project Description: ' . �- ✓ GD L Estimated Construction Valuation of Vr6jecxcluding 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 inform ion is to annually date our records and records of other governmental agencies required by law. If you refuse to supply t e infqrmation, 60pplication may not be issued. Applicant's Signature: AX/- 4X44 Date: Last Updated: 03-01-2011 1r7� Iz1--7 1__J F) 5 /�� v E TIME CITY OF 6RONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. _iz COMPLETED ADDRESS OWNER — TELEPHO O _9�5/ 135-3�� y CONTRACTOR 7_/Ilt �t 'A,,A— DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ElEXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKES HORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL Q El 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC W 0. o - 'c A tic{ zsle e c(e LLLU CC Q 1 z W z W 0 LUWORK SATISFACTORY:PROCEED 11 PROJECT COMPLETE W W 11CORRECT WORK R PROCEED CISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN I STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C ❑ 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 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO./22011-00(0, i? COMPLETED ADDRESS O C/ OWNER �� TELEP N NO. CONTRACTOR >`. DESCRIPTION _ ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADINWILLING 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 ❑ FOUNDATIONIREMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: o� a j 0 cc 0 W Q W Z W cc 4j ❑WORK SATISFACTORY:PROCEED 4140JECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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 on site Inspector. White CopyMspector's File Canary Copy/Site Notice