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HomeMy WebLinkAbout2011-00562 - roofing CITY OF ORONO PERMIT NO.: 2011-00562 2750 KELLEY PARKWAY X < < ORONO,MN 55356- DATE ISSUED: 06/30/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 4119 OAK ST PIN 06-117-23-41-0110 . LEGAL DESC LINDEN WOODS LOT 003 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 7,000.00 NOTE: TEAR OFF REROOF-ASPHALT APPLICANT PERMIT FEE SCHEDULE 147.50 HAMANN CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 3.50 10935 178TH AVENUE ELK RIVER,MN 55330 TOTAL 151.00 (763)441-3056 PAID WITH CC# 9536 Minnesota State License#:20091775 OWNER HUDDY,MICHEAL&PAULA 4119 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 suspend for a period of 180 days at any time after work has commenced. The plic t is responsible for assuring all required inspections are req ested' confo ce with the State Building Code.This permit may be re o ed any ' e or due cause. pplican ermitee Signature Date ssu d Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono r . Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) p Mailing Address: Permit number: CR O/L—�.J�O 04.,0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: lP� 14 a� �. Street Address: Received by: 1� " Gtiti 2750 Kelley Parkway Plan review fee: � ESHOg� Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us I 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 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/APPLICANT INFORMATION: Name: nA 41 � ,z,< 7- State License# aflD 9 1 7 7 5- Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: /�,-�(2 4?03 (office) (cell) Mailing Address: p ©g 7 fou; j City: ZY-k RlowC ZIP:S� 3'.3 6 Contact Person: u, .�, �.� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: ' / / Name: /1/1 / �ce, TT (-ted k Phone (day): 3e)`/ - 3 5-3 q Address: �rS �f� S City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ElDoor(s) ❑ MCWD review&permits:Remodel Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 e-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.org Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ ,dDa ` 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 inform . n which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this i ormation i to annually update our records and records of other governmental agencies required b law. If you refuse su I the.infdrmation, the application may not be issued. Applicant's Signature: Date: Last Updated: 03-01-2011 �L2 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT N0.a2o//-0� � COMPLETED �, ADDRESS OWNER Tn�.PHONE NO. CONTRACTOR DESCRIPTION / —� - Uj ❑ FOOTING El PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 J ElPLUMBING RI ❑ SEPTIC FINAL ElFOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: w J O a O W W CC Q ti Z LU z LU j O LU �yvtIORK SATISFACTORY:PROCEED I PROJECT COMPLETE W�/❑CORRECT WORK&PROCEED 5 ISSUE CERTIFICATE OF OCCUPANCY OO L1CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. JPHOTOTAKEN INSPECTOR WILL RETURN 11 STOP ORDER POSTED.CALL INSPECTOR 71 CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Co=t� Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 02 v!/' 00-5-6 COMPLETED ADDRESS OWNER TELEPHONE NO. CONTRACTOR 1�4rtQ�tri �6+�Sf• > DESCRIPTION -'r-0 d_F_ ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS AL ❑ SEWER HOOK-UP ❑ COMPLAINT Q DEMO-SITE L1 SEPTIC MAINT FOLLOW-UP _ ElDEMO-FINAL ElSEPTIC INSTALL ElHARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO Oo COMMENTS: cc _ a r `t rt5 e [1 Gid Z) Ci .1zf'44C eD C.aCr O W Q z J y Lij ❑WORK SATISFACTORY:PROCEED ,'IBOJECT COMPLETE cc W ❑CORRECT WORK&PROCEED a ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El 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/Con ctor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice