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HomeMy WebLinkAbout2011-01199 - roofing r � `` CITY OF ORONO PERMIT NO.: 2011-01199 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/05/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1365 PARK DR PIN : 07-117-23-41-0080 LEGAL DESC : SIDWELL ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 13,357.00 NOTE: VALUATION OF PERMIT:$ 13357.00 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 250.75 EXTERIOR SOLUTIONS MN STATE SURCHARGE(VALUATION) 6.68 16641 JACARANDA WAY TOTAL 257.43 LAKEVILLE,MN 55044 (888)582-4450 Minnesota State License#:20639419 OWNER YOUNG,JOHN&TERRY 1365 PARK 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 sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if conswction 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 conformance with the State Building Code.This permit may be revok at y time for due ca e. � ��/ � / �� Applic t Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. .,� � � ��� �� r �; € ■ . . . � ����{ z* � �� � � C ity of O ro n o Y,� Building Permit Application for Maintenance / Renovation � rr ��#`: (windows, doors, siding, re-roof, etc.) � Mailing Address: �' �,�,� PO Box 66 Permit number: �ll—O/l� v� � � � � Crystal Bay, MN 55323-0066 Date received: �� / � a �� �_;�; �, � StreetAddress: � Received by: � �',�c,t � ��'� Gti� 2750 Kelley Parkway Plan review fee: � �` � i Orono, MN 55356 �'kESH�4 —� Total Fee: �5 /� � 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. �� a;= Incomplete applications will be returned. (Please print) __:� , ;� GENERAL INFORMATION• � �,� ��'� Job Site Address: Ct,�r' (\ � � �f: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o '�; 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 wil!not be allowed. ''�- � CONTRACTOR/APPLICANT INFORMATI . �� Name: �_ `�� �� � State License # � c �� � �` Expiration Date: _�; Lead Certification Number. Expiration Date: � (for work on homes that were construcfed i to �78 '�' ��. �� °�� Phone: i � �%( a � ti (office) , (cell) � ��; Mailing Address: City: _ �,\ QIP: ; � Contact Person: Applicant i : Contractor / Homeowner �c��oie o�e� � � Email and/or Fax: � :�" PROPERTY OWNER INFORMATIQN: t _� Name: � . � �:�. Phone (day): ` '��" Address �,`j ~�j % City: U��C� ZIP: s � � Email and/or Fax �� PROJECT INFORMATION: � Type of Project: Any earth movement may require ��� MCWD review&permits: � ❑ Door(s) ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) �' � -roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd - ❑ Re-roof,cedar ❑ Restoration Deephaven, MN 55391 `' ❑Water Damage � Phone: 952-471-0590 � ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 � ❑Window(s) www.minnehahacreek.orq rr� >�: Overall Project Description: 4� Estimated Construction Valuation of Project(excluding 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 update our records and records of other governmental agencies � re uired b law. If ou r fuse o su I the informati n,the a 'cati ma not be issued. ; �'-. ApplicanYs Signature: �� Date: /� �>�/ � � Last Updated: 08-09-2011 ;�, ..; 1_ __... ._ __ .. .. . . .. . yA� DATE TIME v CITY OF ORONO CAL�ED IN INSPECTION NOTICE SCHEDULED PERMITNO. �oI/-6114`� COMPLETED ��P-� ADDRESS /3�S' �4r k t�r.. OWNER TELEP�FIONE NO. CONTRACTOR �r�c.-' So�i�t,r�.f � DESCRIPTION �e-r4�� . � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WAU. ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � �AL ❑ SEWER HOOK-UP ❑ COMPLAl1YT � � DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAl10WREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � n � l�dD' L1L�►+�rL` �' �10 �i�iqL �s�l.5de�2eerc ��9r 4�5� ¢ J O �. - � 1?b '�eG�- d�� e•�.S'oU�'u.., t'�rr�eQ _ 0 � W �/ • � ��I IG IlG/L��lG 1i �(�w. ��/��G/�1A_Q ¢ _ �� � Z � I�t.bt'i� aQ��!S l'OorDlc�� � 2�M�� �iK�� J O � ❑WORK SATISFACTORY:PROCEED �$Q�16GF COMPIEfE W ❑CORRECT VYORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT YYORK,CALL FOR REINSPECTION TEMPORARY Lj BEFORECOWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Cal1 ror the next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on site: Inspecto��� Whita CopyAnapecto�'s File Canary CopyfSke Notfce