HomeMy WebLinkAbout2011-01415 - roofing CITY OF ORONO PERMIT NO.: 2011-01415
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUEu: 1U09/2011
� • (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1375 PARK DR
PIN : 07-1 U-23-41-0079
LEGAL DESC : SIDWELL ADDN
: LOT 001 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:$7,000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVER'I'ISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONC�WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 147.50
INCLINE EXTERIORS INC STATE SURCHARGE(VALUATION) 3.50
26175 BIRCH BLUFF RD TOTAL 151.00
SHOREWOOD,MN 55331
(612)471-9065
Minnesota State License#:20168831
OWNER
MURPHY, KATHLEEN
1375 PARK DR
MOUND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
pennits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specitied herein.This permit will
expire and become null and void if construc[ion authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The appliCa�t is,c�s on�ible for as.�ng all required inspections are
re vested in,eonfo[n� ce w�th�th�.State Building Code.This permit may be
!'� i `� i / // i i L/
�can rmii� Si ature - Date Issu By Signature Dat
� A RMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. `,�
Nov 0911 08:OOa Schenkel 9524701781 p.1
C�ty of 4rono
Building Permit appfica�fon �or Internal VNar�C
� � � (windows, doors, �Fding, re-roof, etc. � . _ � � .�' ��
) ��
Mailing Address: Permit numb�
0.��,�. PO Box66
� O Crystal Bay, M�55323-0066 Date rece�ved;
�,� ,, Sireef Address: Received�by:
��,� Gtih 2750 Ketley Parkway �Plan reviewfee:
��o$,� Orono, MN 55356
Total-Fee:
Il�ai�: 952-249-4600 Fax 952-249-4616 wvvw_ci.orono.�nn.us '
This application form must be completed in fuil and all required information must be submitted. �
lncomplete appiications will be returned. (Please print)
GEN�RAL INFORMATtON: rL� �
Job Site Address: � �� V��!� '
Will fihis be a Parade of Homes, Remodelers Showcase Home �r ofher Display Hosne? Yes No
If yes,a special event permrY is required with Po/rae Deparfinent and CTiy Ccuncil appraval 60 days pvior to the evenL Shultle b�s service will be
►equirad unless applicent demonstrafes s�cient on-site pariong is available. Non-oermitfed events wDf no!be aAowed.
CQNTRACTORI APPLICANT If�fFORMATION:
Name: :�r��t�`tiL- �v�� z�c:—
� State L.icense.# ��;� E��j 3 J Expiration Date: �3
l.ead Certificatio� Number. Expiration Date:
(far work on homes thaf-were constructed prior fo 1978
Pho�e: yS,�-- "7 j- %l��S (office) (cell)
Maifing Address: ,�%j 7S� �al`�-�(1 �h1,1�r,L �.� City:_S�v;ti1-Wu� ZiD:•� ..�"333i
Cantact Person: ^ Hppficant is: Cont�acior 1 Homeowner cc���ia o�e►
Emai!and/or Fax:
PROPERTY OWNER INFORMATION:
Name: J���-►-h .�� '
Phone(day): � ' . � - - ��'�,
Address: City: ZIP:
Emai!and/or Fax
PROJECT IidFORMATION:
Ty�,,e of Project Qny earti�movement may require
❑ �oor�s) ❑ Rernodel �]Water Damage MCWD review�permits:
Minnehaha Creek Watershed District(MCWD)
❑Window(s} ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Siding i ❑ Restoration ❑ Other: (specify) Deephaven,MN 55391
� hone: 952-471-Q590
�I R�roof ' ��� ❑ Fire Damage Fax: 952�71-0682
►�� � ��`� wvv+ti�.minnshahacr�2ek.ara
Overalt Project Descriptiort:
Estimatied Construction Vatuation of P�oject (excluciing land} � 7��� '
�
APP�lCAN3 ACKNOW�EDGEMENT:
' • Agrees to provide all information requi�ed or requested by the Building Departmerrt;
i
- • Certiftes ti�at the information supplied is true and comect to the best oP his/her knowfecfge. The applicant recognizes t�at tt�ey
ar�solely responsible for subm�tting a compfete appfication being aware that upon fai�ure to do so,the staff has no altemstive
but to reject it�ntil it is complete;
• 5ome or all of the information that you are asked f.o provide on this appfication is classfied by State law as eitt�er private or
i confidential. Private data is information which generally cannot 5e given to fhe public bu: can be giwen to the subject of the
data. Confidential data is information which generaliy cannot he given to either the public or the subject of the data. Our
purpose and iniended use of thi informati n is to ann Ily update our records and records of other gavemmental agencies
re uired b law. f� ou refuss to I the mtation e a pficafio ma not be issued.
AppiicanYs Signature: Dat�: !��r—1�
OATE TIME "
CITY OF ORONO CALLED IN
INSPECTION NOTICE scHE�u�e�
PERMIT NO. 06/-0/�/� COMPLETED �f�3.�fi
ADDRESS /37 s �aail� ✓Jr.
� OWNER TELEPHONE NO.
CONTRACTOR ,Z�c/�t� E,t�:e�t��s
� DESCRIPTION ��r�a�
�
� ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FIWNG
y O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
��F{NAL ❑ SEWER HOOK-UP ❑ COMPLAINT
_v ❑ DEMO-SITE � SEPTIC MAINT. �FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPT�C FINAL ❑ FOUNbATION/REMOVAL
2 OWNERKK�NTRACTOR TO MEET 1f�U:_YES_NO
, � COMMENTS:
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� ❑WORKSATiSFACTORY:PROCEED 'ROJECT COMPLEfE
W ❑CORRECT VYORK 8.PROCEED D ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERtNG PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL REfURN
❑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
OwnerfContractor on site:
Inspector: _ Q /�--
White Copyllnspector's Ffle Canary CopylSite Notiee
��� ��� ���� �-�� ��il
DATE TIME
CITY OF ORONO ALLED IN � �//
INSPECTION�OTICE ,.,/���CHEDULED __���'�
PERMIT NO. �l I"�� ��
COMPLETED
ADDRESS r 3 �� �(l 11 �L � �Q�
OWNER TELEPHONE NO. - � �'
CONTRACTOR c��'7C� / i ���If-
a DESCRIPTION ���f � �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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Wl�JNORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
.
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ 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 RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice