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HomeMy WebLinkAbout2011-01229 - roofing CITY OF ORONO PERMIT NO.: 20�1-01229 + 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE ISSUED: 10/11/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 630 PARK LA PIN : 06-117-23-44-0014 LEGAL DESC : MINNETONKA HIGHLANDS ESTATES : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 14,000.00 NOTE: VALUATION OF PERMIT:$14,000.00 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-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 STORM PRO LLC P.O.BOX 218 STATE SURCHARGE(VALUATION) 7.00 MOLJND,MN 55364 TOTAL 257.75 (952)513-8667 Minnesota State License#:20634454 OWNER ANDERSON,RICK&NANCY 630 PARK LA 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 goveming this type of work shall be compied with whether or not specified hetein.This permit will expire and become null and void if construction authorized is not commenced within l80 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 responsibie for assuring all required inspections are requested in conformance with the Stat ilding Code.This permit may be revo e a e us /�� i// iZo1' l i Ap lic P tee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB D A VE. � �t,rp°; ■ ,�� '��.,_.�.�.�t �} ` City of Orono 5z5 ( � . � �� Building Permit Application for Maintenance / Renovation � (windows, doors, siding, re-roof, etc.) � � �-- Mailing Address: �' ��v�,� PO Box 66 Permit number: � . � � � Crystal Bay, MN 55323-0066 Date received: � ���` Received b .� �� � ���i;� �, ' StreetAddress: Y� ; "' '�,� i �en, ti J 2750 Kelley Parkway Plan review fee: , �� '��v�K�'o4 j� Orono, MN 55356 ;� �, --' Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 'a��� This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) F � GENERAL INFORMATION: µ' Job Site Address: �p�Ei f� .-,� � y� 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 Pofice 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. � �� �hF CONTRACTOR/APPLICANT INFORMATION: �:� Name: S�.�e r�:�� �c L L �_ �' �.; State License # �,�i�3���� Expiration Date: 1��3 � �� Lead Certification Number. Expiration Date: � ��: fiV (for work on homes that were constructed prior to 1978 � � Phone: �; i2 �5'ic `> 7�'/ (office) �S,?_ S%3 - �'� �; 7 (cell) �,. Mailing Address: �.C7. jj�k� Z � City: ,n � ZIP: �-� 3 ; � ' Contact Person: Ju s�,11 ��;.; Appficant is: Contr ctor� / Homeowner (Circle One) c� - �mail and/or Fax: `' � ,x,: � PROPERTY OWNER INFORMATION: /. �� `��� � '� Name: �,'c,� f�i��flrsc+n Phone (day): �Sy , 5�..; � DO�Z- .s-E, ' ' Address: �3v Pn .-,� L ,-, . City: r��� ZIP: �- ' V rc �2 c' � J�. � � Email and/or Fax :;,� : � �� PROJECT INFORMATION: �� Type of Project: Any earth movement may require `� ❑ Door(s) ❑ Remodel MCWD review&permits: � ❑ Fir Damage Minnehaha Creek Watershed District(MCWD) # �� �-roof, asphalt ❑ Repair Storm Damage 18202 Minnetonka Blvd '� E; ❑ Re-roof, cedar Q"Restoration ❑Water Damage Deephaven, MN 55391 � �' Phone: 952-471-0590 �� �u ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 � �; ❑Window(s) www.minnehahacreek.orq � ,,: �,; Overall Project Description: � _ /��� .{' �a � Estimated Construction Valuation of Project (excluding land) $ j�j��rL, �� � � 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 � ,.,y but to reject it until it is complete; � k �,' • Some or all of the information that you are asked to provide on this application is classified by State law as either private or i'� 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 refus su I the information, the a lication ma not be issued. � ;�:a;� � ApplicanYs Signature: Date: l� �- lf- Z- � // � Last Updated: 08-09-2011 . ; - .�,. - _ -.. , . : .,,� s ,- _ �.�,. DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. a��� " d��� COMPLEfED - �/ . ADDRESS L30 �a�k L� . OWNER TELEPHONE NO. CONTRACTOR ���^ P/`o ;� � DESCRIPTION � r�'� � � - � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING I y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIETLANDS i ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ' � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �NAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. f�FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPT�C FINAL ❑ FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: , I a !�� ,��►+�trt � I?D ��tqL ��ISBe�1'�ee.c �e� 4S� J , OO � - i � �b f�G� - c��' in.SJtc�id.. /'�a .�eS� _ � 0 W - � Q � 2 - W � �u - � J O W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCGUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL RETl7RN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REC]UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� Owner/Contractor on site: Inspector.�!-�-� � _ White Copyllnspector's Ffle Canary CopyfSite Notice