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HomeMy WebLinkAbout2011-00577 - re-roof CITY OF ORONO PERMIT NO.: 2011-00577 � 2750 KELLEY PARKWAY • ORONO, MN 55356- DATE �ssuEn: 07/OS/2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 815 PARTENWOOD RD PIN : OS-117-23-43-0003 LEGAL DESC : PARTENWOOD : LOT 002 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RES[DENTIAL COI�TSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 18,950.00 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 PERM[T FEE SCHEDULE 324.50 TODAYS EXTERIORS INC. STATE SURCHARGE(VALUATION) 9.48 11308 70TH PLACE N TOTAL 333.98 MAPLE GROVE,MN 55369- (763)425-0803 Minnesota State License#: 20387451 OWNER STARK, RICHARD&JANE 815 PARTENWOOD RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work(or 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[his type ofwork 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 inspectio /ce� requested� ormance w� the State Building Co . efmit may be ed at any time for e cause. � /� Q�l!,1 '? �c7� � 2d(� `�-t� L C�Y1/1C�/'1 f�� 'I�-�j�/% Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono J y�a Building Permit Appfication for Internal Work ' (windows, doors, siding, re-roof, etc.) MailingAddress: Permitnumber. � �' �r ���� O��,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: ��� Received b ,� -��` � Street Address: y� x'.F, � v��� �ti 2750 Kelley Parkway Plan review fee: L�'kESH�g'� 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: r ��C� (� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No /f yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wil/be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. Name:RACTOR/APPLICANT INF RMATION: .�/� �Zo� 3 /- �_ � QY S ��cMr r`.,.l�S -�� State License# 203 �g 'T�J'"7 Expiration Dat-�3�sj�2ai-� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior fo 1978 Phone: "743 `Y2� o�p 3 (office) �/z 6Yk- 023 � (cell) Mailing Address: ��,3o a p - L n� Cit : ZIP: Contact Person: ,t�,q�,J Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: aG� ,,�(� �,qys6�r�'arS . co� . PROPERTY OWNER INFORMATION: /J ./_ Name: ��'�(',� �N�-� � Phone (day): �r Z Y 7 r _ /�( Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 1l'� Phone: 952-471-0590 [�}-R�-roof 1V ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ /g�'j S�a � 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 appficant 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 ally cannot be given to either the public or the subject of the data. Our purpose and intended use of t�hi ' ation is to nnually update our reco and records of other governmental agencies re uired b law. If ou refuae'fo su I the in ation,the a fication not be issued. ApplicanYs Signature: - �!' Date: 7 � 20l� Last Updated: 03-01-2011 I� DATE TIME v CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. :t�l� -�S 7� COMPLEfED G '//-/2 ADDRESS Shc:i P4�te�rNaee � OWNER TELEPHONE NO. CONTRACTOR T� �zfoico•� � � DESCRIPTION �"��a� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z O INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �AL 0 SEWER HOOK-UP ❑ COMPLAINT Q O DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP i O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: o� a p/,� �,r.rc�' — �t� �is?i/ �rls�ecZ`.a.c r��tt�� � J O - � /ZU 'fGs� ���� Gr1.<i�G�/e„„ r e�r-�� O W �. / / ,� , � /r�/!G �Gl�r «v<tr+v .D�'u a"lb t�/ Q � 2 � bcJor K c��c�.s �b.�c,ole7� j �i 2' � lw0 � ❑WORKSATISFACTORY:PROCEED ��ROJECT COMPIEfE W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector.�'�- Whits CopyAnspector's Flle Canary CopyfSke Notks C � ���� ��J DATE TIME v CITY OF ORONO CALLED IN 7 INSPECTION NOTICE SCHEDULED �'r�� PERMIT NO. r�C!I – C�—J COMPLETED �� ADDRESS c�1 �(���-E r`'4��d ?�� ��I OWNER TELEPHONE NO.��3 - y�-��y3 CONTRACTOR � ����F:) ��r�Y'� �V�S �: DESCRIPTION �_� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC IN�TALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTI �NAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:�YES_NO � COMMENTS: �--� � W 0. � � O �. � O � W � Q � 2 w � W � � ��7VORK SATISFACTORY:PROCEED �OJECT COMPLETE /" !�� W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next i ction 24 hours in advance. (952� 249-4600 OwnerlContractor Inspector. White Copyllnspector's File Canary CopylSite Notice