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Home My WebLink About2011-01112 - roofing � , CITY OF ORONO PERMIT NO.: 2011-01112 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/26/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1410 REST POINT RD PIN : 07-117-23-33-0001 LEGAL DESC : SUBD REST POINT PARK LAKE MTKA : LOT 001 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ I1,000.00 NOTE: VALUATION OF PERMIT:$11,000.00 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 206.50 W.F. SMITH CONSTRUCTION STATE SURCHARGE(VALUATION) 5.50 6585 SO SALJNDERS LAKE DRIVE TOTAL 212.00 MINNETRISTA,MN 55364 (612)867-3117 Minnesota State License#: 5309 OWNER Lake Minnetonka Prop LLC 10122 INDIGO DR EDEN PRAIRIE,MN 55346- 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 oniy the work described and does not grant permission for additional or related work which requires separate permiu. 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 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 inspections aze requested in conformarice with the State Building Code.This permit may be revoked at any ti e for due cause. � l I / ZG / � � /� � �� Applicant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. .. x'[ ' 'y_:� sS c'"e ! � r . City of Orono Building Permit Application for Maintenance / Renovation �; (windows, doors, siding, re-roof, etc.) t Mailing Address: Permit number: ��/ — �� O�,D,�.O PO Box 66 ,' Crystal Bay, MN 55323-0066 Date received: �l � � �ti � ' " � Received b `' ,� � � �, �, Street Address: Y� t �',�c, t �'``� �ti 2750 Kelley Parkway Plan review fee: �:� t kEs�� Orono, MN 55356 ��; , - Total Fee: ��-, °� ��` Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us t This application form must be completed in full and all required information must be submitted. �� Incomplete applications will be returned. (Please print) "� GENERAL INFORMATION: p � J / � J��S� �� ' Job Site Address: �� `� � � � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No � If yes, a special event permif 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 nof be allowed. ,Q�. �"q CONTRACTOR I APPLICANT INFORMATION: � Name: �� , Ir �%�n � I_ � "� C6 �S � �. State License# Ex iration Date: �� S 3:� Gi p � -% � �-, Lead Certification Number: Expiration Date: `� (for work on homes that were constructed prior to 1978 � Phone: �j ��- - ��7� � 6 S (office) �� ( d- -- � 6�7 —� �� (cell) Mailing Address: ��,5'�,�, , •� , n, �� ,�,f-� City�,.y� y�,{� � ZIP:S'�� Contact Person: � L,� Applicant is: ontrac / Homeowner (Circle One) � Email and/or Fax: �� :� PROPERTY OWNER INFORMATION: � ' Name: ��.� ✓Vl /� 1�D c� �s�—� � Phone (day): � Address: City: ZIP: ;; �= 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) �: e-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 � Phone: 952-471-0590 % ❑ Re-roof, other(specify) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 ' www.minnehahacreek.orq �` ❑Window(s) " �Overall Project Description��/rn u > f�P SG,,'r �Y � Estimated Construction Valuation of Project(excluding land $ � � 6 �� ' r 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 altemative =� but to reject it until it is complete; � 5� • 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 ref se to su I th information,the a lication ma not be issued. �:� , ApplicanYs Signature: --�� Date: � ' � � � � / � �� `� Last Updated: 08-09-2011 �� ; � .f� p� DA TIME J CITY OF ORONO CALLED IN / INSPECTION NOTICE SCHEDULED PERMIT NO.o� ��-f3///�" COMPLETED ADDRESS /7`�� OWNER TE PHONE NO. CONTRACTOR �/- � • � �� DESCRIPTION ��h � ❑ FOOTING ❑ PLUMB�NG FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETL4NDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOAT�ON/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � ��.16L�KSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwneNContractor on site: Inspector. _�� White Copyllnspector's Ffle Canary CopylSite Notice DATE TIME (/ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�dl�'4f/�a. COMPIETED � ADDRESS Iy/� �e5t P�• R� OWNER TELEPHONE NO. CONTRACTOR W��" • S�� -S�. � DESCRIPTION �C e- roa'� � � ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS Q ❑ FRAMING O MECHANICAL FINAL Q TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP � CpMp�� Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP = 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAT10WREMOVAL 2 OWNERICONTRACTOR TO MEET 1�U:_YES_NO c�n COMMENTS: � � Ol� .�r�rt� �' v1� �s?,[/ �rts�E�cLLia.e r��►l1�� j �O . � J?d T�� af�" i�s�e�z`<a�,, ra��d?� 0 Q �. �6{« u�.tr��/��c� �ro r��,� � a W �a�'6C a�OD�r� /?J••�.ole-�C � a�•w�� 1�'�K�il'�O � a W� ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Cail br the next inspection 24 hours in advance. (952) 249-4600 OwneHContractor on site: Inspector: � r.. ite CapyAnspectors File Canary CopyfSite Notiee