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Home My WebLink About2017-01143 - re-roof ' ' CITY OF ORONO * z 0 1 7 - 0 1 1 4 3 * 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2017 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 3180 RIDGEWOOD CIR PIN : 04-117-23-23-0021 LEGAL DESC : ROUTSON ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 10,000.00 NOTE: VALUATION OF PERMIT:$10000.00 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 201.32 STATE SURCHARGE(VALUATION) 5.00 DERCON CONSTRUCTION SERVICES INC. MAIL-IN FEE 2.00 727 170TH LANE NW ANDOVER, MN 55304- TOTAL 208.32 (612)276-6006 Payment(s) Minnesota State License#: BUIL-BC51296 CREDIT CARD 0961 20832 OWNER WILSON, LEIF&JENNIFER 3180 RIDGEWOOD CIR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to Ihe 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 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 l80 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 revoked at any time for due cause. � � c� �� q � /8'�� Applicant Permitee Signature Date Issued By i ature Date 09l1512017 16:12 Dercon Construction �A�f)7639513019 P.0011001 City of Orano ri-�---�j"'-� Buildfng Permit Appticatien for Maintenance/ Replacemertt/Remodel—'�_F:�esrj�d;en"�i:�l��'MfL:Y ; (i.e_windows, doors, siding, re-roaf, etc.—NO STRUC'�URA�EXPANSION) ��A} Maili pA�d�z 6s�s: PeRnit numb�r. " � �vQ — Crystal Say.MN 55323-0066 Qat�receiv�d: 'I 7 StreetAddress: Received by: �- ` 2750 Keliey Parkway Plan review fee: `�{yk�s�a��,� �rono,MN 55358 Tataf Fee: O�(/g/ Main: 952-?_A�9-4600 ��= 952-249-4616 www,ci,orono,mn,us This appliCation form mUst be CQmpleted in fUll and all required information must be submiited. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: f� i Job�ite Address. � � Y� � � �\�t�,1,� WI[I this he a Parade of Homes,Remodelers$ho case Hame or other Dlsplay Home7 Yes No lf yes,a specis!event permit is requi�d wdh Polrce Department and Cily Counci!approval 60 d$ys prior to tha event Shuttle bus servrce wi!!be �equired unJess applicarrt demonstraf�s suJfica�ent on�sita paricing is available. Non-parmitted events will nvt be ellowed. CONTRACTaR/AP LICANT INFQRMATION: Nam�: �L'�(,Oc1� C,��1.��'WC�'(��/1 ��C�.� � 4�G , State�icense# (3�j��,fi�l� _ Expiration oate: C�3��1 � i G Lead Certification Number. � "��j'3� Expiration Date: � � �- I (for work on homes�at were cnnstruated prior to i978 Phone_ (cell) ��L,�Z�T(�-(p Q(�(� (office) Mailing Address: � �"j O ` �, �}W City: �, p�,� ZI P: �j�jD�-� Contact;Person: ��(`j � Uv-�� Applicant is: on or / Homeowner (Grcle One) Email and/or Fax: �•��c�@�e,,rcpv�•(,Ov� PR4PERTY OWNER INFQRMATIO�J. Name: �..�'��. W'�\��1 Phone(day): '�j�� -- �j�^ ��-`► Address: '�t`d0 '(��c�, ,v�o� C�•�v~c. �� Lo�no�L�rn.e. zfw: ��,��(, Email and/or Fax: 0�� (Gl�,\r,.�iL`�a� �Covv� PROJEGT INFORMATION: �verall ro"ect description: Type of Project: Any earth movement may also require ❑Door(s) ❑Remodel 0 Fire Damage MCWD revi�w 8�permits: �Re-roof,asphalt ❑Repalr �Storm Pamags ��nnehaha Creek Watershed DiStrSct(MCWD) 95320 Minnetbnk9 Blvd ❑Re-roaf,cedar ❑Restoration ❑Water Damsge Minnetonka,MN 55345 ❑Re-raof,other(specif� ❑Siding �Other:(spec�fy) Phone: 952-a.71-0590 Fa� 952-47T-06$2 []Window(sy www,mlrtrLet�aha�Laek"ora Estimated Constwuction Valuatlon of Project(exaluding tand) $ 1C1��{7 APP�,IC,A,NT,AG�C�IOWLEDCyEMENT: • fLgress to provide all informatian required or r�quested by the Building Department; . Cert�es that ihe inforrnatlon suppliad is true and correct to the best of his/her knowledge. The applicant recagnizes that they are so�ely responsible for submitting a complete application b�ing aware mat upon failure to do so,the staff has rto altemative but to rej�ct it unti[it is Complete; • Some or all of th� information that yau are asked to provide on thls appiication is classified by State law as either private or cortfidential. Prlvate data is ir�format�on which generally cannot be given to the publfc but can be given to the subject of the d�te. Confidential data is information wl�ich g�nerally cannat be given to either the publlc or the subject of the data. Our purposa and intended use of this informatian is to annually update our records and records of other govemmental agencies required by law. If ou ratuse to su I the information,tiie a licatlon ma not be issued. Applicant's Signature: U�'�� `�� ' Date: � " �� Owner's Signature: Date: Last Updated'.lanuary 2016 , � �-� �,�- DATE TIME CITY OF ORONO CALLED IN iNSPECTION E 3 SCHEDULED �� PERMIT NO. � l� `��ETED ADMESS `/p �Ca-tL G(7��a0 L�l'�C OWNER TELEP �NO. — '" �� COI�RRA�R �=�'�-�- � DE8CRIPTION 1y ❑ FOOTING ❑ DE - AL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADIN(iIFILLIN� Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI � SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O COMPWNT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4�1 ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? O�WN�NACTOR TO M�YOIl:_YEa_NO � COMMENT'& /,%5ric.� �i1�• � 4 ot �ti�-rE se. ,`cs ,a�. �. � � W � Q � W W � � J � ❑w�OFilcS/►TISFAc7oRr:PROCEED ��OJ�T cbMFIETE W ❑OORFiECT MIORIC a PROCEED O I.SSUE CER'T1RCIITE OF OCCl1RANCY � ❑OOF�ECT W�ORK,CALL FOR REINSPECTION TBiAPORARY C� �� PEAMANBiT ❑OpiiFiECTUN3AFE00ND1'nONWITHIN HOURS. O PHOTOTAKEN INSPECfOR 1MlL REIUf�I ❑STOP ORDER PO�TED.G1LL INSPECTOR O CITA710N ISSUED ❑INSPECiION F�aIJIRED.CI1LL TO ARRANOE ACCESS. c��n�� u �►�,o.. (952) 249-4600 ow�errcorn�� i� Whib�ap�C1o�'s FlM C�n�ry Cop�NWIa