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Home My WebLink About2011-01154 - roofing � ` CITY OF ORONO PERMIT NO.: 2011-01154 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/30/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1410 SHORELINE DR PIN : 02-117-23-33-0010 LEGAL DESC : DRAGONFLY HILL : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 11,000.00 NOTE: VALUATION OF PERMIT:$11000.00 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 NIEMELA CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 5.50 10500 TRAIL HAVEN ROAD ROGERS,MN 55374 TOTAL 212.00 (612)280-8205 PAID WITH CC# 4000 Minnesota State License#:20002194 OWNER HARRISON,ALFRED&INGRID 1410 SHORELINE DR WAYZATA,MN 55391- 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 governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if consUuction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 at any time after work has commenced. The applicant is spons� e r suring all required inspections are requested in fo e i e State Building Code.This permit may be revoked a t� r e ause. / 7� /�'(� �A.ci /� A plic Permi e Signature Date Is By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Sep 29 11 01 : 16p hiemela Construction, Inc 763-428-9020 p. 2 � �� • � � �G � � � � �� City of Orono / Building Permit Application for Maintenance / Renov tion (windows, doors, siding, re-roof, etc.) �O A� MailiPO Box 66� Permit number: �//—dl/ � �w0 Crystal Bay, MN 55323-0066 Date received: / � � Street Address: Received by: � 2750 Kelley Pa�cway Plan review f� �Ho�� Orono,MN 55356 Total Fee. a��, �� Main: 952-249-4600 Fax: 952-249-4816 www.ci.orono.mn.us This application foRn must be completed in full and all required information must be submitted. Incomplete applications will be returned. (PleaSe print) GENERAL INFORMATION: ' �/jO �ar�e I/�1� i� aZy �j/V '�5�� Job 5ite Address: 7 Will this be a Parade of Homes, Remodelers 3howcase Home or other Disptay Home? Yes No K yea,a special event permft is iequired with Police Deperfinent and City Counci!approval 60 days prior ro the evenf. Shutlle bus serv ce will be required uMess applicant demonstretes sulficient on-slte parktng Is evaileb/e. Non-permitted events wllf rrot be allowed, CONTRACTOR/APPLICANT INFORMATtO : Name: �r e�M�P�� CO'�l i�C � h C , State License# a ac��a�4 Expiration Date: 3 3/ ��1 Lead Certification Number: Expiration Date: (for work on home that w co at►wcfed prfor 1978 Phone: 7�a � �-�/yg� office) 7�-3 .��l�"$.�QS (celq Mailing Address; �p 00 a% ✓.&.h � 04< City: 4� , ZIP: ' �]L Contact Person: � � ,'e p� q Applicant is; ontract r / Homeowner (Cfrole One) Email and/or Fax: b Q �� ;p��fi, !�y/S C "0/7. Cc� PROPERTY OWNER I F MA 10 : Name: ,� g'/'/'�S'c�/') Phone(day): � - �l� � Address: _SQ fn e �S ,�o� S/ City: ZIP: Email and/or Fax ' � - PROJECT INFORMATION: Type of Ptoject: Any earth movement may require ❑Door(s) ❑Remodel ❑Fire Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) Q�Re-roof,asphalt ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd / ' ❑Re-roof,cedar ❑Restoraqon ❑Water Damage Desphaven, MN 55391 Phone: 952-471-0590 ❑Re-roof,othe�(speciiy) ❑Siding ❑Other:(specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek oro Overall Project Description: rp� ��P Q t/se. — q S 4' ;�I ,�' Estimated Construction Valuation of Proj ct(exctuding land) $ 1 r, 44'Q,a0 APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is hue 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 but to reject it until it is complete; • Some or all of the information that you are asked to provide on this applicafion is classified by State law as either private or confidential. Private data is information which generall cannot be given to the public but can be given to the subject of the data. Confidential data is information which nera �annot be given to either the public or the subjoct of the data. our purpose and intended use of this i rm o s to�nually update our records and records of other governmental agencies r uired b law. IF ou refuse to s I rmati n,the a lication ma not be issued. ' a9 � / Applicant's Signature: Date: --rc►vvrri Nv. ADDRESS �� -Q � OWNER TE PHONE O. � 3-v�' " � CONTRACTOR >: DESCRIPTION ��- � 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � GW�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑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 REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site- Inspector. White Copyllnspector's File Canary Copy/Site Notice �ODA� �/ TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE/�/ SCHEDULED � PERMIT NO. �l` '-""� COMPLETED - ADDRESS l"�`�� 0�-�-��-� � OWNER TE PHONE NO. CONTRACTOR 1 � � �: DESCRIPTION �- � lL� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO /�, � COMMENTS:�� L-�I �C-//L2G�(.-f�LC � "��`� i/ � W a � J O � � O ti ti � Q � 2 W � W � � GW ❑WORK SATISFACTORY:PROCEED �'PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C I�SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOfi REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. � T/L�/al..� White Copyllnspector's File Canary Copy/Site Notice