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Home My WebLink About2011-01407 - roofing �, . � ,�' . CITY OF ORONO rERMiT No.: 2011-01407 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 1U07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3515 SIXTH AVE N PIN : 29-118-23-43-0002 LEGAL DESC : UNPLATTED 29 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-iJNDEFINED VALUATION : $ 15,000.00 NOTE: VALUATION OF PERMIT:$I5000.00 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 BEMG DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 265.50 TIMBERLINE EXTERIORS,INC. STATE SURCHARGE(VALUATION) 7.50 7026 E FISH LAKE ROAD TOTAL 273.00 MAPLE GROVE,MN 55311- (651)329-6916 Minnesota State License#:20633887 OWNER WOJCIESZAK,JOY 3515 SIXTH AVE N 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 tequires sepazate pertnits. 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 consuuction is suspended for a period of 180 days at any time after work has commenced. The applicant is re onsible for assuring all required inspections are requested in conf anc � ith the State Building Code.This permit may be revoked at an ti e fo d�te cause. r�---- -------—� � / / �� App ' t ermi e Signature Date �"� � � Is ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ` � City of Orono Building Permit Application for Maintenance / Renovafion (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: � G - (i� �.,�,� PO Box 66 ,� Q Crystal Bay, MN 55323-0066 Date received: — — f � �an�"..r Received b I a .� �, s, S tr e e t A d d r e s s: Y� `�� ` r�a�' ti � Gti 2750 Kelley Parkway Plan review fee: t9'kE5H�4� 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. Incomptete applications will be returned. (Please print) GENERAL INFORMATION: ��, Job Site Address: �� `� - �� Will this be a Parade of Homes, Remodelers S owcase ome or other Display Home? ❑ Yes No If yes,a specia!event permif rs required with Police Department and City Council approval 60 days prior to the evenf. Shuttle bus s rvice will be required unless applicant demonstrates sufficienf on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: •�',� � r r' ✓l� • State License# �j��r'] Expiration Date: 3/3� 13 Lead Certification Number: ��_ .�/�,��yG _ , Expiration Date: 5��_ (for work on homes that were constructed prior to 1978 Phone: _ �- ��j'�/�--- (office) cell � ) Mailing Address: b - � � Cit : �;i�ZIP: 5 � Contact Person: �� Y �� ,�r-c Applicant is: Contrac or Homeowner (Circle One) Email and/or Fax: ��3 _ i�� _��'j� PROPERTY OWNER INFORMATION: • Name: /�Uz.d/S L.tiG'�i c:, I-C��d U..�- � Phone (day): �� .. � Address �I�1� (o�— ,t' /'� City: ��C;yLL ZIP: �j_j5'�C�� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review&permits: ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) Re-roof, asphalt ❑ Repair �Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar Restoration ❑Water Damage Deephaven, MN 55391 ' ❑ Re-roof, other s eci Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify} Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: - ��,�- � L �. -�G(� �' ��r Estimated Construction Valuation of Project(exc ing land) $ �� j��, 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 sotely responsible for submitfing a complete appfication 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 ctassified by State law as either private or cor:idential. Private data is information which generally cannot be given to the public but can be given to the subject of the da;G. 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 informat' n is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su t info ation,xh a lication ma not be issued. ApplicanYs Signature: � Date: ''� �j/��jl � Last Updated: 08-09-2011 ;, DATE � TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERM(T NO. �6 IL- b lCfO? COMPLEfED ' -1 ADDRESS �5 �S G '`'� .�ri�- �S`'. OWNER TELEPHONE NO. CONTRACTOR �-r�1�¢r`� �a�.��c�r � DESCRIPTION �e" �'�'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GHADING/FIWNG Q ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORE/WETLANDS v3 ❑ FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS � INAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ D O-SITE ❑ SEPTIC MAINT. �OLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMG`VAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:/` � � r — — n ' e . j ,/ n tYbUS� � Q'�gu(t,Q 4et��fC ' �4r/1 QG� K.o't yeE G�e'W[e �O ` � r16 7`e�-a�� s*�4c�C�t � ►�.ca r�� .�C �✓Jei�'-z o C W Q U D�'� A�ndtG✓�_�� l�� W �I- i � W /.7a�/f'w�e'!i � j � ❑WORKSATISFACTORY:PROCEED �R9;tECTCOMPLE?E W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN iNSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOH ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlCorttractor on site: Inspector: �1•�--- � YVhite Copyllnspector's File Cenary CopylSfte Notke � � AT TIME V CITY OF OR NO CALLED IN � l INSPECTION OTIC� �/ D�CHEDULED PERMIT NO. COMPLETED ADDRESS � \ OWNER ` TE EPHONE �i"��53"�� CONTRACTOR � ,�� • ��t/r�'" �; DESCRIPTION i�7/GL� � � ❑ FOOTING ❑ PLUMBING f INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BUR�IER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOO<-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTNLL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL. ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES__NO � COMMENTS: � W a � J � r �✓'� �n_� ��.�'.- 0 . � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WfTNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR `J CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. , White Copyllnspector's File Canary CopylSite Notice