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2017-01330 - roofing
f �t � CITY OF ORONO 2750 KELLEY PARKWAY * 2 � 1 7 - PJ 1 3 3 0 * DATE ISSUED: 10/16/2017 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2850 SOMERSET LA PIN : 04-117-23-21-0013 LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN : LOT 006 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT VALUATION : $ 41,000.00 NOTE: VALUATION OF PERMIT:$41000.00 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 MSPECTION 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 614.31 STATE SURCHARGE(VALUATION) 20.50 LINDUS CONSTRUCTION INC MAIL-IN FEE 2.00 879 HWY 63 BALDWIN, WI54002- TOTAL 636.81 (715)684-4647 Payment(s) Minnesota State License#: BUIL-BC007644 CHECK 81254 636.81 OWNER TRANGSRUD&TERRY RASMUSSEN,JON 2850 SOMERSET LA 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 requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire an ull and void if construction authorized is not commen ed within 18 ays of the date of issuance,or if c ction' suspende r a period of 80 days at any time after h men e . The applican ' respons' le for assuring all requ' d inspe tions are requested in con ce with the State Bui ng Code.T ' pe m e revoked at any ' or due cause. _ �, �'� �' , ` ;' - � - ,. . � ` L---- ���� � � ��- //) i /�' i l�7 Applicant ure Date Issue y Signature Date ! ` City of Orono Building Permit Application for Maintenance / Replacement/ Remodel —'� �� ��� ���,� �� � r (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) ���0 Mailing Address: Permit number: ���'"1�����. PO Box 66 �, Crystal Bay,MN 55323-0066 Date reCelvetl: � StreetAddress: Received,by: � y �� 2750 Kelley Parkway Plan review fee: �" E' G t�x�sHo��` Orono, MN 55356 ; Total Fee: '� t��i�. �� .' Main: 952-249�600 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: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus s rvi ill be required unless applicant demonstrates s�cient on-ske parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLIC NT INF RMA ION: Name: �,� � State License# '� Expiration Date: � Lead Certification Number: '� - Expiration Date: (,Q p (for work on homes that were constructed prlor to 1978 Phone: (cell) (office) lpr'j\- � ��'�j'�� • Mailing Address: Q��� �p City: vj�i^ ZIP: S GJ Contact Person: Applicant is: ontractor Homeowner �ci«ie o�e� Email and/or Fax: � j� �� PROPERTY OWNER INFORMATION: Name: p 5� Phone(day): �\'d,- - �j Address: a �jp m City: �V�OYI� ZIP: S Email and/or Fax: PROJECT INFORMATION: Overall pro'ect description: O Type of Project: Any earth ement may also require ❑ oor(s) ❑ Remodel ❑Fire Damage MCWD review 8�permits: �e-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka,MN 55345 ❑ Re-roof,other(specify) ❑Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.or4 Estimated Construction Valuation of Project(excluding land) $ � �� 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; • 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 required by law. If ou refuse to su I the informaf ,the a lication ma not be issued. ApplicanYs Signature: Date: �"I� � � �� Owner's Signature: Date: Last Updated:January 2016 _ .____-- - , ��� � ' ' �� ,�� �'"� � Ir -ri e� 1�', � � } . / * �/ �r � ,� ' � �' �" � � lf,�/� . .. . t,� ,i � t' ,. i� •;+•� . /' . a ._, ., � ' . . � �. . - �� , /� �- .. . � , � : %�'��y,i ►�- . " , i , ``4 i �� �x° /t r°�3 `. ��. r-' �� ' � °R ,. . . � �� ' � ��� .�, ,I,�r -•;/ �fr / �!� /{�1 t + � � � � . /// � .t�Y f �r ;_/ J .• .. -- ' f�, ,'. y 1 �.j Y��Y�>'� r'�fj.: ,, , F . . �� ,i �' ' . . .: . .i. y.,� � �,� . , ., � ,� , . �r k.";k a/�.+� ti T._, r , �-Y M��.. ��Yl � � . _�i ;, ." . .� .' . !;r }R�� . _ '.�t: � .d . ., f -' > �'-,�� . .. .. i' '4 . + �� � �i i ' ' � '�'�p •� , ~: '� . � � . 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CONTRACTOR � � DESCRIPTION � , t~1i ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ,�.t,INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET Y�OU:_YES_NO v�i COMMENTS: � r �e�lJ ��.Q'G�!e H�S o ' G'�Y �/'ci26.%b�., ,�i�'vivcr�e� '" � l�rovr�� d, � Lf'i Lt/G L D'� �CG X G�-�a�� W ��� � � ✓�-� tsd�s✓��H'le.tGL— � Q 2 ed1i d�� �Jd/!L 4�,D�iYS �b�c.0/�e — � W 1 / � � j /i��ll/ BI'rYl�(i /!2!l G @ de� W ❑WORKSATISFACTOR� EED� ❑PROJECTCOMPLEfE ��F FtECT W'ORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector: ` Whits Copyllnspector's File Cenary CopylSite Notice