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Home My WebLink About2011-01011 - roofing CITY OF ORONO PERMIT NO.: 2011-01011 � ' 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 220 STUBBS BAY RD N PIN : 32-118-23-42-0004 LEGAL DESC : UNPLATTED 32 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 21,250.00 NOTE: VALUATION OF PERMIT:$21250.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 368.75 TODAYS EXTERIORS INC. STATE SURCHARGE(VALUATION) 10.63 11308 70TH PLACE N TOTAL 379.38 MAPLE GROVE,MN 55369- (763)425-0803 Minnesota State License#:20387451 OWNER BOLLIS,CHRISTOPHER&GAIL 220 STUBBS BAY RD N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assurin all requ� spection e requested in confo �t►e State I ' g Code.This rmit may be revoked at ime for due cau 9io7i2�� C� 9i 7 i I t Permite Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � # S � � City of Orono � ' � � �� ke � ' ' Building Permit Appiication for Maintenance / Renovation ?� ��: (windows, doors, siding, re-roof, etc.) �� Mailing Address: Permit number: oZ o � � -G 1 � ( J " �,L,�,� PO Box 66 � � 0 �, � Crystal Bay, MN 55323-0066 Date received: ��7 � I,� � �:,:� s, Street Address: Received by: Y' ��, ��'� �ti 2750 Kelley Parkway Plan review fee: � �� t9kE5Ho4� Orono, MN 55356 � Total Fee: �7� , �$ ' 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. �� p�� Incomplete applications will be returned. (Please print) �� GENERAL INFORMATION: �/ r � Job Site Address: �� T�c1 b�c$ ��1` �� 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 Counci!approva/60 days prior to the event. Shuttle bus e � required unless applicant demonstrates sufficient on-site parking is avaifable. Non-permitted events will not be allowed. ' �� CONTRACTOR/APPLICANT IAIFORMATION: � ' ' Name: a �q � Fi c�rs ,�rL � State License# Z�3 �t.�S( Expiration Date: � / ��3 � Lead Certification Number: Expirafion Date: Z Z� �� r (for work on homes that were constructed prior to 1978 � � � Phone: � �-{_ p (office) 7(3 �2�- D� 03 �� (cell) � Maifing Address: �� 3p � -7� � �D� � City: �,�(A�,o F ��o�L ZIP: �-j6 S � Contact Person: �,4 Qo,, Applicant is: ontrac o / Homeowner (Circle One) ' � Email and/or Fax: � � PROPERTY OWNER INFORMATION: '' Name: C �.lT�`S �d��.S �� _ Phone (day): � :� Address: City: ZIP: ' ;; Email and/or Fax �;; 'Nfi PROJECT INFORMATION: �� Type of Project: Any earth movement may require � ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ; Minnehaha Creek Watershed District(MCWD) �? Re-roof, asphalt �air Q'�orm Damage 18202 Minnetonka Blvd '� [�'�e-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 '� Phone: 952-471-0590 � ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq �; Overall Project Description: �,a � _ Estimated Construction Valuation of Project (excluding iand) $ � 2� �� t� � �� 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 alternafive 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 c,�n y cann t be given to either the public or the subject of the data. Our ��' purpose and intended use of this infor on is to annu "�update our records and �of other govemmental agencies � re uired b law. If ou refuse to the informatio , he a lication ma not ued. �' ApplicanYs Signature: Date: 9Q �o l� � ;.� Last Updated: 08-09-2011 DATE TIME , / CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO. �//- o/ori COMPLETED —��K� ADDRESS e'�oZ0 5tr�6.bs 6�.. Q� �S"c OWNER TELEPHONE NO. CONTRACTOR TC��•s� �vc�rceis � DESCRIPTION Q�e- rc�'�' �L��) � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �a�NAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUIVDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ��rsa� _36�l� ��i�e��c.�ce o��„�, � !��►�trt '' i�10 �itq /dl.S�Jec.2�e.c �e�LLQS� o _ � f� �' 0?00 � Cc�lr✓ S�a.�� ins.n- - k�G�� . _ �^ � I?.� '��4� ' �7� l�SD• r`eCo� _ O � W � L�IO�6C Q�lJeQ�f �b vK�D� Q _ � Z � - W ,�/w��' ��ocrc!'� - � ` � � OVI�RKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECTVYORK,CALL FOfl REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on ske: Inspector.�� White Copyfinapector's File Canary CopylSite Notkx �� ' D E TIME V CITY OF ORONO CALLED IN � � INSPECTION N TIC ��r SCHEDULED � ' PERMIT NO. � COMPLETED ADDRESS OWNER E PHQ[VE NO. CONTRACTOR D D S � DESCRIPTION ' � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING p MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTAIL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a ! 1/1Q i.;wC:u/l.. 1 \CfS��il� � J � 1'� P L�•• .Qr(Q c� C�.JA-�eT /�/� W �►'�►J F� �'"��- 1-T-^-(d n T �U �C� � Q � z W � W � � O W� RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN D CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on s'te: Inspector. ' � White Copyllnspector's File Canary CopylSite Notice ' DAT / TIME V CITY OF ORONO CALLED IN /1 INSPECTION N E SCHEDULED i PERMIT NO. ��`dl�co LETED ADDRESS � � OWNER TE H NE NO. �� Z-� CONTRACTOR � � O1� �: DESCRIPTION � ��%`'��C. � ❑ FOOTING ❑ PL MBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MEG�HANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O _ � �Z � . 0 � W � Q � Z W � ti � � d W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnedContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice