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Home My WebLink About2011-00838 - roofing i , CITY OF ORONO PERMIT NO.: 2011-00838 I ! 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/15/20ll � 952 249-4600 FAX: 952 249-4616 �1DDRESS : 31 I S SUSSEX RD PIN : 04-117-23-32-0015 LEGAL DESC : FOX BEND : LOT 004 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 22,000.00 NOTE: VALUATION OF PERMIT:$22,000(OK'D BY WILLIE) k200FING 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. SIIGNS-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. � I APPLICANT PERMIT FEE SCHEDULE 368.75 TI�IBERLINE ROOFING& S[DING STATE SURCHARGE(VALUATION) 11.00 5051 HIGHWAY SEVEN SIJ�TE 270 TOTAL 379.75 MI EAPOLIS,MN 55416- PAID WITH CC# 6388 (61 )363-6158 Mi nesota State License#:20631244 OWNER MA,RY RASKOB, DANIEL DELMORE& 311�SUSSEX RD LO G LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The ork for which this permit is issued shall be performed according to the roved plans and specifications,applicable City approvals,and the Stat �uilding Code. This permit is for only the work described and does not ant permission for additional or related work which requires separate per ts. All provisions of laws and ordinances goveming this type of work shall compied with whether or not specified herein.This permit will expir and become null and void if construction authorized is not comr�enced within 180 days of the date of issuance,or if construction is suspe}�ded for a period of 180 days at any time after work has commenced. The plicant is responsible for assuring all required inspections are reque Ued in conformance with the State Building Code.This permit may be revo d t a/�e for d ca�`se. /' - , 1 � � � t,{, � _ /��_ ' � � �' � / / L- �'�-�.��j,_� �,. C7'�'�(�x v 1 / ��' / Appl nt Permitee Sign ture ; Date Issued By Sig ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �/LD/2011 wED 15: 15 FAx 555 5555 Timberline Roofing f�001/0p1 ` � . i, �� City of Qrono I Building Permit Application for Maintenance / Renovation ' (windows, doors, sidin , re-roof, etc.) —� Mailing Address: Permlt number: �� `� ' G f' � �.¢,0,�. PO Box BB �— ,ys,tal�ay.,�A�L5fi3 Jat `� � � a� � Street Address: Recelved py: 2760 Kelley Parkway Plan revlew fee; �� Orono, MN 55356 —�— Total Fee; � Maln: 852-249-4600 Fax� 952-249-4616 �vyyw.ci.orono.mn.us Thls application form rnust be cvmpleted in full and all required information must be submitted. i Incompleta applicatlons wlll be returned. (Please print) GENERAL INFORMATION: Job Slte Address; 3(I s SUSsG4� �. Will thia be a Parade of Homes,Remodelers Showcase Home or other I]lapley Nome7 ❑Yea o Il yea,e apeclel evanf permlf Is raqulred wlth PONce Oeparfinent and City Councll approvel 60 daye prlor to fhe evenf, Shutfle bue seivlce w1U be reQuired un�eaa applicanf demonslrates su�licienf an-site parkrng is evaileble, Non•permifted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: ►vame: 'h v,��n � �' rn � Stete License# Zb6 312 4�( Explration D�te: 3� 2G/2 Lead Certification Number: Explratfon Date: (f�or work on homes that were cons�ructed prlor to 1978 Phone: SZ.q'�- ia�d (offlce) (ps�' 33�-r8�1g (cell) Mailing Address: so51 Lf� hav 7 Clty: I lA AI�S ZIP: Ss�//� Cohtact Petson: f RG�j b AppliQant is: ont acto Homeowner �ci►�i.o�B� Emall andlor Fax: YYe,�db�y � qlr1.�' , �or'►'1 PROPERTY OWNER INFORMATION: Name: OG��orL Phone(day); ,S� — ��' SS�5 Address; �1l S SuSSrik �� City: rona ZIP: �� ,3560 Email andlor Fax PROJECT INFaRMATION: Type of Pro�ect; Any earth movement may requlr� ❑Door(s) ❑ Remodel ❑Flre Demage MCWD revlew 8 permlts: Mlnneheha Creek Welershed Dlstrict(MCW�) ❑Re-roof,esphelt ❑Repelr ❑ Storm Damege 18202 Minnelonka Blvd �Re-roof,cedar ❑ Restaratlon ❑W�ter Damage Deephaven,MN 55381 Phone; 952-�171-0590 [J Re-roof,other(apaclfy) ❑ Slding ❑Other: (speclt'y) Fax: 952-471-0682 __ ❑Windaw(s) _______ W�.minnehahacreek.or� Overell ProJect bescrlptlon: Eatlmated Constructlon Valuatlon of ProJect(exeludln land) $ APPLICANT ACKNOWLEDGEMENT: . Agrees to provide ell informetion required or requested by the Bullding Deparlment; • Cerll(les that ihe Informatlon supplied is lrue and correct to ihe best of his/her knowladge, The applicent recognizes thet thay � a�e solely respona�ble for submitling a complele applloalion being awere that upon fallure�o do eo, 1he atefi hae no alternetive bul to reJect It untll It le complete; ' . • Some or oll of the Informatlon that you are esked to provlde on thls appllcadon Is classNled by State lew es elther prlvate or confldentlal. Private data Is informatlon which generally cannot be glven io the publlc but can be glven to the subJect of the data. Confldentlal dala le Informatlon whtch generally cannok be glven to elther the publlc or the subJect of the data. Our purpose end Intended use of ih{s Informetlon Is to annuelly update our records and records of olher governmental agencles re uired b 18w. If ou refuse to su I tha infor ation the a lication ma nol be issued. Applicant's 5lgneture; Date: �� U� (� �Bac updeted� oe-oe-2o�� , � L c/ DATE TIME CITY OF ORONO CALLED IN � �� --�� //1 l'�!1 INSPECTION OT�C E SCHEDULED �� PERMIT NO.=� � l �G'�,�� COMPLETED ADDRESS �� J >2 C� ��'�_�� OWNER TELEPHONE NO.� �`� �3 ��'�� ! CONTRACTOR _.'�^��"� ' l� .�!� >: DESCRIPTION �-� CyC�-'� �'7CC /LQ_4 $ _-C�c-� �' , ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORENVETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � I ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ' ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP W ❑ DEMO-FINAL ❑ SEPTI I TALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTI NAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTORTOMEETYOU: ES_NO COMMENTS: -R � ef'S,�-� �� y WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑C RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN � INSPECTOR WILL RETURN I ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ;i ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. I Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on ite: Inspector. �l, � �� White Copyllnspector's File Canary CopylSite Notice DATE TIME ✓ CITY OF ORONO CALLED IN �� INSPECTION N��ICE GSCHEDULED PERMIT NO.�«J/�—��O COMP ETED ADDRESS � � � �I OWNER � TEL,EPH NO. /� �� O CONTRACTOR � ' DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL E AV/GRADING/FILLING ❑ POURED WAL� ❑ MECHANICALRI ❑ LAKESHORENVETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE ❑CORRECT WORK R PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY 0 CORRECT WORK,CA�I FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED I ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. � Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on site: ' Inspector. ` White Copyllnspector's File Canary CopylSite Notice