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Home My WebLink About2011-00953 - roofing CITY OF ORONO PERMIT NO.: 2011-00953 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 1460 TANGLEWOOD RD PIN 26-118-23-32-0014 LEGAL DESC TANGLEWOOD LOT 005 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:$11,000.00 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 PLYMOUTH ROOFING&INSULATION STATE SURCHARGE(VALUATION) 5.50 17525 CTY ROAD 24 TOTAL 212.00 PLYMOUTH,MN 55447 (763)473-3397 Minnesota State License#: 5358 OWNER SIMONTON-BOLTE,JERRY BOLTE&J 1460 TANGLEWOOD RD 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 governing 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 assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any 'me for ue use. App icant Permitee Signature Date Issued By S&ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address. Permit number: O�,OPO Box 66 Crystal Bay, MN 55323-0066 Date received: a s Street Address: Received by: 2750 Kelley Parkway Plan review fee: t9kES140 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. ~4 Incomplete applications will be returned. (Please print) GENERAL INFORMATION: ) Job Site Address: 1416 0 Will this be a Parade of Homes, Remodelers 9howcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/AP LICAN NFR A�TION: Name: ��"r � L0 /?JC State License # Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �� _ j� (office) �� "oy'6 (cell) Mailing Address: `4 City: , ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax.- PROPERTY ax:PROPERTY OWNER INFORMATION: Name: -i .e r r 0 17 t Phone (day): &-c— "F �.✓✓ Address: ��(�U J�.ts/C cv ao City: �ra��G, ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review& permits: QRe roof, asphalt Minnehaha Creek Watershed District(MCWD) p ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-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.org Overall Project Description:", ,• �, ,<<�, 6v��;�✓ + / it �-� �� 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 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 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 you refuse to supply the 'orma 'on,th lication may not be issued. Applicant's Signature: a't ._ Date: ; Last Updated: 08-09-2011 DV II TIME CITY OF ORONO CA LED IN (J$' 1 INSPECTION-NOTICE SCHEDULED PERMIT NO. o//D7 9�3 COMPLETED p ADDRESS /Z60 /�_c OWNER TELEP=7e--O.AZZ 718 �s CONTRACTOR �j � DESCRIPTION �� 400747 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING H El 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO vOi COMMENTS: W C Cr O W W Cc Q 2 W Z W O Nam ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL 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 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice