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Home My WebLink About2014-01118 - roofing 111111111111111111111111 111111111111111111111111 CITY OF ORONO * ?- 014 - 01118 * 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 3710 TOGO RD PIN 17-117-23-31-0027 LEGAL DESC TOWNSITE OF LANGDON PARK LOT 003 BLOCK 010 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 15,000.00 NOTE: VALUATION OF PERMIT:$15,000 THIS PERMIT INCLUDES A REROOF AND WINDOW REPLACEMENT 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 265.50 A.M. BURNEY EXTERIORS,INC. STATE SURCHARGE(VALUATION) 7.50 21704 AHLSTROM AVE TOTAL 273.00 ROGERS,MN 55374- Payment(s) CHECK 1561 273.00 Minnesota State License#: BUIL-BC635734 OWNER LINDQUIST,LINDA 3710 TOGO RD WAYZATA,MN 55391- 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 anyqme for due cause. 9 �ar 51 0 �6 Applic Pe itee nature Date Iss By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �0 Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: Kelley 2750 G� Y Parkwa Y Plan review fee: t �, Orono, MN 55356 �y� �kEslio � 73. 0C 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. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: �7� O U Job Site Address: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes J6 No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus VrvXe will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: 14 YX, ery rtL-.Y'S n State License# -f5 C J,077 �3 Expiration Date: 31 - / Lead Certification Number: /) Wr _ ZZ-7 L I y Expiration Date: _ (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: 2 I City: 't.�S ZIP: Contact Person: ri Applicant is: ontracto / Homeowner (Circle One) Email and/or Fax: i k1 f 5 PROPERTY OWNER INFORMATION: Name: LI n do a- C Ick t4-r 6o/I Phone(day): Cf t ' _ (Z , 7 7!1D 1 Address: 3-7/0 -�"�qb l��(r�( City: k)0, 'Z#teo, ZIP: Email and/or Fax: �— PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Re-roof,asphalt ElRepair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Windows) www.minnehahacreek.org 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 infiVrmnfinn,th lir pto a not be issued. Applicant's Signature: Date: ZI Owner's Signature: Date: Last Updated:03/06/2013 CITY OF ORONO CALLED IN DATE TIME / INSPECTION NOTl E G(�l� SCHEDULED ^� PERMIT NO. COMPLETED ADDRESS 3210 fbSa OWNER TELEPHONE NO. CONTRACTOR �• �I rcr r1.9. /�� 3� DESCRIPTION Teo tW ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: -toe., - D-R-- o? spwul/ d ,l��o�cct�e.-� ,dr0(itt�e o �o✓� O c1 Q 'mod h — 12 � �r?lt/6b 2 p rG��,its �' �s•c.�G W j d WU ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W XCQ89ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. L1PHOTOTAKEN 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. Q White Copy/Inspector's File Canary Copy/She Notice �'q Of' DATE TIME CITY OF ORONO CALLED IN / INSPECTION NOTICE SCHEDULED PERMIT NO.,?D/ !�!/l Si COMPLETED ADDRESS 3 7�d 70- 1d � OWNER T LEPHONE NO.`IG3 CONTRACTOR �• If DESCRIPTION R6O / A El FOOTING ❑ PLUMBING FINAL LlEXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 Q ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL RI ❑ SEPTIC F ❑ FOUNDATION/REMOVAL j:F� BING NTRACTOR TO MEET YOU: YES_NO aJJJ___ cq COMMENTS: 8014— d �G�4✓tS �G V Q. r vt� ra e j 01 cc 0 cc Q � LJDr K IS �brKel�e cc LAj ❑WORK SATISFACTORY:PROCEED DePROIECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. all for the next inspection 24 hours in advance. (952) 249-4600 Owner/ ntractor on site: �®-�--- Inspector r"' White Copy/inspector's File Canary Copy/Site Notice