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Home My WebLink About2011-01259 - roofing CITY OF ORONO PERMIT NO.: 2011-01259 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/18/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 4751 TONKAVIEW CT PIN 07-117-23-32-0012 LEGAL DESC BERGQUIST&WICKLUNDS PARK LOT 000 BLOCK 003 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 8,000.00 NOTE: VALUATION OF PERMIT:$8000.00 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 162.25 MIDWEST SIDING ROOFING&WINDOWS STATE SURCHARGE(VALUATION) 4.00 6451 SYCAMORE CT N TOTAL 166.25 MAPLE GROVE,MN 55369- Minnesota State License#:20010277 OWNER KOUBSKY,FRANK&SUSAN 4751 TONKAVIEW CT MOUND,MN 55364- 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 revoke y time a due cause. Applic t Permitee Si u e� . Date Issued By Si Lure Date SEPA TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AOOVE. City of Orono 2516 Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 'gv O.�O PO Box 66 O Crystal Bay, MN 55323-0066 Date received: A Street Address: Received by: �� o~ 2750 Kelley Parkway Plan review fee: t9kESHOSt� 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. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: 7/ 7�i �`� Job Site Address: `i / ( L, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ,[�o 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 i APPLI ANT INFORMATION: Name: State License# O / E piratio a e: Lead Certification Number: 3 Expiration Date: (for work on homes th t were constructed prior to 1978 Phone: �lv /Z (Office) (cell) Mailing Address: t� Cf City: �y-�.� ZIP: S Contact Person: Applicant Applicant is: on ractor / Homeowner (Circle One Email and/or Fax: PROPERTY OWNER Ib[FORMATI N: Name: Phone (day): /.) o;a/ 0 Address: �( 75–( 7��,&i City: 01-01-16, ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: 1k' Minnehaha Creek Watershed District(MCWD) Fe-roof,asphalt ❑ Repair El Storm Damage 18202 Minnetonka Blvd <<❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other(specify) Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 1�U 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 information,the application may not be issued. Applicant's Signature: _ Date: Last Updated: 08-09-2011 CITY OF ORONO CALLED IN DATE TIME1/ INSPECTION NOTICE SCHEDULED PERMIT NO. -26/ COMPLETED -A;-< ADDRESS 1/2-62 Tyrikvte� G`L` OWNER _ TELEPHONE NO. CONTRACTOR 1f A=,rP4 DESCRIPTION rao ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • LFML ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ 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: cL Q0 ammir t� - rlo virzs?t/ ilst9EtL�ia� reg,ti 4a occ � n 0 W 1 ��rlild y/47�O 2 LU Uj jv6 lC god s �oO/a-�� j Uj0 WORK SATISFACTORY:PROCEED RO COMPLETE W 0 CORRECT WORK&PROCEED C1ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector b_"-, White Copy/Inspector's File Canary Copy/Site Notice