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Home My WebLink About2011-00470 - roofing w . CITY OF ORONO PERMIT NO.: 2011-00470 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/16/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1085 TONKAWA RD PIN : 08-117-23-13-0003 LEGAL DESC : AUDITOR'S SUBD.NO.217 : LOT 006 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 40,000.00 NOTE: TEAR OFF REROOF-CEDAR SHAKES APPLICANT PERMIT FEE SCHEDULE 574.25 ADVANCED ROOFING&SIDING STATE SURCHARGE(VALUATION) 20.00 360121 ITH LANE NW TOTAL 594.25 ANOKA,MN 55303- (763)464-2084 Minnesota State License#: 20630441 OWNER GARDNER,MR.&MRS. 1085 TONKAWA 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 day of the date of issuance,or if construction is suspended for a perio f 0 days at any time after work has commenced. The appli is resp s' a for assuring all required inspections are req estenfo with the State Building Code.This permit may be revue cause. V (Pi /(oiA rr tee Signature Date Issue4fiy Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Jun 15 11 01:5, p Advanced Roofing 7637533708 p.1 City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) �– — Mailing Address. Permit number: / y 0 Cr Box 66 Crystal Bay, MN 55323-0066 Date received; Received by: Street Address: PU_ oti�� 2750 Kelley Parkway Plan review fee: Orono, MN 55356 \?tEsxot` - Main: 952-249-4600 Fax: 952-249-4616 yvrf��ti�.ci..orol o,n]r,ca_W. otalee: This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: _ Job Site Address: �j ` �Q�{ `a �C�Q 5` •/G?r��i.��,c. n d BGC_ Mn of Will this be a Parade of Homes, Remodelers Showcase Home-6r other Display Home? El Yes Q 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/APPLICANT INFORMATION: Name: i v..2 oil K / l00 State License# �c ,•��;y<f/ / Expiration Date- 3 U l of Lead Certification Number: Expiration Date: (for work on homes that were constructedprior to 1978 Phone: �:,3 �', �-3G`��% l,t �t/U c:e(office) (cell) Mailing Address: ,•� �� {, ,(, J City: ��, / i ZIP: c ,) Contact Person: �j fric v 1 h,n rr and" 6,uevt: Applicant is: Contractor / Homeowner (Circle one) Email and/or Fax: u ;,� cvs K��•,.r i� iU, f, ��:>` '7eP /s; -_3 ras PROPERTY OWNER INFORMATION: Name: /..meq .f. `CI c,y,-r.ryC'r' [s°ctr l nrr Phone (day): qi, -�l'tt Cir b�> Address: %OX'>' r"7Iti rc .� /�v.-u( City: lLa/Se ZIP: J Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) W Repair [Storm Damage 18202 Minnetonka Blvd ❑Siding ❑ Restoration F1 Other (specify) Deephaven, MN 55391 f Phone- 952-471-0590 ,,eRe-roof ❑ Fire Damage Fax: 952-471-0682 +,�nnr�ar_n7.ir�rii?h�,i iarre'�6;:c>rµ Overall Project Description: t�e>Mc:�,�u ;'x�:11�r�1 �;��c'� mat`er�u T ct.F �; ! "e"i Estimated Construction Valuation of Pr ject(excl ding lafid) $ L Co bbo 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'nformation, the application may not be issued, /rS� b r Applicant's Signature: / Date: / Last Updated: 03-01-2011 /DAT TIME CITY OF ORONO CALLED IN ` � INSPECTION NOTICE t/ SCHEDULED ) --� PERMIT NO. a OMPLETED ADDRESS 109S f OWNER ,^//,,U TE EPHONE NO.6Z 3 d `D — gT�Jc CONTRACTOR DESCRIPTION 1 ❑ FOOTING ElPLUMBING FINAL E-1EXCAV/GRADING/FILLING tL Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W Q. a ac 0 W QC Q 2 W z W SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit Inspector. White Copylinspector's File Canary Copy/Site Notice