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Home My WebLink About2012-01048 - roofing 1111111111111111111111nUffum 414 CITY OF ORONO 2 0 1 2 - 0 1 0 4 8 2750 KELLEY PARKWAY DATE ISSUED: 10/18/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS 3760 WATERTOWN RD PIN 32-118-23-31-0005 LEGAL DESC HILLAWAY FARM : LOT 002 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION $ 7,000.00 NOTE: VALUATION OF PERMIT:$7,000.00 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 147.50 STEPHENSON,REVIS STATE SURCHARGE(VALUATION) 3.50 3760 WATERTOWN RD TOTAL 151.00 MAPLE PLAIN,MN 55359- OWNER STEPHENSON,REVIS 3760 WATERTOWN RD MAPLE PLAIN,MN 55359- 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 time for due cause. Appqicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono hoz Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: CD PO Box 66 Q Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: �� 2750 Kelley Parkway PlanTeviewfee: IESHo Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.rnn.us TotalFee: This application form must be completed in full and all required information must be submitted. GENERAL INFORMATION: Incomplete applications will be returned. (Please print)Job Site Address: 76n 1, u i O,— Will this be a Parade of Homes, Remodeier Showcase Home or other Display Home? ❑ Yes XX 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/APP RAT(CANT INFOI N: Name: State License # Expiration Date: Lead Certification Number: Expiration Date: (Tor work on homes that were constructed prior to 1978 Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATIO ^ Name: s V1ev�SOti �� J ctd'cw�6s > tic 52, F.,-4KaQ•P� R4 c Phone(day): 7 Address: Z 6c) City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) El Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) $CRe-roof, asphalt ❑ 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) Far,: 952-471-0682 ❑Window(s) www.minnehahacreek.org i Overall Project Description: stimated Construction Valuation of Project (excluding land) $ _77000 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 reouired by law. If you refuse to supply the information,the application may not be issued. Appiicant's Signature: Date: G f Last Updated: 08-09-2011 ot Tr krP] i' 1 F' • f' riW I' 1 le a: yc4 n 3 r; a .r 2 I. t s .a1,.iL43 ".khat'• s. - ss..r�nv_..e a ...w . IDATEf TIME CITY OF ORONO CALLED IN (DI1 I 1-z— INSPECTIOK NOTICE SCHEDULED 101 191, L&MERM PERMITNO.Q0l2 'DI O COMPLETED ADDRESSr� � � OWNER Pf—U I S S+t 12he(" TELEPHONE NO. CONTRACTOR > DESCRIPTION r 0 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ 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 ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES/NO COMMENTS: cc W C j c O W W CC Q 2 W z W cc O W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE LU W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY CJ BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El 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 CopylInspector's File Canary Copy/Site Notice 3T DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.,?Dla 'eioW COMPLETED -/3-or ADDRESS 3760 OWNER QQew5!,-- ELEPHONENO. CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING C ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ 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. 01�FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a 61fP ,QG ►+tit I'10 *'i1gL /s�l.SBec Z�ee.c �� S o� R. cc 0 2 Q kjor l� ®Dea�S W �CWI C� cc J d LU ❑WORK SATISFACTORY PROCEED 91ECT COMPLETE W ❑CORRECT WORK&PROCEED /❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwneHContractor on site: Inspector. .� White Copy/Inspectoes File Canary CopyfSite Notice