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Home My WebLink About2012-00660 - tear off/reroof with steel ,.� CITY OF ORONO * 2012 - 00660 * 2750 KELLEY PARKWAY DATE ISSUED: 07/1 V2012 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 3940 WATERTOWN RD PIN : 32-118-23-32-0001 LEGAL DESC : UNPLATTED 32 118 23 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-OTHER ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 60,000.00 NOTE: TEAR OFF AND REROOF WITH STEEL APPLICANT PERMIT FEE SCHEDULE 756.75 MIDWEST EXTERIORS PLUS STATE SURCHARGE(VALUATION) 30.00 6451 SYCAMORE CT.N. TOTAL 786.75 MAPLE GROVE,MN 55369- Minnesota State License#: BC010277 OWNER HEDBERG,CHRISTOPHER&HEIDI 3940 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. _.. T7 / // / / Z -7/ Applicant Permitee Signature Date ISS40 By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: - Q d 0, PO Box 66 57 06 Crystal Bay, MN 55323-0066 Date received: -7 9 O a Street Address: Received by: 2750 Kelley Parkway Plan review fee: �silo 4'�v Orono, MN 55356 : ��Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: This application form must be completed in full and all required information must be submitted. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) ,,t Job Site Address: 1 �Pj( Ilu Vll vl R f Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No /f 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/APPL4 CANT INFORMATION: Name: AJ W05 f V W State License# S(p 10ti}- , Expiration Date: 3 Lead Certification Number: f'N-r30_�015-I Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (office) cq6 (cell) Mailing Address: 05'1 4ytcirl? Cfi, City: y1-) Je ()rD✓e ZIP: Contact Person: mG 4-f-krm I Applicant is: / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATONt• Name: 20l bQ�q Phone (day): Address: 7 q�o L"-01n 261W-7 Qp � City:042wk � r� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) to RU-100f, d P ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 s eci Phone: 952-471-0590 Re-roof, other (specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 _7 ?gel ❑Window(s) www.minnehahacreek.org Overall Project Description: / / 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 su I the information,the pplication may not be issued. Applicant's Signature: Date: Last Updated: 08-09-2011 P_ rn ` TE ME IV CITY F�O CALLED IN �/ _� INSPECTION NOTICE ! SCHEDULED Z PERMIT NO 12-00(e OCOMPLETED ADDRESS OWNER TELEPHO NO. CONTRACTOR / goa DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q El 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 o COMMENTS: cc W C J O cc O LL W cc Q f2 2 W z W Cr J GW�RK SATISFACTORY:PROCEED ❑ PROJECT 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. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice D/tJE TIME CITY OF ORONO CALL DIN INSPECTION 140TICE SCHEDULED PERMIT NO. // COMPLETED ADDRESS 1-WO W&LP��"ozc1�2Ed OWNER T��ELEPHO NO.61Z 7K2 7 7e CONTRACTOR PIdJ7// f DESCRIPTIONDT �G�I ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O El 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a J O O W W cc Q 2 W Z W CC d WW ❑WORK SATISFACTORY:PROCEED AJiOJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑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 ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52) 249-4600 Owner/Contractor on site Inspector. White Copy/Inspector's File Canary Copy/Site Notice