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Home My WebLink About2014-01020 (Roof) CITY OF ORONO * z 0 1 4 - 0 1 0 z 0 * _ , 2750 KELLEY PARKWAY DATE ISSUED: 09/10/2014 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1392 BALDUR PARK RD PIN : 08-117-23-31-0003 LEGAL DESC : BALDUR PARK : LOT 000 BLOCK OOl PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -LJNDEFINED VALUATION : � 8,000.00 NO'1'E: VALUATION OF PERMIT:$8,000.00 KOOFING PERMITS (SSUED WITHOUT ENOUGH NOTICE FOR"I'EAK OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PR[OR TO WORK BEING STARTED) MUST PROVIDE COMPLGTE SET OF PICTURES OR A FINAL[NSPECTION MAY NOT BE ISSUED. S(GNS-ADVERTISING SIGNS MAY ONI.Y I3L ON THE PROPFRTY DURING THE TIME"rHE ROOF 1S BEING DONE. ONCG WORK IS COMPLI:TIiD 1'HE SIGNS MUST BE REMOVED. APPWCANT PERMIT FEE SCI-IEDULE 162.25 STATE SURCHARGE(VALUATION) 4.00 MIDWEST EXTERIORS PLUS MISC FEE 0.00 6451 SYCAMORE CT. N. TOTAL 166.25 MAPLE GROVE, MN 55369- Minnesota State License#l: BUIL-BC010277 Payment(s) CHECK 26504 166.25 OWNER GEHLE, GILBERT 1392 BALDUR PARK 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."Ihis pennit 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. "rhe applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at an time for due cause. 9--/� - � ,ll� ,/ Appl' ant er tee Signature Datc Issu d By Signature Date � ' City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O ;�O\ Mailing Address: Permit number �l —�l�� PO Box 66 ` Crystal Bay, MN 55323-0066 Date received: '��l � Street Address: Received by: ` `� � 1 2750 Kelley Parkway Plan review fee: �tq �� Orono, MN 55356 � Z� �kfS Hc�¢ ._._._.--- Total Fee: �lp �. Main: 952-249-4600 Fax: 952-249-4616 �,�✓t^.�ua.a.orono mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be retumed. (Please print) GENERAL INFORMATION: A n� �� a- 'l �� Job Site Address: 5 y r'1�• Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No tf yes, a specia/evenf permit is required with Police Departmerrt and Crty Counci!approva/60 days prior to tf�e event. Shutt/e bus s r will be required un/ess applicanf demonstrates s�cient on-site parking rs availab/e. Norr�permitted everrts will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: � S State License# 7 Expiration Date: ��?�(�1�_ Lead Certification Number: „ S� Expiration Date: C�'�Sr� (s (for work on homes that were constructed prior to 1978 Phone: (cell) (office) , L��,7� 9(�cj� Mailing Address: �'j' City: ZIP: Contact Person: Applicant is: ontra or Homeowner (CircleOne) Email and/or Fax: PROPERTY OWNER IN RM TIO : Name: �(� Phone(day): a -� � Address: a, � City: ZI P: 3 Email and/or Fax: PROJECT INFORMATION: Overall ro�ect descri tion: � Type of Project: earth movemen ay also require ❑ Door(s) ❑Remodel ❑Fire Damage MCWD revie 8�permits: �Re-roof, asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MC1ND) 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑Restoration ❑Water Damage Deephaven, MN 55391 ❑Re-roof,Othef(specify) ❑Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) �,°,n��w minnehahacreeK.or� 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 an ally update our records and records of other governmental agencies required by law. If ou refuse to su I he i rmati n,t li ti ma not be issued. ApplicanYs Signature: Date: "" Q— Owner's Signature: Date: �� "�/�r� 4 E TIM CITY OF ORONO CALLED IN �f INSPECTION OT E SCHEDULED — � PERMIT N l ' �D�U OMPLEfED ADDRESS AG�� i1�C� � OWNER TEL H NE NO(�Zl�" 70�'��1�� CONTRACTOR �; DESCRIPTION � lN ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/ ADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ 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. ❑ FOLIOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a r nl � � � O . _ ' � ��ui�5 d� [G� d ws�� Orotcc��-., ° ,pio�ca�— — W � Q z I��rl� ��a�s c'o•�,91�c- — W � W � j � ❑WORKSATISFACTORY:PROCEED '�PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC0IIERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail�or the next inspection 24 hours in advance. (J52� 249-46�0 OwnerlContractor on site: Inspector. ''~ White Copyllnspector's File Canary CopylSite Notice DAT TIME CITY OF ORONO CALLED IN � �� INSPECTION NOTICE SCHEDULED �"�� PERMIT NO. COMPLETED ADDRESS �� T w�� OWNER TELEPHONE Na ��"��b-a`�3 CONTRACTOR ( T�` V��`Q 1..� J � DESCRIPTION �Vl �e� 75 � ❑ FOOTING � PLUMBING FINAL EXCAV/GRADIN !!� � 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 � OWNER/CONTHACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. o —�/' 'v� , �S S =d tt� �� G cs� '� �-f-- � DL .g � -4-�ce.s /�-�� ° ��'��v�- �� l� � �e 5 �' . W � Q � 2 w � w � � GW i�IAfORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CA�I TO ARRANGE ACCESS. Cal{for the next inspection 24 hours in advance. �95Z� 249-46�� OwnerlContractor�: � � Inspector. � White Copyllnspector's File Canary Copy/Site Notice