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Home My WebLink About2011-00971 (roofing) � " CITY OF ORONO PERMIT NO.: 2011-00971 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE IssuEv: 08/3U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3348 BAYSIDE RD PIN : OS-117-23-14-0064 LEGAL DESC : N/A : LOT MB BLOCK 006 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 13,500.00 NOTE: VALUATION OF PERMIT:$13500.00 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 250.75 AC CONSTRUCTION&RESTORATION SERV STATE SURCHARGE(VALUATION) 6.75 12510 FLETCHER LANE SUITE L TOTAL 257.50 ROGERS, MN 55374- (763)682-0770 PAID WITH CC# 2728 Minnesota State License#: 20634132 OWNER HtLL, JEREMEY 3348 BAYSIDE RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which[his 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 a[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 y time for due cause. � ^ Ol�� l � I ��/� / / Applicant Permitee Signatur Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �� . Ci�y of Orono � Building Permit Application for Maintenance 1 Renovafiion � (windows, doors, siding, re-roof, etc.) Mailing Address: permit number: ! O��,j�O PO Box 66 Grystal Bay, MN 55323-0066 Date received: a� �, Street Address: Received by� �� 2750 Kelley Parkway Plan review fee� � �9x�xo4.� Orono,MN 55356 — Total F'ee: p� 'S� 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: � Job Site Address: g � � � s �✓ Wil1 this be a Parade of Hom s, Remodeler^s Sh wcase Home or ot er Display Home? ❑Yes No If yes,a speclal event permit!s requrred wilh Police Department and City Council approval 60 days prior to the evmnt. Shuttle bus seivrce wi!!be required unless app�icarrt demonstrates s�cienf aR-site parking is available. Non-permhted events wrll not be alloWed. CONTRACTOR/AP�pPLICANT INFORMATION: � Name; T�'G L'1?1+��YV�� 01� C �.��,"I-7��1�l�V�S �e.P'�/�L-l� �./J L State License# � � Expiration Date: 'j� 3 � -� j 3 Lead Certification Number. N�—r� � 11 �(-- � Expiration Date: � �� .� -�1,� (!or work on homes that were constructed prior to 1978 Phone� ��,�.• y L_�- �'Z4 3 (office) (cell} Mailing Address: � a„5 � � � � �ie � ,�. (_ City: �aK �ic.5 ZIP: �37� Contact Person� . Li�� e Applicant is: n rac / Homeowne� �c��oi.o�.� Email and/or Fax: ��o�,;�., � �A c c. - Q , c�� PROPERTY OWNER I�ORMATION: � Name; ��,� � Phone (day): , _ � Address -�-��(ts' 3 v��s��t Icy, City: �ro�n J ZIP: rjs��(o Email and/or Fax ' PROJECT INFORMATION: Type af Project: Any earth movemant may�equire ❑Ooor(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) �e-rooF,asphalt ❑ Repair !$'Storm�amage 16202 Minnetonka Blvd ❑Re-roof,cedar ❑aestoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑Re-roof,other(specify) �Siding ❑Other: (specify) Fax: 952-471-0682 ❑Window(s) www,minnehahacreek.orq Overall Project Desc�Iptfon: l � �i ��v4�r �.� �r..�..�,w,.e;ti-�-- Estimated Construction Valuation of Project(excl ing land) $ l?�,��u .'� 2? APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building �epartment; • 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 altemative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is cfassified 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 subjeot of the data. Confidential data is inforrnation which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this inforrnation is to annually update our records and records of other governmental agencies r uired b law. If ou refu I he information, the a lication ma not be issued. Applicant's Signature: Date: �'�j�� ' Last Updated� 08•09-2011 l 'd 11�5 'oN uoi ��ao�sa� � uoi ��a �suo� �y Wy��Ol IIOZ 'lE '��d / DATE TIME CITI'pF ORONO CALLED IN INSPECTiOIV NOT9C� SCHEDULED PERMIT IVO, oto/!-��r7/ COMPLEfED -oZ -/ ��DR�s� 33�g ��,s<� ,e,� OVWNER TELE�HOEVE NO. C�PfTRACTOR C C'o.� .� 'P�,S�a rt�,a.� �: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ �1ECHANICAL RI ❑ LqKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION �Q ❑ RADON SLAB ❑ WATER HOOK-/�P ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK�-UP ❑ COMPLA�NT J ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUPABING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNER/CONTRACTOR TO iVIEE'i YOU:_YES_NO , � COMnAEfVTS: No ��.- - o-F�' i.rs/JrcL`,o:� l�ecor�Q� � *OLD PERMIT - NO FINAL INSPECTION REQUESTEL � � O � � 1 cs �G l/'G>rT��i., �/'OG! O � � Q ;� r rK z�A��4�s �b.Yr /J/e7�c � ` � ,��.+�,t � ��t/.�aP � j � � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPL�TE w ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTIOtd TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIOPIWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WlLL RETURM ❑STOP ORDER POSTED.CAIL ItJSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.C:yLLTOARRANGE,4CCESS. Ca11 for the next irospection 24 hou�in advance. (J52� 249-4600 Owner/Contractor on sife: Inspecto��i �.-- `�� White Copylinsp-actor's FBIe Canar��CopylSite Notice - AT /I TIME CITY OF ORONO CALLED IN INSPECTION pl{J/T�ICE SCHEDULED" PERMIT NO. oZV I '�_��I CO PLETED ADDRESS 3 OWNER TELE QNE NO. 7 �- Z�- S � C�NTRACT�R � L � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL 'EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a 0 � �,�� t� � d� � � 7�-�_� r, � ,�}- 1 :/li' �..� �L� :� ;�%,� 0 � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CA�L 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.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46�0 OwnerlContractor on site: Inspector. � c, /J � White Copy/lnspector's File Canary CopylSite Notice