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Home My WebLink About2011-00623 (roofing) CITY OF ORONO PERMIT NO.: 2011-00623 ' ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE iSSUEn: 07/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3382 BAYSIDE RD PIN : OS-117-23-14-0069 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT MB BLOCK MB PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 40,000.00 NOTE: 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 PINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BG ON THE PROPERTY DURING THE TIMF,"I'1 IE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. TEAR OFP REROOF-ASPHALT APPLICANT PERMIT FEE SCHEDULE 574.25 EVERLASTING HOMES INC P O BOX 914 STATE SURCHARGE(VALUATION) 20.00 BURNSVILLE, MN 55337- TOTAL 594.25 (952)435-2148 PAID W[TH CC# 3765 Minnesota State License#: 3024 OWNER HUTHWAITE, MICHAEL& MARILYN 7155 AINSWORTH DR GERMANTOWN, TN 38138- 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. "Chis permit is for only the work described and does no[grant permission Yor 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 hereia 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 aIl required inspections are requested in conformance with the State Building Code.This permit may be revo ed at any time for due cause. ��lJc-�.c.�- � / � / �/ ��/ � I pplicant Permitee Signature Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � City of Orono " ' Building Permit Appiication for Internal Work (windows, doors, siding, re-roof, etc.) MailingAddress: Permitnumber: ��—O6 O4v�,� PO Box 66 � Crystal Bay, MN 55323-0066 Date received: � a �� '' �� s, Street Address: Received by: �•�.� �'� ' °�� ,ti�' 2750 Kelley Parkway Plan review fee: t<9gESHo4�' Orono, MN 55356 �� , � � Total Fee: 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:. n Job Site Address: -. "� <�"� e�J � l � - � � /�U/l�U Will this be a Parade of Homes, Remodelers Sh case Home or other Display Home? ❑ Yes �n lf yes, a special event permit is required with Police Department and City Counci!approva/60 days prior to the event. Shuttle bus senllce will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: - � �r�.� o�ti, t.. State License# �`�G �� Expiration Date: _; `� � `; ��;,Z Lead Certification Number: Expiration Date: (for work on homes that were consfructed prior fo 1978 Phone: �`-��,� _ y�S--�� y� (office) (cell) Mailing Address: ,� D. o s� �l Y City:�-� ,� � '�/, ZIP: ,��_s�� Contact Person: �� A licant is: ontractor ;/ Homeowner (Circle One ' :J �l–.Pz.�. .� Pp � ) Email and/or Fax: �� 4 s �;".L� 2 A( ,�. - ��..�- � �-;�, �. ��r ��. < <� � �� s r C > y - . PROPERTY OWNER INFORMATION: Name: L �, � � /� � „0� /�c: � � Phone (day): � �,� _ �-'�=� _ 3 S 3 e� Address: City: ZI P: 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) ❑ Repair �'Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 P hone: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: ` � i2 1�., f L �:.,� ,�-�/��r /�o.�, �, Estimated Construction Valuation of Project (excluding land) $ � d��,� .— � 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 appficant 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 ctassified 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 re uired b law. If ou refuse to su I the information, the a lication ma not be issued. ApplicanYs Signature: Date: ��/ �,_),� �� Last Updated: 03-01-2011