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Home My WebLink About2011-00915 (re-roof) CITY OF ORONO PERMIT NO.: 2011-00915 2750 KELLEY PARKWAY - r ORONO, MN 55356- �A7'E�ssuEn: 08/23/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3470 BAYSIDE RD PIN : OS-117-23-13-0014 LEGAL DESC : AUDITOR'S SUBD.NO.203 : LOT 023 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 26,000.00 NOTE: VALUATION OF PERMIT:$26,000.00 GARAGE ROOF-ASPHALT HOUSE ROOF-CEDAR ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE POR 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 423.75 GIERTSEN COMPANY STATE SURCHARGE(VALUATION) 13.00 8385 l OTH AVE N GOLDEN VALLEY, MN 55427- MISC FEE 0.00 (763)546-1300 TOTAL 436.75 Minnesota State License#: 1796 PAID WITH CC# 6778 OWNER WALSTEDT,JOHN& LYNN 3470 BAYSIDE RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT "Che 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 atter work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �Z_-�__ . ---–f — ��l Z 3/ 2.�� I� l l Applicant P rmitee Signature Date Issued B ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A� E. Aug. 23. 2011 12, 59PM Giertsen Company No. 2611 P, 1 City of Orono _ Bu�ilding Perrnit Application for I�aintenance / Renavation � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: - O�,�,�O PO Box 86 ' : Crystal Bay, MN 55323-0066 Dete received: �, Stieet Address: -Recelved:by:. �, � 2750 Kelley Parkway Plan:revlew fee: �kEsxo�� Orono,MN 55356 . Total Fee: Main: 952•249-4600 Fax: 952-249-4616 w.ww,ci.orono.mn.us . This application form must be completed in full and all required informafion must be submitted. Incomplete applications will he retur'ned. (Please p�Jnf) C�ENERAL INFOaMA710N: Job Site Address; �� Will this be a Parade of Homes, Remodelers S wcase Home or other Display Home? ❑Yes o If yes,a special event permit is requlred wlth Pollce Depar(merit and CJIy Councll approval BO days p�lor(o fhe evenl. Shutlle bus service will be roqulred unless applicant demonsfra(es sufl7clent on-slte parking Is avallab/s, Non-permllfed events will not be allowed. CONTRACTOR 1 ApPLICANT f NFORMATION: Name: ��`f��-S��/'1 �.D. State License# �7�/o Explratlon Date: '.�j-- 3�— �C� Lead Certlfication Number: NA-�j-'- 2 3'��--� Expiratlon Date: L�—S'—J�j (for work on homes that were cons�ructed 4rfor to 1976 � phone: 7(� �"— :�.,(v— /�.Q (office) (p�2`'7v � .,_ �5� � (cell) Mailing Address: �"5 0'� /�yv /1� City: ,� � zIP: � Contact Person: �r V/ y� �`f l Vj Applicant is: ntract / Ho eownet �c«�ia o�a� Email and/or Fax: lije U i vi � � 9 r�G r�S��Ge�- �m . PROP�RTY OWNER INFORMATION: Name: �/1lGLl�S'/ZZO� Phone(day): ��'a � Address: � 3�7p /��asi' � �oa� c�cy: n /...�� ziP: � � Email and/or Fax PROJECT IN�ORMATION; Type of ProJact: Any earth movement may requlre ❑Door(s) ❑Remodel ❑Fire Damage MCWD revlew 8�permlts: Minnehaha Creek Watershed District(MCWD) Re-roof,asphalt�a� Repair ❑Storm Damage 18202 Mlnnetonka Blvd Re-roof, cedar �oti5e ❑l�estoration ❑Water Damage deephaven, MN 553H1 Phone: 952•471-0590 ❑ Re-roof,other(6pecify� ❑Slding ❑Other:(specffy) Fax: 952-471-0662 ❑Window(s) www.minnehahacreek.or� Overall Project Description: /�'— p �� .�~-/''rj d Estlmated Construction Valuation of Project (excluding land) $ ��L��j� APPL,ICANT 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 hls/her knowledge. The appllcant tecognizes that they are solely responsible for submitting a complete appllcatlon being aware that upon failure to do so,ihe staff has no alternafive but to reject It untll it Is compleYe; • Some or all of the info�mation that you are asked to provide on this application ls classlfied by State law as e)ther private or confidential. Private data fs informallon whfch generally cannot be giveh to the public but can be given to the subject of the data. Confidentlal data Is Information whiCh generally cannot be given to eifher 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 governmehfal agencies re uired b iaw, )f ou refuse to su I t e Informatfo a lication ma not b�issued. � Aoolicant's SianatiirA: �.� a+A� ��/�� u DAT TIME V CITY OF ORONO CALLED IN v— � — INSPECTION NOTICE SCHEDULED Z / PERMITNO. ��— �� COMPLETED � ADDRESS 3 �7D Jl� J OWNER TELEPHONE NO. CONTRACTOR U��li'7��''�� >'; DESCRIPTION ��< <�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � j �.��` �1 ' L� t� � �f O � o �, `, �.- � r. �� - W � � �- � � �� Q � z w � W � � d , � �'WORK SATISFACTORY:PROCEED ❑ PROJECT COMP�ETE ❑ORRECT WORK&PROCEED Ci ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: d Inspector. o,�L; � White Copyllnspector's File Canary CopylSite Notice `-�� DATE TIME �/ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED -3�-// __� PERMIT NO.a01/-D�9/S COMPLETED ADDRESS 3 � �O � ��✓ OWNER TELEPHONE NO. �Z�o3 Z3� �7 3�C� CONTRACTOR � ,� >; DESCRIPTION F� Y�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � o r �` ��f�'�� '7'-N 1S /�- � a � � ; �`; ''T� � ��,�1 C,� � v ti. � �� F Q -�-�--��.� � �-►� r�� z W � W � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: • Inspector. � � White Copy/lnspector's File Canary CopylSite Notice