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Home My WebLink About2012-01227 - roofing *r ' CITY OF ORONO * z 0 1 2 - 0 1 2 2 7 * 2750 KELLEY PARKWAY DATE ISSUEU: 12/06/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 25 BROWN RD S PIIY : 03-117-23-21-0001 LEGAL DESC : UNPLATTED 03 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTNITY : O/S BUILDING- UNDEFINED VALUATION : $ 5,000.00 NOTE: VALUATION OF PERMIT:$5,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING S"[�ARTGD) MUST PROVIDE COMPLETE SET OF PICTUKES OR A F1NAL INSYEC"I'ION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ON[.,Y [3E ON THE PROPERTY DURING THG TIMG THI',ROOF IS BGING DONE. ONCE WORK IS COMPLF;TED THG SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 118.00 ALL AROUND PROPERTY PRESERVATION STATE SURCHARGE(VALUATION) 2.50 720 TOWER DRIVE MEDINA, MN 55340- TOTAL 120.50 (763)447-3944 PAID WITH CC# 7566 Minnesota State License#: BC635665 OWNER POWERS, SUSAN 25 BROWN RD S LONG LAKE, MN 55356- AGREEMENT AIYD SWORN STATEMENT The work for which this permit is issued shall be performcd according to the approved plans and specitications,applicable Ciry approvals,and the State Building Code. This permit is for only[he work described and does not grant pemiission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming 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 a�mmenced wiihin 1 SO days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. "I'he applicant is responsible Cor assuring all required inspections are requested in conformance with the State�uilding Code.This permit may be revoked at any time for due c�ause. �,. �� `-'�'�'�- � � �j� /02..� C.e l ! r7— Applicant Pecmitee Signature Date Issu [3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, �e-roof, etc.) _—_�:\ Meiling Address: Pertnit number: o2D/�•O/a a7 O;�D�O PO Box 66 • Crystal Bay,MN 55323-0066 Date reoeived: � �'�� '� .` Street Address: Received by: � 2750 Kelley Parkwey Plan�view Fee: �� ' prono,MN 55356 � �tlo�% �pZ�.�J v -=_--= Total Fee: GJ Main: 952-249�600 Fax: 952-249�616 www.ci.orono.mn�us This application form must be completed in full and all required infornladOn must he submitted. 75�� Incomplete applicatlona wlll be�tumed. (P/g8se p�nt) GENERAL INFORMATION: G Q f� u� SO� I Job Site Address: Z J v f�D�✓> >� �� WIII this be a Parade of Homes, RemodeleB Showcase Home or other Dlsplay Flome? Yes No !f yas,a special event permit ia ngquired w/th Polke Depa�tment end City Council approval 60 days Drior to the evant. ShuKle 6us service will be , repuired unless applieant demonstrates s�cient on.site pedcing!s avails6le. Non-pemritted evenfa will not be allowed. CONTRAGTOR/APPLICANT INFORMATION: Name: I I A� ��n PrC Sl.r,�h �. State License# � � s S Expiration Date: �'3 3 I �3 Lead Certification Number; N T- �a 2�,ti~l Expiration Date: oq Zq �2 C� S _ Phone work on homea thet w�ere c�o�3 t�ed�Nor a9�8 (O��} G�2',�'3 S'-� �,�v (cell) ..� 1 '-/ Mailing Add�ess: -�Z� `Tp,,�Q,/ � Clty: � ;y,s� ZiP: 553�10 Contact Person: �;;L� e�v.p�,� Applicant is: racto / Homeowner (Clrele One) Email andlor Fax: ! r;c k.�Q� �'q ��a�I• c.�.'w. $D 0 -�l ��1-� 2Z PROPERTY OWNER INFORMATION: Name: Rc'p�-�pY= Ga.r+�n Jo�r S 61n Phone(day): �S Z-g u y— I S ON Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: -- Type of ProJect: Any earth movement may requlro ❑ Door(s) ❑ Remodel ❑Fire Oamage MCWD review 8 pennits: Minnehaha Creek Walershed Disirict(MCWO) �Re-roof,asphalE �aepair ❑Storm Damage 18202 Min�etonka B�vd (�Re-roof, cedar - Deephaven,MN 55391 ❑Resto�ation water�amage Phone; 852-471-0590 ❑Re-roof, othe��speclfy� ❑Siding ❑Other.(speciFy) Fax: 952-471-0682 ❑Window(s) _� �mi nehahacreBk.orcl Overall ProJect Descrlptfon: � Estlmeted Conatruction Valuatlon ef ProJect(excluding land) S S�0�p,00 , APPLICAN7 ACKNOWLEDGEMENT; . Agrees to provide all infortnetion requirod or requested by the euiiding Department; � . Certifies that the information supplied is true and correct to the best of his/her knowledg . The applicant recognizes that they are solely respo�sible for submitting a complete application being aware that upon failur to do so, the staff has no altemative but to reject it unii{it is complete; • Some or all of the information that you are asked to provide on this application is classjfied by State law as either private ar confidential. Private data Is information which ge�erally cannol be given to lhe public but can be given to the subject of the data. Gonfidential data is inFormalion which generelly cannot be given to eilher the public or the subject of the date, Our purpose and intended use of this infortnation i5 lo annually update our reco�ds end reoords of other govemmental agencies re uired b law. If ou refuse to s rmation,the a liCation ma noi be issued� Applicant's Signature: Dete:' �Z� .� ��- v-' L� Last Updaled: 08-09-2011 l d 89Z0910889 '�N/90� � '1S/�0� £ Z lOZ 9 �34 (�Hl) � WOa� DAT TIME ✓ CITY OF ORONO CA LED IN �2'� INSPECTION NOTI E J�/Z Z �cHEDULED Z' � 2 � PERMIT NO�� COMPLETED ADDRESS aS �J� � OWNER TELEPH NE NO. CONTRACTOR ��2� � Q�-P� �; DESCRIPTION _ �e� 0� � � O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 = p DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � N c� � �� 0 � � � Tb c p -��,�.�, � � � ,�.Q � , �-� .��-�S Q � z W � W � � � d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTtON REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-46�� OwnedContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN IfdSPECTION TI SCHEDULED PERMIT NO. �—� �� COMPL ED � ADDRESS /��2� � � OWNER TELF„RH O. CONTRACTOR 1�� : DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INS ATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � AL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � 1�1� ,��►'rt�� '' rl0 �iitqL_�ec,�tQ.c �@�►c�4,5� J O � � � _ O � W � Q � - Z - W Sc W ' � j - d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTO TAKEN �NSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER P05TED.CALL INSPECTOR ❑INSPECTION FEQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. J52, 249-4600 OwnerlContractor on site: inspector. _ White Copyllnspector's File Canary CopylSite Notice �� \ � DATE TIME �/ CITY O ORONO �� CALLED IN I ' _ Z ; INSPECTION NOTICE SCHEDULED — O �G PERMIT NO. �l�� COMPLETE ADDRESS �� OWNER TELEPHO NO. �� " �.3-5"�gO� CONTRACTOR � �`� >; DESCRIPTION ��v�'c "c `� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCA RADING LING 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J' O � � O � W � Q � 2 W � W � � GW ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OFiDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on si e: •� Inspector. � White Copyllnspector's File Canary CopylSite Notice