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Home My WebLink About2011-00521 - roofing � � CITY OF ORONO PERMIT NO.: 2o�i-oos2� 2750 KELY�.EY PARKWAY ORONO, MN 55356- DATE IssuEn: 06/27/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 222 BEDERWOOD DR PIN : OS-117-23-13-0049 LEGAL DESC : AUDITOR'S SUBD.NO. 203 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,000.00 NOTE: TEAR OFF REROOF-ASPHALT APPLICANT PERMIT FEE SCHEDULE 147.50 W. F. SMITH CONSTRUCTION STATE SURCHARGE(VALUATION) 3.50 6585 SO SAUNDERS LAKE DRIVE MINNETRISTA,MN 55364- TOTAL 151.00 (612)867-3117 PAID WITH CC# 1933 Minnesota State License#: 5309 OWNER MUELLER, JEFFREY 222 BEDERWOOD DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permi[is issued shall be pertormed according to thc approvcd plans and specitications,applicable City approvals,and the State E3uilding 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 after work has commenced. The applicant is responsible assuring all required inspections are reques d in conformance it the S e Building Code.This permit may be revo d at a tim or d e. � ` � / �-�7/ �� / Applicant Permitee Sign ture Date Issu 'B3=-Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ,_ City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: / —QQ gv�,� PO Box 66 0 �� Crystal Bay, MN 55323-0066 Date received: � �`� Received b � `�� Street Address: y� �'.�n ' 9� �ti 2750 Kelley Parkway Plan review fee: ��ESHOg'� Orono, MN 55356 Total Fee: ) �� ' Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us / This appfication 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: e'� �J.? �7 �-� � �.� r`�J<��j/� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o !f yes,a specia/event permit is required with Police Department and City Counci!approval 60 days prior to the event. Shuttle bus servi ce will be required unless appficant demonstrates sufficrent on-site parking is available. Non-pennitted events will not be allowed. CONTRACTOR APPfLI ANT INFORMATION: Name: �.r �Y1�. l'�'� �--�'S7�� State License# � � c-� �j Expiration Date: - � Lead Certification Number: Expiration Date: (for work on homes fhat were constructed prior to 1978 . Phone: �i�--�t` ��-- - 6�-1 � (office) �" �' � •a- _ �- �� 7 — �< / � (cell) Mailing Address: ��ta � 5:, s A ;,,��,�,� �� ',`�.� City: ��r�. ,S ZIP: �S�'C-,G Contact Person: 1-->�J`� Applicant i � o / Homeowner (Circle One) Email and/or Fax: ��---- PROPERTY OWNER INFORMATION: Name: _-� ��=� l�`� u�� e ✓- Phone (day): Address: City: ZIP: 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 Phone: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: 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 ge, rally cannot be given to either the public or the subject of the data. Our purpose and intended use of this infor tion is to nnually update our records and records of other governmental agencies re uired b law. f o refus to u I infor ti n, the a lication ma not be issued. _ ApplicanYs Signature: � `'� Date: � �?? � � Last Updated: 03-01-2011 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. a�� UDsa/ COMPLETED � lo ��lo ADDR ESS .�o�� B e o�!.-woad2 �1�• OWNER TELEPHONE NO. CONTRACTOR W. �=• b'�3r:�1 �n,s�. � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � O FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a a ��r��Y ��s/'�1Q� �c,/�D 1� ca// �r o � {��a iL �%t sdQ c�•o-ti,. �. o� � fj�6�i�G ty �r-T�.t�✓ d4 rre'S� �' Q � lT��G /�'�.�7�.�rt L��, ,O/�d/�COc� � 2 � �/s r,� �/Jco�s �b wt nl�� W � ��.��z �.K��eD j � ❑WORKSATISFACTORY:PROCEED �'�2AOJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnedContractor on site: Inspector. �. White Copyllnspector's File Canary CopylSite Notice � TE / � TIME CITY OF ORONO CALLED IN C� INSPECTION NOTICE SCHEDULED (�p PERMIT N0. � � I —�5 ' COMPL TED ADDRESS � OWNER TELEP ONE N0.7�� ' �� '3��7 CONTRACTOR /� ,1 �J1i(�L- �: DESCRIPTION �� W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ 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 C � J O a � O � W � Q � Z W � W � � GW��WORKSATlSFACTORY:PROCEED [_7 PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED I 1 ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: � Inspector. �aV i--1� t� -�-�� White Copy/lnspector's File Canary CopylSite Notice