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Home My WebLink About2012-00938 - roofing CITY OF ORONO * 2 0 1 2 - 0 0 9 3 8 * 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2012 � ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3460 BIRCH LA PIN : 08-117-23-43-0027 LEGAL DESC : LYDIARDS PARK LAKE MTKA : LOT 019 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 15,000.00 NOTE: VALUATION OF PERMIT:$15,000.00 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 BF.,ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMYLG7�GD THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 265.50 NOW&THEN CONSTRUCTION STATE SURCHARGE(VALUATION) 7.50 8718 224TH CT N W NOWTHEN, MN 55330- TOTAL 273.00 (763)274-2054 PAID W[TH CC# 4926 Minnesota State License#: 639235 OWNER LISLE, STEVEB&ANGELA 3460 BIRCH LA WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT I�he work for which this permit is issued shall be performcd according to the approved plans and specifications,applicable City approvals,and [he 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. Ail provisions of laws and ordinances governing this type of work shall be compicd with whether or not specitied herein.This permit wiil expire and bccomc null and void if construction authorized is not commenced within 180 days oY the date of issuance,or if construction is suspended for a period of I 80 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requcsted in conformance with the State[3uilding Code.This permit may be rcvoked at a � �e for due cause. ti f � /� f �� lJ � i l2- �� L C�_ App ic1 ant Permitee Signature Date ,�-C < <�l�U i �g / / -/c� � "� Issued 13y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � �� 'CU�E) . E��r�g Per�-nit A►pp�i�a�iQr� for (�Eai��e�a��e l RenQva�ia� �; `tZ4. • (winaov��s, doa�-s, sidin�, r�-rvof, e�c.) M,aiiing Address: , ,,;�`Q Permit number. PO Box 66 �c3� �� Crystal Bay, MN 55323-0066 Date received: , ,�,,� �i �� 4�-;�� a, Sireet Address: :Received by: \`�' �"r ��'�' � 2750 Kelle P rkw \�t�v �'''4wG Orono, MN 55356 ay , Plan review fee: . 'kESH� Total Fee: Main: 952-249-4040 Fax: 952-249-4616 www.ci.orono.mn.us This appfication form must be completed in full and all required inrormation must be sutimitted. fncompiete appfications wi(I be returnecl. (Please prrnt) G=N�RAL INFORMATI��: � . Job Site Address: � C � Will this be a Parade of Homes, Remodei�rs Showcase Home or other Display Home? ❑ Yes No !; If yes, a specia/event permif is required wrth Po(ice Department and City Council approva,�60 days prior to tne event. Shuttle bus service wil!be required unless applicanf demonstrates sufficient on-site parking is avai(able. Non-permitted events will not be allowed. CONTRACfOR/APPLICANT I FORMATIOf�: Name: /�CC�uJ ZZ C Lt � � `�� State License# ��"�� S Expiration Cate: Lead Cer�ificafion Number: �_(-, ��i_ � _.�j�� -1'� Expiration Qate: (for work on homes fhaf were constructed prior fo 1978 Phone: G 12 `� l (ofiice) (cell) Maifing Address: � �' �`Z � �'�- � W City: �. �.�� ti1ZIP: 55 � � Contact Person: ��.� p S `� �e.,� �� Applicant is: ontractor / Homeowner (Gircle One� cmail andlor Fax: ��7� �7� ' ��c..,� PROPERTY OWNER INFORMATIC�t�: Name: �'j� ��J�� `��'� Phone(day): (U � � '71�� '�6�' ° Address: ?.vG-��j� l�j\^c C�\ �� City: �i � C�i '�.1 C ZfP: .� � ,�j� 1 Email and/or Fax PRC}JE�T INFORM�t,�'I01�: Type of Project: 'I Any earth movement tray require ❑ D r(s) ❑ Remodel ❑ Fire Qamage ; MCWD review&permits: i Minnehaha Creek Watershed District(MCWD) e-roof, asphalt ❑ Repair i ❑ Storm Damage � 18202 Ninnetonka Bfvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Pnone: 952-471-0590 ❑ Re-roof other s eci A � , ( p fy) ❑ Siding ❑ Oth„r. (specify) � Fa>:: 952-471-Oo82 ❑Window(s) wwv��.minnehahacreek.orq - � Ove�all Project Description: �sfimated Construcfion Vaivafion or Project (excfuciing land) � ��j,�%�� " APP�I�AIVT ACKNOWLEDG�Mcf��: • Agrees to provide all informaiion required or requested by the Building Department; i • Certifies that the informafion supp(ied is true and correct to the best of his/ner knowledge. The app(icant recognizes that they are solely responsibfe for submitting a compfete appfica'cion being aware that upon failure to do so, the staff has no alternafive but to reject it unfif it is complete; • Some or all of the information that you are asked to provide on tnis appfication is cfassified by S,a'te law as eitner private or confideniiaL Private data is informaiion wnich generaliy cannot be given to the pubfic but can be given to tne subject of the � data. Confidenfial data is information which generalfy cannot be given to eitner the public or the subjec"t of tne data. Our purpose and intended use of this information is to annually update our records and records of other govemmen,al agencies reauired bv law. If ou reruse to sup fv the informafion,the anpfication mav not be issued, j _-�'_"„ ' AppficanYs Signature: �-yT-� ��--=� Qaie: ��r`6 � __._-� '_zst Updated: 0�-09-2011 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �!a -bos3� COMPLETED 9-/?�� ADDRESS 3y�o Q/�G� Ln . OWNER TELEPHONE NO. CONTRACTOR /1�aw� T�fs-�- �'a�s�`, �; DESCRIPTION �Q-- ''�'F � � ❑ 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 r'�--�'�{� � SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEF REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMCVAL � OWNEfiICONTRACTOA TO MEET YOU:_YES_NO � COMMENTS: h.ffr�.S � v c� ��S'Q- a afd� �'JofMs'� - ✓Lo �s1�i/ �nsaec.L`�a.c r��rtd�`e � J O , � �� fC�4�' ' o�� /�3/�c��e.. /`EGe/cQ� . O � W � 'h Q 6.S ICJ�� 4�`s �l��✓th� � W � W � j O W� ❑WORKSATISFACTORY:PROCEED �ECT COMPLETE � ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-460� OwnerfContractor on site: Inspector. �i..-- �� White Copyllnspector's File Canary CopylSite Notice � J 1 �., DATE _%� TIME " �'��CITY OF ORONO c��N •� �� INSPECTION NOTICE ,,/�,Z SCHEDULED —ZU-�Z' --�� PERMITNO. �n�� "L�LJ`9J(�COMPLETED ADDRESS ---� �� C� ��/ ��l' (�-� f-14- OWNER TELEPHON NO. �n��— c��-�5� CONTRACTOR ��w � �� r� �: DESCRIPTION �(%� � `�� _� 1S ° � � ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL O 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL.I/ ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES f�NO � COMMENTS: ` � � � � � W C � � O � � � � ��.�� ° ��T� ��',�� , �Q �'�. � �r � � c � e a W Q � � N�t c�� c-�t�� -, �� -C� �-� �7 ��' z -- �C �� 1 �c�1 -- t,� � ► 1 ;�.3� -� � �� n � I W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on s't� e: ' Inspector. �'�J � � �� S White Copyllnspector's File Canary CopylSite Notice