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Home My WebLink About2012-00758 - roofing . . CITY OF ORONO * 2 0 1 z - 0 0 7 5 8 * 2750 KELLEY PARKWAY DATE ISSUED: 08/06/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 350 CRESTVIEW AVE PIN : OS-117-23-14-0057 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 000 BLOCK 006 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 4,100.00 NOTE: VALUATION OF PERMI"I': $4100.00 ROOFING PERMITS ISSUED WITHOUT ENOIJGFI NOT[CE FOR�I'I:AR OPP INSPGC7�IONS. (WE REQUIRG 24-48 NOTICE,PRIOR"I'O WORK BEING STARTED) MUST PROVIDE COMPLETE SET OI'PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BG ON THE PROPL-'RTY DURING TFIE TIME THE ROOF IS E3EING DONE. ONCE WORK IS COMPLE'I'ED THF,SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 118.00 MAZ SERVICES INC STATE SURCHARGE(VALUAT[ON) 2.05 750 CARVER BEACH ROAD TOTAL 120.05 CHANHASSEN, MN 55317- (612)382-7240 Minnesota State License#: BC630379 OWNER STEPHENS 111 ET AL, WINFIELD R 3770 BAYSIDE RD LONG LAKE, MN 55356- 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 E3uilding Code. This permi[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 ifconstruction authorized is not commenced withii�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 all required inspections are requested in conformance with the State Building Codc."1'his permit may be revoked at any; me for due cause. � � _�J/, ,� n/ / �j / O / �-P /�� Applicant Per te ignature Date [ssu [3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �i�y af Oror�o ' ` Buifding Permit Appi�ca�io� for Maintenance / Renovatio� (windows, doors, siding, re-roof, etc.) Mailing Address: i Permit number. �� 2 �D ��0,� PO Box 66 i Q �, � Crystal Bay, MN 55323-0066 i Date received: � '��' v.�,. 1� I�� . � Street Address: �Received by: � �� ,ti 2750 Kelley Parkway Plan review f : 9'kESH�� Orono, MN 55356 � TotalFee: /�, D� Main: 952-249-4600 Fax: 952-249-4616 wwv,�.ci.orono.mn.us This appfication form must be completed in full and all required information must be submitted. Incompfete appfications wili be returned. (Please print) GENERAL INFORMATION: Job Site Address: �'., (,! C k c �v�L :� ��ll -� Will this be a Parade of Homes, Remodefers Showcase Home or other Display Home? ❑ Yes ❑ No !f yes, a specra/event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be required unless app(icant demonstrates sufiicienf on-site parking is available. Non-permitted events wil/not be allowed. CONTRACTOR/APPLICANT INFORMATIOI�: Name: f z �'- i _ �Y _ State License # �� ,.;��j j 7�� Expiration Date: U `�j� Lead Certificafion Number: � Expiration Qate: (for work on homes that were construcfed prior fo 1978 Phone: f� Z 3�2 7� y�� (office) (cell) Maifing Address: Cit : ZIP: S '' 7�`U �/��f✓� T 3�.3c �� l Y l,ti/.��j/-��.� � ..)�/ � Contact Person: �T�1�^� F��,��.. Applicant is: �Contractor / Homeowner (CircleQne) Errzail and/or Fax: � �— Ni��;f 2fvi f�„i c� '��/c�-7r�-��;L .c Gn� PROPERTY OWNER INFORMATION: Name: (,L�/� �S'rl�"/Y�F�I � Phone(day): �(�/Z ) �� ; �3 3 ' Address: �S� C�,�/:S i/i�w v5�✓l-c City: �;,�,� l�/,Q,-�� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: � � Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Qamage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvo ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 i � Phone: 952-471-0590 ❑ Re-roof, other(specity) ❑ Siding ❑ Other: (specify) i Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Esfimated Construction Vafuation of Project (exciuding land) $ ,d��r "" APPLICANT ACKN�W�EDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information suppiied is true and correct to the best of his/her knowledge. The appficant recognizes that they � are solely responsible for submitting a compiete applicaiion being aware that upon failure to do so, the staff has no alternative but to reject it unfil it is complete; • Some or all of the informafion that you are asked to provide on this appiication is cfassified by State law as either priva'te or confideniial. Private data is information which gene�ally cannot be given to the pub(ic 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 informafion is to annualfy update our records and records of other governmental agencies re uired b law. If ou refuse to suppl ;the inrormation,the a fication ma not be issued. �-''�;l ApplicanYs Signature: ��'' Date: __��/`/�Z Lzst Updated: OS-09-2011 ! �` . . ✓ glr �A� � TIME CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED � PERMIT NO.�� D�� MPLETED ADDRESS c� Ll�UI `� C 1� OWNER TELEPHONE NO��a 3��'—�a `v CONTRACTO �- a� �: DESCRIPTION �� ll� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS h Q ❑ 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 � OWNERICONTRACT R TO MEEf YOU:_YES_NO � COMMENTS:�D�� S t/Y L-S��, �G C� � Ol� �'�t� �t1,(.Q��c-� � a � J O � � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �RROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. �952� 2Q9-46�0 Owner/Contractor on site: Inspector. �_; White Copy/lnspector's File Canary CopylSite Notice 3 y DATE TItVIE �/ �'1�Q��Q�� CALLED IN _ �P�ISPECTIOIV P�� `) SCHEDULED �E�IIAI��, 020/ a� 'O�7Sa COMPLETED � � w/ /d: �:S' ADDRESS 3S b Cr�s�`vc�� C. �WtdER TEL.E�HON� No. CONT�tAG`T�R — �?o� S��vac�s _ A DESCRIPTION — � l� ❑ FOOTfNG ❑ PLUMBIIVG FINAI. ❑ EXCAV/GRADING/FILLJNG � ❑ POURED WALL ❑ P/IECHANICAL RI ❑ LAKESHORENVEfLANDS � � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION � ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ,�FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATtON/REMOVAL � OYVNERICOIdYRACTOR TO AAEET YOiJ:_YES_P90 � ��: a *OLD PERMIT - NO FINAL INSPECTION REQUESTED oNa Te�i� -o�� /�ec1�.� rQ�as��- � � � '' /yortsc cr ,�7� .�� oP�o.�t ^ W � � Q7f%c !i��l t`��a�c ��'Ov��l� � 6 � ' C"�1 i n�/1��._�lGlllo�� t�/�t�s' OrC w � � ' �'/o�,(� �i/J¢�'�1' l'avr►Ll�¢7l� J d � ❑VMORKSATISFACTORY:PROCEED �"ROJECT COMPLEfE � ❑CORRECT WOflK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY o O CORRECT WORK,CALL FOR REIP�SPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIfV HOURS. � pHOTOTAKEN INSPECTOR WFLL RETURP! ❑CITATIOf�ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR p IfdSPECTIOtd REQUIRED.CALL TO ARRAPdGE ACCESS. �ai9��a��n�x�`s��fl�xu�?��e�a.a�u�a�m�a�a�:e Q�� ne�fContr�c��-�n��e ��us��o�: ti- �— — V1/hite CopylBnsPecfor's File Canary CopyfSi4e hVoE6ce