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Home My WebLink About2011-01077 - roofing , CITY OF ORONO PERMIT NO.: 2011-0�0�7 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEu: 09/19/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4025 DAHL RD PIN : 07-117-23-14-0002 LEGAL DESC : UNPLATTED 07 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 7,000.00 NOTE: VALUATION OF PERMIT:$7000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOT[CE FOR TEAR OFP INSPECI'IONS. (WE REQUIRE 24-48 NOTICG,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BB ON THE PROPER7'Y DURING THE TIME TIiE ROOF IS BEING DONE. ONCG WORK IS COMPLETED 1'HE SIGNS MUST BE RGMOVED. APPLICANT PERMIT FEE SCHEDULE 147.50 MIDWEST SIDING ROOFING & WINDOWS STATE SURCHARGE(VALUATION) 3.50 6451 SYCAMORE CT N MAPLE GROVE, MN 55369- MISC FEE 0.00 Minnesota State License#:20010277 TOTAL 151.00 OWNER JOHNSON&JODI QUAM-JOHNSON, DEAN 4025 DAHL RD MOLJND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicablc 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 wi[hin 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any time aRer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked t y ti for cause. f� � / �( C � �l � l l A licant Permitee Signature ate Issued By Si re Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E. . City of Orono �� Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) �—� Mailing Address: Permit number: �,�,�.� PO Box 66 � �� 0 � Crystal Bay, MN 55323-0066 Date received: ' � Received b a �� °� '�,� �. Street Address: y� �',�,L 'r� �'�'f� �ti 2750 Kelley Parkway Plan review fee: 9kESH�4� Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application 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: � (> �. �� ' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicanf demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATI Name: '2� ��, � ��f, �-t State License# , l -7 Expiration Date: (j�— �/- /,� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �G �-- ��- �3� � (office) (cell) Mailing Address: L � ( ��..,�� City: -- ��y�� .� ZIP: S � � Contact Person: �<��z y Applicant is: Contract / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��C�� ,�G�!?��.5� � Phone (day): Address: G��'� S �i; � �� City: ��'�� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) �Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: ��r a�-�" �,� -fc'��,_,,�; <�� G�=� - Estimated Construction Valuation of Project (excluding land) $ �G�� 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 generally cannot be given to either 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 governmental agencies re uired b law. If ou refuse to s I the information,the a lication ma not be issued. ApplicanYs Signature: �� Date: �`"(�� / Last Updated: 08-09-2011 V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDU�ED PERMIT NO.��U-Dlb77 COMPLEfED -J� ADDRESS o�5r ,Da!►l /�� . OWNER TELEPHONE NO. CONTRACTOR ��w�s�" .S��rT ��4�'``��J��" a DESCRIPTION 0��- ''�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMCVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � n a �� e'o r'�vl� "' ✓�� /s?t� ��EGZ�ia.[ f�[E�G�d� � J O . '` i1d f�cr' a� � �.�sT GG�f0^. I'�ca I�-2� �- O � W Q �,{�Or 1��,s G��e/�c � 2 r W -/ � .�e/l�L.�i r�t4�� WORKSATISFACTORY:PROCEED �2BOJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CEflTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE AGCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: � Inspector. � � White Copyflnspector's File Canary CopyfSlte Notiee