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Home My WebLink About2012-00668 - roofing . CITY OF ORONO * 2 0 1 2 - 0 PJ 6 6 8 * . 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 770 DICKEY LAKE DR PIN : 27-118-23-33-0010 LEGAL DESC : RINGERSWOOD : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 9,200.00 NOTE: VALUATION OF PF,RMIT:$9,200.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR'I�EAR OFF INSPEC�I�IONS. (WE REQUIRE 24-48 NO"IICE, PRIOR TO WORK BEING STAR"I'ED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVER"I'ISING SIGNS MAY ONI,Y BG ON THE PROPERTY DURING"I'HE TIME T11F,ROOF IS BEING DONF,. ONCG WORK IS COMNLETGD THE SIGNS MUST BE REMOVFD. APPLICANT PERM[T FEE SCHEDULE 191.75 NIEMELA DES[GN &CONSTRUCTION, LLC STATE SURCHARGE(VALUAT[ON) 4.60 565 BORG RD TOTAL 196.35 COKATO, MN 55321- (320)559-0062 OWNER LEUKUMA, CHARLES&J[LL 770 DICKEY LAKE DR LONG LAKE,MN 55356- AGREEMENT AND SWORIY STATEMENT T'he work for which this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work describcd and does not grant permission for additional or rclated 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.'I'his 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 tor a period of 180 days at any time alter work has commenced. The appiicant is responsible for assuring all required inspections are requested in conformance with the State Building Code."Chis permit may be revoke at any time for due cause. �._� � / j� l�C :� Applicant Permitee Signature �D•ale � �� { �� Issued By S�gnature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. . � City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) �.=--_� Mailrng Address: Permit number: �%¢,D,�j. . PO Box 66 O �\ O\ Crystal Bay, MN 55323-0066 Date received: ,i ��,, �,� ��,� ��?�_ �, �, ! Street Address: Received by: \'�'�, ,� °ti� 2750 Kelley ParkwaY Plan review fee: �kEsB�g'� Orono, MN 55356 =__�� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.oronanui.�3� This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: n < '/ < Job Site Address: � `� ''GK �/`�(�' Will this be a Parade of Homes, Remodelers Sho case Home or other Display Home? ❑Yes o /f yes,a special evenf permit rs required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT FO MATION: �� Name: � ewtL S/ k � �'o w�"r�f'f� State License# G ��'J► Expiration Date: `�—� �a �j 3 Lead Certification Number; Expiration Date: (for work on homes thaf were constructed prior to 1978 Phone: 301 p -�.S.S9 �O O!o z- (office) Q�-3/O�-aj�/ / (cell) Mailing Address: �,S' p ,�. �► Cit : ZIP: �'$�a Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: �p -- $' �-DOG 3 PROPERTY OWNER INFORM TION: Name: C �S /�,,�(/�Ll'b1�1� Phone(day): — (� — � Address: � g ��► ` Cityfl /'�a`j�,d ZIP: �� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) �Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �0 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: Estimated Construction Valuation of Project (excluding land) $ Q] D[� —� 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 app�icant 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 su I the information,the a lication ma not be issued. ApplicanYs Signature: / ��` Date: Last Updated: OS-09-2011 DATE TIME ✓ CITY OF RONO CALLED IN 7 INSPECTION NOTICE �CHEDULED 7 PERMIT NO.o�?O/ -G�D �U COMPLETED ADDRESS D OWNER T PHONE N�� 3�i0-J��'1'�� CONTRACTOR �- � ✓�� >; 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 � ❑ 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 � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � . W��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�0 OwnerlContractor on si : Inspector. ,� .� White Copy/lnspector's File Canary Copy/Site Notice - � � C�� c �? TIME �ITY OF ORONO CALLED IN ?/i��a INSPECTION NOTICE SCHEDULED � PERMIT NO. � COMPLETED ADDRESS ' OWNER TELEPHONE NO. � 7`�y�J CONTRACTOR f � �: DESCRIPTION � � ❑ 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. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INS A ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FIN ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOH TO MEET YOU:_YE NO � COMMENTS: W a �� a��l ��i ll �'�r� �� j � ��, a � O � W � Q ti Z W � W � � d W ❑WORKSATISFACTORY:PROCEED �r�PROJECTCOMPLETE � - v W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. rJ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on s'te: Inspector. •� � � J' �� White Copyllnspector's File Canary CopylSite Notice