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Home My WebLink About2011-01406 - roofing CITY OF ORONO PERMIT NO.: 2011-01406 , 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 1U07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3407 EASTLAKE ST PIN : OS-117-23-13-0035 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 001 BLOCK 008 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -LJNDEFINED VALUATION : $ 7,000.00 NOTE: VALUATION OF PERMIT:$7000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF[NSPECTIONS. (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 BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETF,D THE SIGNS MUST BG REMOVED. APPLICANT PERMIT FEE SCHEDULE 147.50 BAUER SERVICES, INC. STATE SURCHARGE(VALUATION) 3.50 730 BUCHANON ST. ANOKA, MN 55421- MISC FEE 0.00 (763)421-1723 TOTAL 151.00 Minnesota State License#: BC508666 OWNER HOLZEM, REBECCA 3407 EASTLAKE ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be peribrmed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant pennission for additional or rela[ed work which requires sepazate permits. All provisions of laws and ordinances governing[his type of work shall be compied with whether or no[specitied 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 1 SO days at any time after work has commenced. 'I'he applicant is responsible tbr assuring all rcquired inspections are re uested in conformance with the State Building Code.This permit may be re ked at any t e due cause. �;�� l� i 7 i � �� G�C C� �� / ( i —� i l Applicant Permitee Si ature Date Iss By Signature Date� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono � Building Permit Application for Maintenance / Renovation �' (windows, doors, siding, re-roof, etc. ) / :-O Mailing Address Permit number. � U � --� �%Q� �0\` COrysBtalXBay, MN 55323-0066 Date received: �� , �,j — ` _ �i; Street Address: Received by: \��'�t , ' °f� ��;� 2750 Kelley Parkway Plan review fee: '�.�'��c�Hot��% Orono, MN 55356 1 Totai Fee: �� / G7J Main: 952-249-4600 Fax: 952-249-4616 , . � E�u � �- .,... .... ___,-_, This apptication form must be completed in full and al! required information must be submitted. Incomplete appliGationa will be returned. (Please print) GENERAL INFORMATION: Job Site Address: 3�{n 7 Ca S-F- ��K e S�- or o,�o ,k,��J s 53 s� Wfll this be a Parade of Homea, Remodelers 3howcase Home or other Display Home? Yes No H yes,a speas/event permrt is reaurrad wrth Polrce Depertment and City Counci!approval 6p days pnor to the event. Shuttle bus service will be required unless applicant demonsirates suffiGent on-site parking is available. Non-permitted events wilf nol be a!low�d. CONTRACTOR 1 APPLICANT INFORMATI�N: Name: �A�eh s�rure-es �tilc, State License# �� s-e�G�� Expiration Date: �� _��_ ao�� Lead Certiflcation Number. N,�T, �o�-(g4 3- l Expirati�n Date: 0 3 _ ��_ �o r� ^ (lsnr work on homes that were construcied prior to 19T8 .� G,5_ a��_��S 8 Phone� "1�3-�ai-l7a-� (office) ,�+� �� (celq Mailing Address: 1 30 ��.c�.q ti,A,J S-� City: q �va(C„4 ZIP: S-s 30 Co�tact Person: �7 b � S�x Applicant is: ontractor . / Homeowner �ci�.a,.� Email and/or Fax: ��S•4 X� g�q�QrSetwiePSrNc.� �w� �.Q�c 7�� - r-la�—Z6 3 3 PROPERTY OWNER INFORMATION: Name: �'�I�ecC,a i-t�lze►v� Phone (day): �ra-f3o�-��10 Address: 3�r�'-1 �- �Ke S�__ Ciry: ot-o�.io �U� ZIP, SS�S�o Email and/or Fax � -- —�"- - PROJECT INFORMATION: Type of ProJect: Any earth movement may naquire ❑ Door{s) ❑ Remodel ❑ Fire Damage MCWD review 3 permits: Minnehaha Creek Watershed District(MCWD) ,� Re-roof, asphait ❑Repair ❑Storm Damage 18202 Minnetonka B1vd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specity) ❑Siding ❑Other.(speafy) Fax: 952-471-0682 ��r,^n�n i r �a , ��: ❑Window(s) - -_. _.. Chrerall Project DeaceipUon: Estimated Constniction Valuatlon of ProJect(excluding land) _ � b o d APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all informa6on required or requested by the Building Department; • Certifies that the information suppGed is true and correct to the best of his/her knowledge. The applicant rccognizes that they are solely responsible for submitting a camplete application being aware that upon failure to do so, the staff has no attemative but to reject it until it is complete; • Some or all ot the information that you are asked to provide on this appliration is dassified by State law as either pnvate or confidenUal. Private data is infoRna6on which generally cannot be given to the public but can be given to the subjed of the data. Confidential data is infortnation which generally cannot be given to either the public or the subjed of the data. Our purpose and intended use of this information is to annually update our records and recorcJs of other govemmental egenaes re uired b law. If ou refu to su I the in ormation,the a lication ma not be issue�i. � ApplicanYs Signature: �� Date: //- 0 7-< ( Last Updated: 08-09-2011 Q DATE TIME � •� CITY OF ORONO CALLED IN �l—/l� V INSPECTION N TICE SCHEDULED //-�7/l PERMIT NO. �l�— �� COMPLETED ADDRESS � 7 �/7GL/,� t� ��1�/`� ��` OWNER T PHONE NO.��D�J-5�-2��7-Z�.�j CONTRACTOR Q�� L�Z�2� �: DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ fRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � j O W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� Z49-46QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DA TIME CITY OF ORONO CALLED IN ��- INSPECTION NOTICE / SCHEDULED <<-� ` � PERMIT NO. �� b��G COMPLETED ADDRESS� D 7 �� OWNER TELEPHONE NO. 7�3 Z-7 7� ��FS� CONTRACTOR �� Q�a2h�(tt11J,G �� >; DESCRIPTION r �`� ' �"� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT�ON/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O '� (Lr �v� � .�' � � ° _� � � -�,� �� , W � � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED � I SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED C INSPECTIOIV REOUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on sit � Inspector. ' _ White Copyllnspector's File Canary CopylSite Notice