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Home My WebLink About2011-00872 - roofing CITY OF ORONO PERMIT NO.: 2011-00872 - 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssUEn: 08/16/2011 ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 3409 EASTLAKE ST PIIV : OS-117-23-13-0036 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 000 BLOCK 008 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BU[LDING -UNDEF[NED VALUATION : $ 2,700.00 NOTE: VAI,UATION OF PF,RMIT: $2700.00 HOMEOWNER IS ACTING AS GENERAL CONTRACTOR ROOFING PERMITS ISSU�D WITHOUT ENOUGH NOTICE FOR TEAK OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK[3EING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NO"C BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIMF,THE ROOF IS BEING DONE. ONCE WORK IS COMPLF,TED THE SIGNS MUS�`BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 88.50 OVSYANNIKOVA, MIKHAIL& ELENA STATE SURCHARGE(VALUATION) 1.35 3409 EASTLAKE ST LONG LAKE, MN 55356- TOTAL 89.85 PAID WITH CC# 1797 OWNER OVSYANNIKOVA, MIKHA[L&ELENA 3409 EASTLAKE ST 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 Building Code. This permit is for only the work described and docs not grant permission for additional or rela[ed work which requires separate permits. All provisions of laws and ordinances governing this typc of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within I 80 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 Code.This permit may be revoked at any time for due cause. ` / / v //�/ / Applicant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Cit of Orono C��- Y � Building Permit Application for Maintenance / Renovation � (windows, doors, siding,, re-roof, etc.) • Mailing Address: Permit number: / ` ��/ " / �►„0,�. PO Box 66 �0 � � Crystal Bay, MN 55323-0066 Date received: � � a �'`i�� .-�` �, Street Address: Received by: ` `4� ti 2750 Kelle Parkwa �� 'z�`'��,, � Y Y Plan review f e: L9 ��'�' Orono, MN 55356 � kESH� �"'" /'� � �'- Total Fee: �J 7 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: 1 Job Site Address: ,�`f0i' �cy�Z- LC�.C� �� . L>/vi�� ..'rJ'� � 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 approva160 days prior to the event. Shuttle bus service will be required unless appficant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor �/ , Homeowner ; (Circle One) _.. Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �- �, � s�i f� �U `� «v�vti-�,�CCu�/✓� Phone (daY): � I Z g �6 -- ��Fv� ' �`o iZ� 22 3-�' Q� Address: j�/(� ' �Q �� :S� City:C�� ZIP: 5.��b Email and/or Fax (,; � ,�;<;�C �L�( ,q 2��Z�3 (c�� .ac��rti�c , C�o.vh 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: �� _ -- �,�, Estimated Construction Valuation of Project( luding land) $ .-�, vt�.uc� 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 su I the information,the a lication ma not be issued. Applicant's Signature: � �-J-�� Date: �'�, 1� , Z O I � �ast Updated: 08-09-2011 DATE TIME V CITY OF ORONO CALLED IN INSPECTION NO ICE HEDULED PERMIT NO. � � �-��%�PL o ADDRESS � OWNER ELEPHONE NO. CONTRACTOR ��--��a— ��..G'nn��- �: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o �'�r'�c.� �-,� l.� �i� � � � ��C� �� d� c��:;= �u �� ,�- �=� W � � �/ —�- ��— Q � Z W � W � � d /`y W�jC7"iQIORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. C PHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on si�e: Inspector. �_.( / _;'"7 � i� 5 . White Copyllnspector's File Canary CopylSite Notice � � ✓ � T// TIME CITY OF ORONO CALLED IN INSPECTION TICE Q CHEDULED � PERMIT NO � �/ � ' COMPLETED ADDRESS OWNER �LEPHONE N((�(�� 7�0�� CONTRACTOR �� a DESCRIPTION �� 11� ❑ FOOTING ❑ PLUM ING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS ti O ❑ 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CVNTRACTOR TO MEET YOU:_YES_NO � ��OMMENTS: � W � � �'` l� �T�.? C�. ..., , •-�-(�.� e �3�-f o � � �- �o� s� -- �� a �;�.� s � �_ .,v, ��- �. 2. v�- � >> �r� �� Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: ' Inspector. L'^G.:S White Copylinspector's File Canary CopylSite Notice