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Home My WebLink About2012-01096 - roofing ^ CITY OF ORONO * Z P1 1 2 - P1 1 0 9 6 * 2750 KELLEY PARKWAY DATE ISSUED: 10/30/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2515 KELLY AVE PIN : 20-117-23-12-0038 LEGAL DESC : REG.LAND SURVEY NO. 1428 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-OTHER ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 113,000.00 NOTE: TEAR OFF TILE ROOF AND REPLACE WITH DAVINCI BELLAFORTE SLATE APPLICANT pERMIT FEE SCHEDULE 1,134.75 1-DERFUL ROOFING&RESTORATION STATE SURCHARGE(VALUATION) 56.50 2973 S NOVA ROAD 80470- TOTAL 1,191.25 (303)984-7663 PAID WITH CC# 2911 Minnesota State License#:BC639819 OWNER HARDTEN,DAVID&CHRISTINE 2515 KELLY AVE EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 witi�in 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time aRer work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� i �i � / � � Applicant Permitee Signature Date ssued y Signature �Dat� / / SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i. � Ci of Oro �a'"��'� �1�� / Ilo �a„r 6uilding Permit Appiication for Maintenance / Renovation (wi�dows, doors, sidin , re-roof, etc. A�aiangAd�ss: .�.�.•, . , ..:�. •:> .. . . . �ir�� PO Box 6@ Pennif�nii�b�::..;.:; :..�`';: ;:;,;,'.�T'/.�.• '•�',,. Q Crystal BaY�MN 553Z3-0066 .;'�;��. .:. : . :..........�;,�; •��.'�;,';� :�„�r.', O a.ce�feo�nreiic:� �;' e. Sbeet Addness: �Reoeh.l.ed:,� .. . �,. .. �' 2750 KeAey Parkway .Plan�r?evi.eW fee:;..`..: . . . Orono.MN 55366 . , �:��. ��:..:�...:.:.'�� •�TOtt�l Fe�• � ''.'��, �^ , Main �249-4600 Fex: 852-29�-4696 wuvw.cl.orono.mn. s � .. '��'`.,�`�';�`�','`"�!��',' ..;;•�`:�;:�.•::;:;.•�:.�'� ...�' :� •;..�..,:� ...'�'':�:•"� .• ,: �,�:;::'-'. Thi appli�n form must be comple6ed in fu11 snd ail requ�red ir�formetion must be submit�ad, � ed Incomple�e appllcativcis w111 be reRurned. (please priny G NERAI.INFO 7'ION; Job SiEe Add�s: sl � Will thls be a Paeade aF Horn��R�nodelers S owc�se Home or other Display Home? Yes No �!�',e s�edal ewr>tparm�7 is naqulred wi�,Pd"�ae Deparbnerrt end Gry Counpl epFrov�l BO a►�S R�or to fhe eu�, Shulds lws aervroe wlfl bs reqeaaf�Ced unfaas epplicartt demon.sbatps�an�a peddng fs au�eWa Non pannHEad ewrm�s wW not be sllo�d CONTRACTOR/APPLICANT 1NFORMATION: • NSt�te license# I ` -t�� ra. ' v� Fxpiration�ate: .. �_ Lesd Certificaation Number. E�cpirdtion Date: " (rar wwk on homes tfwt wwre Qo , prlor in 19Ys "' Pnone: 3•`i — 3 (o�fioa) �� Mei�ing Address: oJc� ZIP: �( C�r�Ct Person: � � Applicant is: .r�trsctv / Homeowner l�e u� Emal and/or Fax: �, •�`. , PROPERTY OWNER lNFORYATION: i Nama: .� Y i • ¢, Phone(daY� �1— - $ ad� �, � c�►: C ce,(s►or ziP: EmaU and/or Fax PROJECT INFORIMATION: Type vf Pro]ect: My eaRh movement maqr nequlre CI 000r(9) O R�wdel ❑F'me o-dma9e Ncwo review&permt�: Minneheha Creek Watershad Oistrict(MCWD) �Re-roof,asphalt ❑Repeir ❑Slnrm Damage 18202 Miruretonlq Blvd �f,eeda� ❑Rsstor+�tlon ❑Water pamage Deephaven,MN .�►5391 Ph�e: 9�2-471-0590 R �othar spacuy) ❑Sid'mg ❑Other:(sP�pfy) F�c 952-471-0682 P.� [�2. ❑Vlfindaw(s) �!�w.minnehahacrQek.��g . Overall Project Deacri n:T ( ,4 Estimated Constructlon ValuaRion of pro ect(eoccluding lenc� S 1�3 00 p--' �APPLICANT ACKNOWLEDGEMENT: . Apraes t�provlde all trtfom�tion roqulred or�equ�sted by Ute Building deparhnen� • Cerdfiee that the inf�ormabon supplied is true and aortect to the best of hislher knowledge. 'fhe appUcant reoogn'izes tl�at ihey are solely responsible for submil�ny a compfebe application being awars that upon fellure to do so.tt+e staif has no alhernstive but to reject It untll it is uompletie; � Some or all af the infamation that you ere asked to provlde on tt�is applicadon Is dass�iBed by S�dte lew as eiTher privat9 or co�ideMial. Prlvate daha is informatlon which generally cannot be g"nren to the public but can be glven b the s�jed af the data. Co�idendal dals is miormaUon whioh geaerally c�not be given to eftlter the public or fbe suDJect of ihe dai�a. Ow Pu�se�nd fntended use of thi5 btformation is to armu�U�r update our reoords end r�emrds of oiher go�vemmenEsl agenaes irod law If refttse�to su the inf+am�tion 1lte 'a� not be Issued. �►PPficent`s Sig�atur,e: p�; � L99t Updefed: 08-09�D11 :� DATE TIME V CITY OF RONO CALLED IN I� � INSPECTION OT CED`D� SCHEDULED I I—1 .-ri - I 2 PERMIT NOO COMPLETED ADDRESS � <� OWNER E EPHO E NO. — `5 CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EX AV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � O FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � O � � O � W � Q � 2 w � W � � ��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: ' j � - Inspector. f .`� � White Copyllnspector's File Canary CopylSite Notice DATE TIME ✓ CITY OF ORONO CALLED IN /Z-3-�Z INSPECTIO�N�N� OTICE SCHEDULED /Z-_ -/ �— � PERMIT N(�a - G1��1�0 COMPL ED ADDRESS -J< �- OWNER TELEP ONE � �� CONTRACTOR � �; DESCRIPTION � � l� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � 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 J ❑ PLUMBING RI ❑ SE T FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � � GW ❑WORK SATISFACTORY:PROCEED �$pdECT COMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. l � White Copyllnspector's File Canary Copy/Site Notice