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Home My WebLink About2013-01101 - roofing CITY OF ORONO � z 0 1 3 - 0 1 1 0 1 * r , 2750 KELLEY PARKWAY DATE ISSUED: 10/21/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 25 LUCE LINE RIDGE PIN : 31-118-23-34-0003 LEGAL DESC : PAINTERS CREEK : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 3,300.00 NOTE: VALUATION OF PERMIT:$3300.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (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 COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 103.25 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 1.65 5145 INDUSTRIAL ST SUITE 103 TOTAL 104.90 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#: BC663668 OWNER HENDRICKSON,JOHN 25 LUCE LINE RIDGE MAPLE PLAIN,MN 55359- 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 does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming 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 within 180 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 aze requested in conformance with the State Building Code.This permit may be voked y time or d c se. l� � Z� � r3 � �p , Z , Applican e ' ee ignatur Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,r- � � - �t£�r ?,..--x"a � 7s. , -�s'�'^"vgr��_' s.�'"�sr-^� _ . _ . . . . „�� , .�.,�?. � ` City of Orono �-` Buiii�ing Permit Application for Maintenance / Replacement / Renovation � (No structural expansion. Only windows, doors, siding, re-roof, etc.) � � �O� Mailing Address: � _ � : PO Box 66 Permit number: '�� Crystal Bay, MN 55323-0066 Date received: j} — — � �`. � �� ' Received by: � E,�� Street Address: � � .; y� �` 2750 Kelley Parkway Plan review fee: � L Orono, MN 55356 � � �e��D `�KFSHO � 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) t ;' GENERAL INFORMATION:. _ � � `�; Job Site Address: ji`> L�/(.(, L(!�; �(��,� . Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o v;;, If yes, a specia/event permit is required with Police Department and City Council approval 60 days pnor 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 INFORMATION: . Name: j�'l�l�� -�'c. (`�pP�% • �.. State License# b�j�� Expiration Date: � Lead Certification Number: r.;,q�j (� �� _ � Expiration Date: (for work on homes that weie constructed prior to 1978 Phone: (cell) (office) �(,��-�(� �j- �J C� c� ` � Mailing Address: S� j�1/�J j�/� S o City: � �✓ ZIP: � S��`` �.,= Contact Person: Applicant is: ontG''� rac�/ Homeowner (Circle One) ��°` Email and/or Fax: P;_'- , PROPERTY OWNER INFOR ATION: � � Name: �� mL Lnl/l�' : s�; Phone (day): �js L� �f�IS ` /��'`� � ,,,� Address: 'Z� (,,�X,L U�✓�; ��,,�� City: �l��i..�p.�J ZIP: S S 5�) C�Y: Email and/or Fax: � �..r': �.,,. PROJECT INFORMATION: Overall pro�ect description: � 6� ' �'�t�� Type of Project: Any earth movement may also require �; ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: � ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ��= ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 �N ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora �� Estimated Construction Valuation of Project(excluding land) $ c� � �.: � � ��e� APPLICANT ACKNOWLEDGEMENT: Q�,. � • 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 A�, 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 enerall cannot be iven to either the ublic or the sub ect of the data. Our ur ose and �.,� 9 Y 9� P 1 P P � intended use of this informat' n is to annually update our records and records of other governmental agencies required by law. If �> ou refuse to su I t info a on, e lication ma not be issued. ,��:,: Applicant's Signature. Date: � Owner's Signature: Date: ��`� Last Updated:03/O6/2013 �,,-: DATE TIME (/ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMR NO. 2�/3 'GYld COMPLET�D /'S�- ADDRESS +�S LyG� L,�e. �P�� OWNER TELEPHONE,�10. CONTRACTOR /¢�s�s� �'��'�� DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG � ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORENYETLANDS Q O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPUUNT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �GEOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PIUMBING RI ❑ SEPTIC FINAL ❑ FOUNbA710WREMOVAL 2 ONfNERfCONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: w ` a .� �' ! G' !/ r J r � OO � ° T�t� - o f�- te - a,z- �_3 - Gv. G . W Q F,ni I— eo -�s--i3 w G'. � W . � /�6rKeow�ts•� /rerisd e� //IS�cG�sa.v S�a� �- � j Ctr� GJ/ �f/.it:� G%��x s,c - � ❑WORKSATISFACTORY:PROCEED �BCJECT COMPLEfE W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOWERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�� OwnedContractor on site: Inspector. White CapyllnspectoPa File Canary CopyfShe Notke DATE � TIME ✓ CITY OF ORONO CALLED IN /?�a� INSPECTION OTICE I / SCHEDULED l��ta—/ 3 PERMIT NO. I ��` �U ( COMPLETED ADDRESS �� -��`'``� �� OWNER TELEPHONE NO. �2 7 D(p�;�, CONTRACTOR �� S��' �; DESCRIPTION ��` - �l`� � � ❑ 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 / � ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � � COMMENTS: �G f'Yn W —� a � J O a � O � W 1 �!� U cr t o� , Q � � � , z W � W � j � ❑WORK SATISFACTORY:PROCEED �RQJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector. �, ,. White Copyllnspector's File Canary CopylSite Notice