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Home My WebLink About2012-01164 - roofing � CITY OF ORONO * z 0 1 2 - 0 1 1 6 4 * 2750 KELLEY PARKWAY DATE ISSUED: lUi4/2012 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3536 LYRIC AVE PIN : 17-117-23-43-0056 LEGAL DESC : NAVARRE HEIGHTS : LOT 000 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL COPiSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 800.00 NOTE: VALUATION OF PERMIT:$800.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 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 34.75 HENKE,CHARLES L STATE SURCHARGE(VALUATION) 0.40 3536 LYRIC AVE WAYZATA,MN 55391- MISC FEE 0.00 TOTAL 3 5.15 PAID WITH CASH 35.15 OWNER HENKE,CHARLES L 3536 LYRIC AVE WAYZATA,MN 55391- 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 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 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 are requested in conformance with the State Buildin ode.This permit may be revo�at any rime��se. � � � / Applicant Permitee Signature Date Issued By Si a re Da SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . �� - ` �e�E��r�� E�e��i� �,�p��c��r� f�r �a�� / �er��a�� (rn�i�aov`��, �iaa€��, sic�i��, �a-ra�f, ��c.} � Maiiing Address: Permit number. %�-� ,� PO Box 66 /� � Q�\ Crystal Eay, MN 55323-0066 i Date teceived: �" ��a t��P�-��,,'_`� s, � Street Adaress: i:Received by: a �\�t , �' F;'��`,� �/ 2750 Kelley Parkway � ��.t� � rr��'�� Orono, MN 55356 Pfancreviewfee: Esxo To:al'IFee: '' Main: 952-249-4600 Fax: 952-249-4010 www.ci.orono.mn.us Tnis application form must b� completeo in full and all required information must be submitted. incompiete appficaiions wiil be returnecl. (Please prinf) ��h=P.AL INFORMATIOI�: �� Job Site Address: Wil! this be a Parade or Ffomes, Remodefers Showcase Home or other Display Home? i ! Yes No If yes, a specra/event permit is required with Poirce Deparfinenf and City Council approval 60 days prior to the event. Shuttte bus s rvrce will be required unless applicant demonsirates sufiicient on-site parking is available. Non-permitted events will not be allowed. CONTRAC�'OR!APPLIC NT INr P. ATIO • Name: (..�Y��(/�/C ��// k%� State License � �.�� xpiration Qate: Lead Certirication Number: Expiration Cate: (for work on homes that were constructed prior to 1978 Phone: (of�ice) (c�ll) Maifing Address: � Ciiy. Z�p: Contact Person: � Applicant is: Contractor om�e .�� (Gircfe One� �mail and/or Fax: - PROP�R i Y OWN�R INc l��IO�t: Name: J �✓ Phone(day): . Address: � City: ZIP: Emaii and/or Fax Pr?C)J�CT IN�OrZM�t,'TIOh: Type of Project: � I Any eartn movement rray require ❑ Door(s) ❑ Remodel I ❑ Fire Qamage I MCWD review&permits: j Ninnehana Creek Watershed District(MCWD) �Re-roof, asphalt ❑ Re air i F ❑ Storm Damage 15202 Ninnetonka Blvo � :; ❑ Re-roof, ce�ar ❑ Restoration ❑V�,'ater Gamage i Deephaven, MN 55391 Phone: 952-471-Q590 ❑ Re-roaf, other(specify) ❑ Siding ❑ Other: (specify) ; Fax: 952-47i-Oo82 ❑Window(s) I � www.minnehahacreek.orq ' i Ove�alf Froject Des�riptioR: � _ �siirratec CoRs�rucfion 1,'aivaiion o� ?roject (exciuciing �and) � r APPLIC�t�T �CbCNOVlsL�D��M�Ri i: Wt - I � Agrees to provide all inrormaiion required or requested by fhe Building Department; �� ;i • Cer�ifies tnat the inTormaiion suppiied is true and corre�t to the best of nis/ner knowleage. Tne appficant recognizes tra: they ;;, are sofely responsible for submitiing a complete appiicafion being aware that upon failure to do so, tne s�aff 'r�as nc alternative ,� but to reject it unfil i:is compfeie; � • Some or all o`tne iniormafion that you are asked to provide on tnis appiication is ciassified b�� Staie iaw as eitner private or �I confidentiaL ?rivate da;a is inTorrrzation wnich qene;ally cannot be piven to the pubiic but can be given to the subiect of fhe ' ida:a. Confidential daia is information whicn generaliy cannot be given to either the pubii� or tne subiecf oT fie da,a. Our i purpose and incended use of this informafion is tc annually update our records and records o� other aovernmen�al agencies � I required b��law. If vou reruse to supafv tne informafion,the a�piication rrav no�be issued. j App(iCanYs Sigra'ture: Cat�: �� G �/D� �zst Updated: OE-Q9-2D11 �D TIME J CITY OF ORONO CALLED IN I� �� INSPECTION NO ICE SCHEDULED �.:I� � PERMIT NO. � � '�� COMPLETED ADDRESS�� L-1-�I'/C �� OWNER TELEPHONE NO�Z-��g�o� CONTRACTOR C.-�C�I'��.S /�n� � 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 ❑ PLUM6ING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a ��a,!-C $Z- 3 O - � � � 0 �. � 0 � W � Z {�N �,.�. �� ,� �� f �� - <_�l_ W � W � j � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call tor the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site; + Inspector. �' "'� !� � White Copyllnspector's File Canary CopylSite Notice