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Home My WebLink About2011-01302 - roofing CITY OF ORONO PERMIT NO.: 2011-01302 . 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE ISSUEn: 10/24/2011 '� 952 249-4600 FAX: 952 249-4616 ADDRESS : 996 NORTH ARM DR PIN : 07-117-23-11-0017 LEGAL DESC : PIRATES COVE : LOT 013 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 12,000.00 NOTE: VALUATION OF PERMIT:$12000.00 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 221.25 C R E CONSTRUCTION STATE SURCHARGE(VALUATION) 6.00 9251 STARING LANE E. TOTAL 227.25 EDEN PRAIRIE,MN 55347- (952)941-7001 PAID WITH CC# 1385 Minnesota State License#:BC 2032243 OWNER WINTERS,KEVIN&ANNE 996 NORTH ARM DR MOLJND,MN 55364- 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 dces 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 are requested in conformance with the State B ilding Code.This permit may be revoked an time for ue cau . �dl �yl /( /D l l // Applicant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. _ ;. � �. � ;: .: ; � City of Orono �� ;'` y '�� ;�; . Building Permit Application for Maintenance / Renovation �� _ �-'�� : � � . (windows, doors, siding, re-roof, etc.) {� Mailing Address: ��j� _ �� f�� Permit number: � �,� PO Box 66 �-� /� Q Crystal Bay, MN 55323-0066 Date received: � � Z / � i n�� ,_,FA Received b �, � (•� � s, Street Address: Y� � Z,,,_ �y�' �'�,n � �''�� ti 2750 Kelley Parkway Plan review fee: '� �� 9kESH�g'� Orono, MN 55356 `^�;� � � � Total Fee: O� a� � s � � ` 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. F; �` Incomplete applications will be returned. (Please print) i,� ' GENERAL INFORMATION: �: �,r Job Site Address: ��'(p �j) �,�� ,� x� r� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �'No �l� , � �; If yes, a special event permif is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be �� ,' required unfess applicant demonstrates sufficienf on-site parking is available. Non-permitted events will not be allowed. �" ,��< � �,�, CONTRACTOR/APPLICANT INF0,2MATION: / � � Name: C� �G,�; ,L��G7`� d� °� ��:, F�'a State License# Ex ir � �� a�o,�� y �� p� ation Date: � r '` Lead Certification Number. Expiration Date: �� `� (for work on homes that were constructed prior to 1978 � � Phone: ) � /� - �/�j .- /�'1� (cell) � �j, " _ �-�' /- 7a�-, (office Mailing Address: � �� y �.� �� ,� � _ �.� � �; �i,� Cit : IP: .�- � � r i' Contact Person: �j = C� ,��. ,, Applicant is: ontractor / Homeowner (Circle One) �� r� ' Email and/or Fax: �L74 d��o�s�,�G,�,��onJ- c� � � �� ; � � �- PROPERTY OWNER I�ORMATION:��`�e / //��C� �� Name: � �v �'� Phone (day): �� Address: �� .�r2 ,�� City: �j�� --- ZIP: �j�`�� kry Email and/or Fax �� PROJECT INFORMATION: � "�.� Type of Project: Any earth movement may require � �' ❑ Door s MCWD review&permits: � . O ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) a ��' �Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd =�� ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 �' �sR Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 y� ��' ❑Window(s) www.minnehahacreek.orq � �_� �' `� Overall Project Description: -;e � ��- ¢ ��.� � CS" �� ; Estimated Construction Valuation of Project(excluding land) $ /��,a.-, �� q` . , l � � a� 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 s I the informati , t a lication ma not be issued. '�4 , ��; � . �: Applicant's Signature: � , Date: j0�,7�/j/ �, � � " �ast Updated: 08-09-2011 � �,-;, _..__ _ � �� TIME � CITY OF ORONO CALLED IN �0 �� INSPECTION NOTICE 7� Z SCHEDULED �O Z PERMIT N0.�� —D�`�O C MPLETED ADDRESS �g � Y V Dl�� l/�' � ►' � �✓� OWNER TELEPHO E NO. �� -$�U-3 S CONTRACTOR 1 ` - ° �: DESCRIPTION 'f'��- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/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 � ❑ 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 4. � J O a � O ti W � Q � Z W � W � � � d ►u�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �/i �.. W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. � 1 White Copylinspector's File Canary CopylSite Notice � �� f DATE T.;N1F. CITY OF ORONO CALLED IN , `'2--t �. S � INSPECTION NOTIC SCHEDULED � `--� ' � �•�C PERMIT NO. �� -%J-- COMPLETED ADDRESS ��1.� �1G � -��r~� �v�� OWNER �� -�'"p^ _ TELEPHONE NO.�O� Z-�tG�3«S CONTRACTOR l _ r �� L-4t � C, �5�� ; DESCRIPTION �c�`C �� ❑ 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 O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � �C �-v�c S � �-_ ��- 0 � � 0 � W � Q � z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REDUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor o site: Inspector. White Copylinspector's File Canary CopylSite Notice