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Home My WebLink About2011-01124 - roofing • - CITY OF ORONO PERMIT NO.: 2011-01124 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/27/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 350 NORTH ARM LA PIN : 06-117-23-24-0014 LEGAL DESC : MARKOE ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTNITY ; O/S BUILDING-LJNDEFINED VALUATION : $ 15,510.00 NOTE: VALUATION OF PERMIT:$15,510.00 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 280.25 JOHN PEDERSON CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 7.76 13 77TH AVE.NE LJNIT# FWDLEY,MN 55432- MISC FEE 0.00 (763)586-7800 TOTAL 288.01 Minnesota State License#:20266141 PAID WITH CC# 4107 OWNER OLSON,DOUGLAS&KAREN 537 PARK LANE 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 does not grant permission for additional or related work which requires separate 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 confortnance with the State Building Code.This permit may be revokgd�y ti or due cause. / / / g / / / � Applicant Permitee Signature Date Issu By Signature Dat SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . e9"A26/2011 14:22 7635712746 JOHN PEDERSON CONST ,' f�, PAGE 01/01 n �� I��v''� � �� r � �� Ci of Orono� tY ; Buildins Permit Application for Mainten n�e / Renovation (windows, doors, siding, re-roof, etc.) MailingAddrosx p�rt�i{number: D -� �/� O.�(�,�0 PO Box 66 Crystal Bey, MN 553z3-0066 D i te received: � � St�et Addless: R�oeived by: 2750 Kaliey Parlcway Pl�n review fee: �� Orono,MN 55356 � Tqtal Fee: �8'8' Q� Main: 952-249-4600 Fax: 952 249�4616 �nnw.a.orono.mn.us 7his applicatlon fnrm must be completed in full and all required inform�ion must be submitted. Incomplste applicattons wlll be retume . (Pleas print) GENERAL INFORMATION: ? ��, : � �j, -� Job Slte Address: J �✓ VYIII this be a Parade of Homes, Remodelers Showcase Home o�othe�Disp y�lome? es M yes,a apeciel eventpemm�ls requ'ved wdh Pdioe DeparM�ant and Cky Counal epp►oval 60 deys prior to the event. SbuWa bus�rWce wIu be requfred unless�pplicen!demonstrates suHfclent onsrte pa�fdng is aveileble. Nc,�perm�tted ewents w(Il nor be aliowed. CONTRACTOR/APP CANT INF RMATION: .•• Name: �p N � /1/ C� � 1/�"� , State License# Expi�ation Date: .3_ 3 - ,3 ^_ Lead Certiflcation Numbet: Exp'Hation Date: -� (for xrork on home�s that r+e Con e d rMr to 1978 � Phone: �G�� (Office) / j, l• /7Q (cell) Mailing Address: -7'7 ��/�/V� � City: �' - ZIP: � Contact Person: Applicsnt ls: / meowner �c�.�o�y Emaii endlor Fax: e I^S r'� �' . /�'� i PROPERYY OWNER�INFORMATION: ! Neme: j) I Phone(day): � � - ' � Address: �3 7 �a►r' �rV�� C�Y= ��/�/O ZIP: .:'-� .Z�� Email and/or Fax i � PROJLCT INFORMATION: 7ype of Projact Ahy earth movement may requira ❑Door(s) ❑Remodel ❑Fire Damsge � MCWD revlew�pennlb6: Mi��ehaha Creak Watershed Distrid(MCWD) �ie-roof sphalt ❑Repair ❑Sbmt Damage � 162oz Mi�netonka Bivd ❑Re- ,cedar Q Restoration ❑Water Damage : Oeephaven,MN 55381 i Phone: 952-471-0590 (]R�roof,other(6paciy) ❑Siding ❑Other.(speafy) ; Fax: 952-471-0682 �Window(�) ! www.minnehahacreek.ors� � Overall Project DesCri tlon: � � ! Estimated Construction ValuBtlon of P Ject(ex uding land) S �� S/D=— ; APPI.ICANT ACKNOWLEDGEMENT: i • /Lqrees to provide a)I infortnadon required or requested by the Building Depa�tmeM; j . Certifiea thst th�Inbtmatlon supplisd is true and oorred to 1he best of his/he�knoVNedge. The applic2M recognizes that they are solely responsible for 6ubmi�ting a complete application being aware lhat upon�Fdilure t0 do so,the staff has no altemative but to rejeU it until it is aomplete; � • Some or all oF the informaGon that you a►e asked to provide on this application is�classified by Stale law as oither privste or wnfidential. P�ivate dats is infortnadon which generally cannot be given to the P4blic but can be given to the subject of the date. Co�fidential data is informstion whleh generally cannot bs given to eilher the public or the subJect of the data. Our purpose and iniended use of this inionnation i�to annuafly updabe our records and recortls of other govemment�l �qenaes re uired b law. If u refuse to I the informatlon e a lication me �ot be i ued. ApplicanYs Signature: (�ate; �•�3'�� ,eet Updated: 08-09-2011 � � DA TIME � CITY OF ORONOG�/�� CALLED IN �� INS�ECTION NOTICE SCHEDULED PERMIT NO. a0 �l-Q�/a COMPLETED ADDRESS��.2rZ� �L%'�lil'L- �� OWNER ELEPHONE NO. CONTRACTOR _�— �; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 MA�NT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q ti Z W � W � � d � �jQRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTION FE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 2Q9-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �� DATE TIME V CITY OF ORONO CALLED IN INSPECTION N�JOT��E �SCHEDULED D-�-/ PERMITNO. °�� —D//� COMPLETED –1f%� ADDRESS 3SD /UDY'� �j''{{�Y/ C�/(� OWNER TELEPHONE NO. 763 S�b ��Z� CONTRACTOR vDllh e��iLd-Ov� � � DESCRIPTION �1�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB � WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � � c��;� �s �N r � �- � a � W � Q ti Z W � W � � d � � �WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK R PROCEED ,_� ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP OROER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTtON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on si : Inspector. White Copylinspector's File Canary CopylSite Notice