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Home My WebLink About2011-01035 - roofing CITY OF ORONO PERMIT NO.: 2011-01035 2750 KELLEY PARKWAY t �� ORONO, MN 55356- �ATE IssuEn: 09/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 366 NORTH ARM LA PIN : 06-117-23-24-0011 LEGAL DESC : NORTH ARM ESTATES 4TH ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-iJNDEFINED VALUATION : $ 10,000.00 NOTE: VALUATION OF PERMIT: $10,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK[3EING 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 191.75 — W. F. SMITH CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 6585 SO SAUNDERS LAKE DRIVE TOTAL 196.75 MINNETRISTA,MN 55364- (612)867-3117 Minnesota State License#: 5309 OWNER LARSON, MR. &MRS. MARK 366 NORTH ARM LA MOUND, 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 does not grant pennission 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 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 Building Code.This permi[may be re oked at any ti for due cause. , � ,� --... i �.� - '- �i � ,��, i r �t�� c'r��t�c�; , �� —�� // Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 'f; t a'-:�ve ,� � City of Orono � � � � a� 4 � . Building Permit Application for Maintenance / Renovation . - ��; - (windows, doors, siding, re-roof, etc.) e=� O Mai��PO Bo�r66 � Permit number: � y_ � Crystal Bay, MN 55323-0066 Date received: �.. o �. o �l � a ��` .��, �, StreetAddress: Received by: ;� �',�, t �"� �ti 2750 Kelley Parkway Plan review fee: ,� l9kESH�g,'�' Orono, MN 55356 �. — 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. }a Incomplete applications will be returned. (Ple se print) '� �=a GENERAL INFORMATION: ��- �� ,� � Job Site Address: r`�( , Jl�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No �; j' If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be % required unless applicant demonstrates sufficient on-sife parking is available. Non-permrtted events will not be allowed. �� CONTRACTOR/APPLICANT INF,fORMATION: � Name: � � '�l l�t-- �I'�,�j � ;,�,� State License# � -�� Expiration Date: L - v - � Lead Certification Number: Expiration Date: ,� (for work on homes that were constructed prior to 1978 �' '° Phone: 'j S�- � �-1 7� � E; S- (office) � j� � ��; 7� �� / (cell) �� _.,: <' ' Mailing Address: �,��- _ -��-� � ��,� r��, Cit : y�,� � ZIP: S S�6 � Contact Person: �� Applicant is: Contrac / Homeowner (Circle One) � Email and/or Fax: �$ ;� � PROPERTY OWNER INFORMATION: 4� Name: � �� i�7L.S ,rJ� � Phone (day): €� � Address: City: ZIP: �a Email and/or Fax � � ��=' PROJECT INFORMATION: � ' �',;:., Type of Project: Any earth movement may require � ❑ Door(s) ❑Remodel ❑ Fire Damage MCWD review&permits: �� Minnehaha Creek Watershed District(MCWD) � Re-roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd " �� ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 � Phone: 952-471-0590 ;;� ❑ Re-roof,other(specify) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 '� .k, ❑Window(s) www.minnehahacreek.orq � �; Overall Project Description: � Estimated Construction Valuation of Project(excluding land) $ � D , c�6 v u�� ;,� 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 altemative �� 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 infor ation is to annually update our records and records of other govemmental agencies '-;� re uired b law. If ou refuse to su I e inf ation,the a lication ma not be issued. #� � G�� ApplicanYs Signature: � Date: I �^ � � "') } � �-. Last Updated: 08-09-2011 � x�� _ � _ � _ .. �... � ._a__ ..�.,_��. .�" DArE TIME " �. / ITY OF ORONO CALLED IN �- � I t� INSPECTION NOTICE ^ SCHEDULED ( `� '� 1p PERMIT NO.�� — �)I C?:`�� COMPLETED ADDRESS �� l"� �� - � OWNER TELEPHONE NO. �`5� �� _1c��g,�i�� CONTRACTOR L�., �. ��'��TYiS�, j: DESCRIPTION - �'tC`-� 6/Z- gG7 -3c/ � � ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � c�. � � (' �� a � � O �. � O � W � Q � Z w � W � j d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL 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.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor o sit • J i Inspector. / • White Copy/inspector's File Canary CopylSite Notice ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED —�--�-- PERMIT NO. �O!f -Olo.3S� COMPLETED �"',3��¢ ADDRESS 3�s�o /�(,-z`i( /�rw� �,�. OWNER TELEPHONE NO. CONTRACTOR IN'• r• �rn.�4 �.s�� DESCRIPTION �e-�"�^ � � O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ct ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING Q ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLA6 ❑ WATER HOOK-UP � ❑ FINAL � PROGRESS ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC AAAINT. �OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � -1'��--��d�,e :; ,- ,r,. � a *OLD PERMIT - NO FINAL INSPECTION REQUESTEL J O ��, � �Hf�� LC�n�l��ib., A/'bl�il)e.d o -- W __ " G�.tn�,�a� Gerr�[� �'�If i'Do� Q -- �I/0I' .� dDei�� l°o�.r.0�¢7� � 2 � ��»«� F..rtl�.p � � J a � ❑WOFK SATISFACTORY:PROCEED �pMp��E W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR RElNSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwrterlContractor on site: Inspector.�� '�� White Copyflnspector's Fite Canary CopylSite Notice