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Home My WebLink About2011-00300 - roofing CITY OF ORONO PERMIT NO.: 2011-00300 . ' ` 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: OS/05/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3444 NORTH SHORE DR PIN : 08-117-23-43-0022 LEGAL DESC : LYDIARDS PARK LAKE MTKA : LOT 017 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,000.00 NOTE: REROOF FRONT OF HOUSE DUE TO DAMAGE. APPLICANT pERMIT FEE SCHEDULE 73.75 INCLINE EXTERIORS INC STATE SURCHARGE(VALUATION) 1.00 26175 BIRCH BLUFF RD TOTAL 74.75 SHOREWOOD,MN 55331 (612)471-9065 Minnesota State License#: 20168831 OWNER ROBINSON, WILLIAM 3444 NORTH SHORE DR _. 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 goveming this rype 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 applic t is responsible for assuring all required inspections are requeste � conformance with the State Building Code.This permit may be revo e any time for due cause. i i 5 i �i A lic t Permitee Signature Date ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. - �, _ ��;� �: City of Orono - � � . � � ` Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) k: Mailing Address: Permit number: �v�,� PO Box 66 Q � O Crystal Bay, MN 55323-0066 Date received: ";' � ��,�r!,� �, Streef Address: Received by: � �' '� '�" �ti�' 2750 Kelley Parkway Plan review fee: � c� t�'kESH��`'� 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. � Incomplete applications will be returned. (P/ease print) <�; GENERAL INFORMATION: � Job Site Address: y � � � p `,;� x� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No x� If yes, a specral 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-site parking is available. Non-permitted events will not be allowed. ' �' CONTRACTOR/AP�ANT INFORMATION: � Name: L� G�� n ,� �k�r�—� a�,c— State License# 7��q�� Expiration Date: �?—j�_ �Z �: Lead Certification Number: Expiration Date: 'rs� �,� (for work on homes that were constructed prior to 1978 �� Phone: �,�z _ �j � ,�j L (office) (cell) ,� Mailing Address: ��S • � � City: �� ZIP: 3� 3� Contact Person: / �y,� / A licant is: ontr / Homeowner ``° �r l( J�,L•�(Gi� pp _ (Cirde One) � Email and/or Fax: �� . �� PROPERTY OWNER INFORMATION: � Name: '��° _� Phone (day): Address: 4;� _3�Yy �C.Jo�L( S�,o.c, <D� citv� ��o�a z�P: Email and/or Fax � PROJECT INFORMATION: Type of Project: Any earth movement may require '� ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: �� Minnehaha Creek Watershed District(MCWD) � ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 � ❑ Siding ❑ Restoration ❑ Other: (specify) � Phone: 952-471-0590 ,� Re-roof ❑ Fire Damage Fax: 952-471-0682 .,� www.minnehahacreek.orq Overall Project Description: �r o u �r��d— o /�-�u�,�, �/�,,� � �Q n„ali� � �, Estimated Construction Valuation of Project(excluding land) $ �� `" �. � APPLICANT ACKNOWLEDGEMENT: 3K �, � • 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 info mation is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su the information, the a lication ma not be issued. ApplicanYs Signature: Date: � �—�/ �: Last Updated: 03-01-2011 �� _�� DAT TIME v CITY OF ORONO CALLED IN 5— I�p I�� D D INSPECTION TICEDD.306 SCHEDULED — "� � � PERMIT NO. COMPLETED ADDRESS 3 4� �,l'� �I'�/w � OWNER TELEPHONE NO. ��Z 581 ��77 CONTRACTOR ^ � � DESCRIPTION �1� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL Fil ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEFi REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W 0. � —�''�U,/�T �� ,� � t= � �= T� C�C) l� 0 a �C� � � 0 W � Q � 2 W � W � � d W� ORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL{NSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cai1 for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor site: Inspector. / z � � White Copyllnspector's File Canary CopylSite Notice