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Home My WebLink About2014-01042 - roofing , CITY OF ORONO * 2 0 1 4 - 0 1 0 4 Z * 2750 KELLEY PARKWAY DATE ISSUED: 09/16/2014 ORONO, MN 55356- (952 249-4600 FAX: 952 249-4616 ADDRESS : 3540 NORTH SHORE DR PIN : 08-117-23-43-0011 LEGAL DESC : BALDUR PARK : LOT 005 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 1,100.00 NOTE: VALUATION OF PERMIT: 1100.00 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 44.50 VICTORSEN,JAMES STATE SURCHARGE(VALUATION) 0.55 3540 NORTH SHORE DR TOTAL 45.05 WAYZATA,MN 55391- Payment(s) CHECK 7845 45.05 OWNER VICTORSEN,JAMES 3540 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 separate permits. All provisions of laws and ordinances governing this type of work shali 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 appficant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for ue cause. �� Appl cant Permitee Signature Date Is ed By Signature Date r • City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) MailingAddress: permitnumber�� Q �0�� Crystal Bay,MN 55323-0066 Date received: � ''� Street Address: Received by: S G�' 2750 Kelley Parkway Pian review fee: `� Orono,MN 55356 t'kESHOQ'� � O�J TQtal Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full end all required information must be submitted. incomplete applications will be retumed. (P/ease print) GENERAL INFORMATION: Job Site Address: � yd /�b R T f� 51�'�� L�k� t►�/1��Z�97�/9 S� 3 9/ Will this be a Parade of Homes,Remodelers Showcase Home or other Dispiay Home? Yes No K yea,a special event permit is required with Police Department and City Counci!approva!60 days prior to the event Shuttle bus se►vice will be requimd unless applicant demonstrates sufhcient on-site parking is available. Non Permitted events will not be allowed. CONTRACTOR I APPLICANT{NFORMATION: Name: D t�U N�1�"`„ d- �� State License# Expiration Date: Lead Certification Number: Expirafion Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: Ciry: ZIP: Contact Person: Applicant is: Contractor / Homeowner �ci�a,e� Email and/or Fax: PROPERTY OWNER INFORMATION; ^� Name: �.]� '� S '�,1� l pY'S P � Phone(day): (�, _ S��1n�-�1.� M l`�PL� Address: �Q 9 3 �/�1�E gr�1o/PC �(`E /�'�{' City: �OL/�tl/� ZIP: �S 3S� Email and/or Fax: � PROJECT INFORMATION: Overall ro"ect description: Type of Project: Any earth movement may also require ❑Door(s) ❑Remodel ❑Fire Damage N�CWD review&permits: �Re-roof,asphalt ❑Repair ❑Storm Damage Minnehafia Creek Watershed Districl(MCWD) 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven, MN 55391 ❑Re-roof,otFier(specHy) ❑Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Estimated Construction Valuation of Project(excluding land) � i I �D, r� � 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 dassified by State law as either private or confldential. Private data is information which generally cannot be given to the pubiic 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 subjed of the data. Our purpose and intended use of this information is to annually update our records and records of other govemmental agencies required by law. If ou refuse to su 1 the information,the a ication ma not be issued. ApplicanYs Signature: Date: Owner's Signature: , Date: �6 Zel� Last Updated:03/06/2013 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � /a ? 30 PERMITNO. COMPLETED !O-d/-!y'c' ADDRESS �� F��tor�Q/`� OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION T�4�'�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT J O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W • a l,'� k/or K S�s�t r� � �'`i�s f...t c ol�c G� �a r r�o+.s Dec�'�a r ^ � /'od d _ d� 4_iLf d� r�� S��a�� d��r �ear -O�{ ""p O.� lC� '� la3��i Qo ro��o�. � � W � W � � � W ❑WORK SATISFACTORY:PROCEED O PROJECT COMPLETE � ❑CARREC K 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � RECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE CdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnerfCoMractor on site: � Inspector: White C yllnspector's File Canary CopylSite Notiee