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Home My WebLink About2012-00579 - roofing d � CITYOFORONO * ZpJ 12 — PJ (d579 * 2750 KELLEY PARKWAY DATE ISSUED: 06/2U2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3570 NORTH SHORE DR PIN : 08-117-23-34-0019 LEGAL DESC : BALDUR PARK : LOT 006 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,000.00 NOTE: VALUATION OF PERMIT:$6,000.00 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 132.75 HARRIS ROOFING INC STATE SURCHARGE(VALUATION) 3.00 150 EATON STREET ST PAUL,MN 55109- MAIL-IN FEE 2.00 (651)776-4400 TOTAL 137.75 Minnesota State License#:CR197576 PAID WITH CC# 4495 OWNER LUTZ,THOMAS&MARYLOU 258 CYGNET PL 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 I80 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 permit may be revoked at any time for due cause. ��2�a�.F�� P� � �/c� �,a i ,i�. Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 06/21/2012 09:58 FAX 6517764378 HARRIS-ROOFING f�002/003 � • f City of Orona 6uilding Permit Application for Mainfienance / Re�ovation (windows, doors, sidin , re-roof, etc. Mei�ing Add►eas: Per1'rnt numDer_ � � . O�O�O Crygtal BaY.MN 55323�068 D�tac,�1Y� ' '"� " I street Address: Reo�ived till: �, � 2750 Kelley Parkvray Pten reyiew fee: •. .. ��o� Orono,MN 55356 � • . • . . . . r��: l3'1 ��5" . Main: 852-24S�d800 Fax: 952 249�616 www.a.orono.mn_us This applica�on form must be cornpleted in Tull and all rec�ed information must be submitted. incomplete applications will be�elumed. (Please print) GENERAI.INFORMATION: Job Sibe Address: ,3�J N d��' �(� � � V e w�l this be a Pardde of Hom�,Remodelc�s showcase Honre or atl��r Oi4pkq/Nome? Yes No IfYac�e specia�.venf Pem�a is re9�od w�PaNce D�erbnan�and G�Covx�l�proaal 60 days prla ro Me evrt Sf�iet►s pus ' w�l be �squi►bd u►�eas ePD�eM den►o►dr�tes sr�icient w►�Wie P�kiq is IYs�blr. Afon�pr/MmeO sv�w�ll not b•e�powed _ CON1'RACtOR/APPIICAIV'f INFORMATION: _.. _ _ Name: �QI'� C �S �00�'i YlA IYl C • Sfiate ucense� C'(�\q1��l � E�irabon Date: 3�31 3 Lead Certificatio� Number: Expiratlon Date: (!or woNc on homea d�at w�a�a consbucced prior to 1� Phone: �e 5 1 ll 1Q ��4 0 (o�ce) co�a �►3 a 3�o� � (cell) Mailing Add�ess: � S • C�� ctU 2iP� 5 51 0 Contact Person: Z eSS1 C C� }�0.r r 1 S A►PP��M�� Nol'ileowner �a�.one� Email and/or Fax: � S� �o ' • �em ' PROPERTY OWNER INFORMATION: Name: _ ��YYl 1.V��'� Phone(day): �5 a 3 Address: ��5'1 a �(V o Y -i-1n 1no v e '�r�v e City: 0 r 0►fl o z1P: 55 3 9 � Email and/or F�x PROJECT INFORMATION: �'YPe�P�� Any sartb movement may►equite ❑Fire Damsge M��►i pe�mlts: ❑Door(sj ❑Remodel Mnnehaha Creek Waterahed pistrid(MCWD) Re-roof,ssphalt ❑Repair ❑Storm Damaga 18Z02 Minne�tonks Blvd Deephaven, MN 55391 Re-roof,cedar ❑Resbrddon ❑Water Dartiage Phono; 852�171-0590 ❑Re�oof,oU�er(apeciryi) ❑Sidinp ❑Ofher.(specify) Fstc: 952-471-0682 ��s� vrww.minneh�hacreekor8 Overnll Pro ect De�scri " : O�y Estima�ed Conswuction Valuation of Project(ex�cluding land) � tQ 000 • 0 O APPLICANT ACKNOWLEDGEMENT: • Agrees to provids all ir+fortnation requirad or requesbed by 1he BuildnQ Departrnsr� . Certiflss that the lniormstion supplied is true and t�ect Op the best of hislher loiowled8s. The epplicerrt recognizes thet they ere solely respor�sible fer submitlin8 a complete applica�ion being ewane iha�t upon f,0�ure to do so,iho staff has no al�msiove but to reject it unt�it is complete; • Some or atl of the i�formetion that you arc asl�ed tc pnwide o� fhis appl'ir,abon is dassified by SqRe law as either privete or corrfidenti�l. Privste dal�is iMormrion which yenerelly carmot be given to the pub�c but cen be given to the subject of the deca. Confids�rtial data is information which ge��erally CannoR be BiYen to eidter Ihe public or the wbject of ltte data. Our purpose and intendsd use o1 this informaaon is t4 a�xnrapy upde�e au reoord5 end records of o4her govemmae�tql e�genaes re ired b law. If ou reiusa to infamation Ihe ation not be iss�,ed. �°►PPlicanYs Signature: Cate: p�.� � o�.� I.ast Updated; 09•�9,2011 7 DAT�/ TIME � CITY OF ORONO CALIED IN /a7 //sZ INSPECTION N T CE SCHEDULED g/�L PERMIT NO. �—'�l�OMPLETED ADDRESS OWNER T EPHONE NO.�S�'77�'�� CONTRACTOR � DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � r C �J�e� �i� �i- o " t � 0 � W � Q � z W � W � � d W� �WORKSATISFACTORY:PROCEED /Q�,�PFiOJECTCOMPLEfE W ❑CORRECT WORK&PROCEED �O ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WtLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice