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Home My WebLink About2014-00649 - roofing � 1 ) CITY OF ORONO * 2 0 1 4 - 0 0 6 4 9 * 2750 KELLEY PARKWAY DATE ISSUED: 06/25/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3705 NORTH SHORE DR PIN : 17-117-23-21-0011 LEGAL DESC : SHADY-WOOD : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LINDEFINED - VALUATION : $ 1,000.00 NOTE: VALUATION OF PERMIT:$1,000.00 PARTIAL REROOF LAKE SIDE 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 41.25 STATE SURCHARGE(VALUATION) 0.50 INCLINE EXTERIORS INC MISC FEE 0.00 26175 BIRCH BLUFF RD SHOREWOOD,MN 55331 TOTAL 41.75 (612)471-9065 Payment(s) Minnesota State License#: BUIL-20168831 CHECK 9689 41.75 OWNER ROGERS,GAIL 3705 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 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 permit may be revoked at any time for du cause. �{_ �(/ �� Applicant Permitee Signature Date Issue By Signature Date � � � City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O • O Mailing Address: Permit number: 1�T PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: y�, ti 2750 Kelley Parkway Plan review fee: L Orono, MN 55356 tqKFSHO�� 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. (Please print) GENERAL INFORMATION: �.7U� �f �� /� � Job Site Address: 1 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �o If yes, a specia!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/APPLICANT INFORMATION: Name: �„�� 1�✓�2 �C��c�fS State License# �` �� Expiration Date: Zp �_S Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: �r„t �t� .�, ��,., (I��v�� City: �;,�,�; ZIP: �S�_ Contact Person: c�`�� (L,,,�,�,�,�� Applicant is:� -Eontr�/ Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: n ( Name: �. ✓vl ��'� i �� Y��` Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: ` � � � �� Any earth movement may also require ❑ Do (s) p�� ❑ Remodel ❑ Fire Damage MCWD review&permits: e-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $_� (�U�� i 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 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 information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the inf rmati n,the a li tion ma not be issued. ApplicanYs Signatur : Date: �Z�� y Owner's Signature: Date: Last Updated: 03/06/2013 � DATE TIME` CITY OF ORONO CALLED IN `� INSPECTION OTICE SCHEDULED PERMIT NO. - COMPLETED �S'=/S ADDRESS 3�oS /� S�v�� O�' . OWNER TELEPHONE NO. CONTRACTOR ��+�. ExL�G/'�o�S � DESCRIPTION �� ''��'� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q FINAL ❑ WATER HOOK-UP OLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HAR COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 01NNERICONTRACTOR TO MEET YiOU:_YES_NO c� COMMENTS: � ! � �✓'wt.L� /lol�r.� �. ��O � Gf/l �a� 4' � �i�t.:L ��t5l�cZ'�s.t 0 � ° /1/� s.b w �.�- /'Gb � � �� ia�t� W v� � Q 2 �t/o r6� �le��s �•N�/�� W � � G��IK�� {��'L.E�cQ � � O WORKSATISFACTORY:PROCEED OJECTCOMPLEfE W �CORRECT VYORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advaru;e. (g52) 249-4600 OwnerlContractor on site: Inspector: ��- White Copyllnspector's Ffle Canary CopylSke Notke