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Home My WebLink About2016-00695 - roofing CITY OF ORONO * 2 0 1 6 - 0 0 6 9 5 * 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2016 ' ORONO, MN 55356- ' (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3845 NORTH SHORE DR PIN : 17-117-23-22-0045 LEGAL DESC : SHERRI LAKEVIEW ESTATES : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATIOI�T : $ 8,800.00 NOTE: VALUATION OF PERMIT:$8,800.00 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 185.83 STATE SURCHARGE(VALUATION) 4.40 TODAYS EXTERIORS INC. TOTAL 190.23 11308 70TH PLACE N MAPLE GROVE,MN 55369- Payment(s) (763)425-0803 CHECK 4417 190.23 Minnesota State License#: BUIL-20387451 OWNER FRITZ,LOREN 3845 NORTH SHORE DR MOUND, MN 55364- AGREEMENT A1vD 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 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 Buildin e.This ermit may be revoked at any time fo ause. _ �)� [ � �6 c8� ' -� �,�c� 7 I�� -^ (��. l�� l �, , 1 �„ Applicant Permitee Signature Date Issued By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.�. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) � �O� Mailing Address: Permit number. � �l�� — � S' O PO Box 66 Crystal Bay, MN 55323-0066 Date received: — - (�; � a Street Address: Received by: ? '�? ti�, G� 2750 Kelley Parkway Plan review fee: -�""' t �, Orono, MN 55356 �K@SHOI� Total Fee: � ��a Z "�j 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: /' Job Site Address: �� I�. ��t,��- �('��l� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR!APPLI�T INFORMATION: � Name: o�q � � Jia� .�r1c. State License# 3C �a �YS( Expiration Date: 3 3/ Zoi Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) �Z f�c{H . d Z 3 (o (office) 7L 3 YZ� - O v� 3 Mailing Address: �� p o o+� �,pC � City: (�,-�,,� ZIP: (o � Contact Person: �A�,� Applicant is: ontrac or � Homeowner (CircleOne) Email and/or Fax: '763 YL�'' �'� `� PROPERTY OWNER INFORMATION: Name: �or��3 �� '�"Z. Phone (day): ( (�tL� Z 4� • �LLZ Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s ❑ Remodel ❑ Fire Damage MCWD review&permits: e-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 . -471-0682 ❑Window(s) www.minn ha creek.or Estimated Construction Valuation of Project(excluding I d) $ p v APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Depa�ment; • 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 inform ' ' o arin Ily update our records of other governmental agencies required by law. If ou refuse to su I nformation, a lication ma n ApplicanYs Signatur • Date: � /� ZG1� Owner's Signature: Date: Last Updated:January 2016 �:✓� � T �r�' ��r DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE /��//y SCHEDULED /�'-'!�- PERMIT NO. aC��`'�tv7� COMPLETED ADDRESS � �� L�/''�� IY_�f� OWNER TELEPHONE NO. " �� J CONTRACTOR ��`'`f� -¢ � DESCRIPTION '�`� � � ly� ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ TIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:�YES_NO �\ � ` � COMMENTS: O e � W � o `� ns � , o '�"��.-�-e �� c� . `��c�4-L��Q� �. � �co�ir- d�-� Go7MdlG'f,�� - JG2 -r �'c� ,�ro�aoe�l �� aw�r rc��'�-fl,r.s W � �!/�N,� - Q /� 2 � / �0�/�G �/C�y liJ � `G(AdG�K(i(6✓ �� .0-`�� l ��iCl�� /i KGYcr�4 Y is*C�� f`7/C � �n�i�/!�e j � �GYQyTKSATiSFACTORY:PROCEED ❑ PROJECT COMPLEfE � O CORRECT WORK&PROCEED �ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WFLL HETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerfContractor on site: Inspector: � White Copyllnspector's File Canary CopylSfte Notice � q-� v DATE TIME � CITY OF ORO CALLED IN INSPECTION NOTICE SCHEDULED � PERMIT NO.�21(;� ��COMPLETED ADDRESS �� N , S OY�P � OWNER TELEPHONE NO. b��'^ � ��Z� CONTRACTOR � ��f�G�-�.-P S x � DESCRIPTION �I ►�1 a- � wf ty ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J �FJDIAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W��❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC I ALL 2 OWNERICONiRACTOR TO MEET Y�OU:_YES�NO < < n � COMMENTS: ��C��""U�� / � jC p �c�,�/L � G��a✓ � rcG� G rt.�9/�4�issY� �, �/ � �n s•� ' o • � - C�� /�•c'�► �,�.i�io w, �i ro v•ea�� W � Q ^ /�G� �/4sI�••:� ,Greri�2t�f 6/l /'NriS• G'/1«d� � W W � � � O W'ORKSATISFACTORY:PROCEED �PRWECTCOMPLEfE w ❑OORRECT W'ORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK��L FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwneNContraator on site: Inspector: WAi llnspector"s File Canary CopylSke Nodee