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Home My WebLink About2011-00944 - roofing • CITY OF ORONO PERMIT NO.: 2011-00944 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/29/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 420 ORCHARD PARK RD PIN : 32-118-23-23-0006 LEGAL DESC : ORCHARD PARK : LOT 008 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 15,000.00 NOTE: VALUATION OF PERMIT:$15000.00 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 265.50 ZABLOROOSEVELT ROOFING INC STATE SURCHARGE(VALUATION) 7.50 3900 3900 ROOSS EVELT RD#112 TOTAL 273.00 ST CLOUD,MN 56301- (320)203-1297 PAID WITH CC# 3444 Minnesota State License#:20570468 OWNER PETERSON, WILLIAM&LYNAE 420 ORCHARD PARK RD 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 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 due cau e. ARq/// 614-4C4C- g/ App icant Permitee Sign re Date / Issue! :y Signature Dat / SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono . Building•.Permit Application for Maintenance /'Renovation .• . (windows, doors, siding, re-roof, etc.) • _ • Mailing Address: • Permit number : p20//- l)6 g 1.O4 Crystal Bay. MN 55323-0066 Date received: J .�(e/w 1/4;-':‘ , ►i.�, • > StnaetAddmss: R5CB�led by: 14. ` ^� <� 2750 Ke118y Parkway Plan review flee: �' ' Orono,Po MN 55356 • • Total Fee: • Main: 952-249-4800• Fax: 952-249-4618 . www.Ci.prono.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: . •4a() Orchrd Par Kd CAOr.o, r'nrN55 3 5 , Will this be a•Parade•oif Homes,Remodelers Showcase Home or other Display Home?. •. ❑Yee : fa No if yes,a special.event permit•is rooked with Police Department and City Council approval 50 days prior to the event Shuttle bus servx a will be required unlees'applicent demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR 1 APPLICANT INFORMATI(e�N: • Name: .zix.vdt.oaCt 9.00- -l ' t-3vL State License# •. a•O•S'71.04‘..4g Expiration Date: S 1 at o i a Lead Certification Number.,• . • Expiration Date: (for work on homes that weie Constructed prior to 1978 Phone: • 3 -:.- Q03= t a91 (office) : 3ao•'RV• S$pci . (cell) Mailing Address:1 .3900. ( oo'be.el i.2:T Iv a • .. •• . City: (0‘4.4 .. ZIP:• cjfo 301 Contact Person': --t .A r-e• "-c.-.1„or tke, Applicant is: ontractor / Homeowner (circle one) Email and/or Fax: t ii., ( 2o.)31cic root r•cs. Covr.., -5ack•a 3o• 4tot4 PROPERTY OWNER INFORMATION: Name: P)3\ o...4 Ly r c gem rso..-- Phone(day): Co,a. 134, % a3 • Address: tvao or ct.o.e d 945.4-14‘. ' . City: Or o r.p ZIP: SS 35(o Email and/or Fax PROJECT INFORMATION: • Type of Project . Any earth movement may require ❑Door(s) ❑Remodel ❑Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) XRe-roof,asphalt 0 Repair 0 Storm Damage 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration 0 Water Damage DeephPhone:v95 MN 55391 Phone: 952-471.0590 ❑Re-roof,other(specify) 0 Siding 0 Other.(specify) Fax: 952-471-0682 ❑Window(5) www.minnehahacreek.oro Overall Project Description: e e..e ,4f) q,ne ((g,- •61N..• -t; - Estimated Construction Valuation of Prooct(excluding land) $ It.000.00 . 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 df the data. Our purpose and intended use of this information is to annually update our records and records of other govemMental agencies required_y law. If you refuse tb supply the information the application may not be issued. Applicant's Signature: � �G�--i C ' `+.1��. I c�Date: i 5l 11 Last Updated: 08-09-2011 IO/TO 39t/c1 DNI 9NIJOOd I>IDO1EVZ TO 9E:91 t10Z/9Z/80 '-? DATE TIME \/ CITY OF ORONO CALLE I6 N1 D— t t INSPECTION NOTICESCHEDULED /O-/2-/I PERMIT NO. ae// -C O 9`t- /-COOM,PL�ETTED ADDRESS 17/2-0 &&CK Pa L OWNER TELEPHONE�� NO. 32 Z 0 D 3 / z-7 CONTRACTOR Z�ZO 06k--C. /x,00// O >: DESCRIPTION ! /� � a - JQD 91 J ❑ FOOTING ❑ PLUMBING FINAL D EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS y 0 FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL Z 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS 0 FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: Lu . l ,C � � i i.1 I I 0 >. cc RDI ge 9 1 P ce.J. cz W .0k) Q W z W cc d ❑WORK SATISFACTORY:PROCEED 0I40/011JECT COMPLETE CC W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 C7 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: /1:3S k4- Inspector. White Copy/Inspector's File Canary Copy/Site Notice P('So:2rAA--Y DATc , TIME CITY OF ORONO CALLED IN INSPECTION NOTICE /y]�j(,�/ SCHEDULED L71/ /i/. PERMIT NO. O/I._ % / T COMPLETED ADDRESS 1 o10 611atiurk. P zi c- F OWNER FTELENE N� o?O- 03— /2q7 CONTRACTOR O� � U Si`'i (- DESCRIPTION 61 • ❑ FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS ti 0 FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL • 0 INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP _ 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL v 0 PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W cc f C) 1)6/-A,..,',4-- 0 34 ed ccO cc W W cc Lu• ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W • ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice