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Home My WebLink About2011-00997 - roofing � T CITY OF ORONO PERMIT NO.: 2011-00997 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 09/06/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 405 OXFORD RD PIN : OS-117-23-41-0022 - LEGAL DESC : STIELOWS 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 18,300.00 NOTE: VALUATION OF PERMIT:$18,300.00 -THIS IS A PARTIAL ROOFING JOB 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 324.50 ADVANCE COMPANIES INC STATE SURCHARGE(VALUATION) 9.15 6400 CENTRAL AVE TOTAL 333.65 FRIDLEY,MN 55432- (763)286-8675 Minnesota State License#:4423 OWNER MERIDETH,JOHN H&MARYANN B 405 OXFORD 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 permiu. 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at an e oTr�lue�s �l 6 / // ,1�-/�- 9'l 7 / / Applicant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. '�"� � �', a �;7�` t ,'� � .. . .'r . . . �� . _st .. k +0..� t � , � City of Orono � �; Building Permit Application for Maintenance / Renovation �� ;; � t3 (windows, doors, siding, re-roof, etc.) �� MailingAddress: Permitnumber: //- �; g,0,�. PO Box 66 , ,, � �, 0 Crystal Bay, MN 55323-0066 Date received: �, �� _�r� Received by: � .� :;�.� s, Streef Address: �'.�c, a�i �� 2750 Kelley Parkway Plan review fee: � � �'�gESHo�`'� Orono, MN 55356 �,�' � Total Fee: ��'j�,/„5 �; �•- " Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ✓ 4� �� This application form must be completed in full and all required information must be submitted. � �4 � Incomplete applications will be returned. (Please print) �, GENERAL INFORMATION: �� Job Site Address: � � /Z � � ,' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o ,� If yes, a special event permit is required with Police Departmenf and City Counci/approval 60 days prior to the event. Shuttle bus service wilf be �r; required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will nof be allowed. � CONTRACTOR/APP I�ANT INFORMATION: � Name: pf[/a,✓iCQ w� G.✓�ies TvrC State License# yyZ 3 Expiration Date: p 3 � ' Lead Certification Number: Expiration Date: _� rb: (for work on homes that were constructed prior to 1978 � : Phone: 76 3' 2��j'�6�S'�" (office) ��3 - $-�-Z- Zoop (cell) ;� �m Mailing Address: GYap ��-f� ��, City: Fr,� (R ZIP: S`�-�/3Z `�j Contact Person: a�,,,� � Applicant is: �as�cu / Homeowner (CircleOne) � : Email and/or Fax: 7��_ S-�Z - 4'4�3 � w � '� PROPERTY OWNER INFORMATION: .`� Name: r� �,�� T L,►� Mer,��, � :; Phone (day): �S'Z_ � � Address: G�OS- � �„� City: Qrph� ZIP: �'$�,s"� a ^„�,; Email and/or Fax � �J � ` PROJECT INFORMATION: � � T e of Pro'ect: � YP 1 Any earth movement may require '� ' MCWD review&permits: ` ❑ Door(s) ❑ Remodel ❑ Fire Damage ° Minnehaha Creek Watershed District(MCWD) � ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 �`r �; �Re-roof, cedar ❑ Restoration ❑Water Damage Phone: 952-471-0590 � ! ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 � ❑Window(s) www.minnehahacreek.orq Overall Project Description: � ` r Estimated Construction Valuation of Project (excfuding land) $ d — � �'��' H,_ � 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 §;t 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 re uired b law. If ou refuse to su I the tion, the a lication ma not be issued. � �� ApplicanYs Signature: Date: �p� � �p/� ' � � Last Updated: 08-09-2011 � DAT TIME � CITY OF ORONO CALLED IN / INSPECTION I�OTI�� SCHEDULED �� PERMIT NO.a�� COM ETED -�- ADDRESS .S �� OWNER T PHONE NO. CONTRACTO � DESCRIPTION �� `�� - � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W 0. � J ° v' � C7 S�� 0 � W � Q � z W � W � � �/i�RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice DAT TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED 9� IS- � PERMIT NO.a��o g9� COMPLnETED ADDRESS / �S �r�'�� K� OWNER TELEPHONE N0.7b3 Z�� S��7S CONTRACTOR �/��e �• >; DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a o --7.;:2 �"' � 1��c,� iZ�'`c-�=' ti►�� 0 � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED `�1 PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site• � ,F n Inspector. � ! ��r ' 1� � White Copy/lnspector's File Canary CopylSite Notice