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Home My WebLink About2013-01114 - roofing } CITY OF ORONO * 2 0 1 3 - B 1 1 1 4 * ' 2750 KELLEY PARKWAY DATE ISSUED: 10/22/2013 � ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1375 PARK DR PIN : 07-117-23-41-0079 LEGAL DESC : SIDWELL ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S GENERAL VALUATION : $ 16,000.00 NOTE: VALUATION OF PERMIT:$16,000.00 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 280.25 INCLINE EXTERIORS INC STATE SURCHARGE(VALUATION) 8.00 26175 BIRCH BLUFF RD SHOREWOOD,MN 55331 TOTAL 288.25 (612)471-9065 Minnesota State License#:20168831 OWNER MURPHY,KATHLEEN 1375 PARK DR • MOUND,MN 55364- AGREEMENT AND SWORN STATEME1vT 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 ate of issuance,or if construction is suspended for a peri d of 180 da t any time er work has commenced. The applicant is re nsible for ing all r ired inspections aze requested in confo ance with h State Bui ' g Code.This permit may be revoked at any ti or due ca /�� 1-�- � 13 � � App ican ermite i ature Date Issued y nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED AB E. � � � r ..� City of Orono � ry Ruiiding Permit Application for Maintenance / Replacement / Renovation �� (No structural expansion. Only windows, doors, siding, re-roof, etc.) ,�: � Ar Mailing Address: Permit number: � �� 0�yO PO Box 66 ��3 - Crystal Bay, MN 55323-0066 Date received: � 3`' .�n �'t' Street Address: Received by: � ° y � 2750 Kelley Parkway � Plan review fee: t? `�t �' Orono, MN 55356 � �k�SH�� 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: '� Job Site Address: �� C�� ✓� � 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 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: ��n c l�`�_ �Y�T�J`. d('_S — �n�� a State License# �� j� �,j� Expiration Date: �_ �'� Lead Certification Number: Expiration Date: �; (for work on homes that were constructed prior to 1978 �;; Phone: (cell) C�.� — ��— % }'"7 7 (office) �5�'��y��—�'dG�� Rp Mailing Address: a�;j7_S �� y� City: � ��w� ZIP: �- _�3�3� � �� Contact Person: �5 cj( S � �� Applicant is: on� ctor / Homeowner �c��ae ooe� �; ` Email and/or Fax: � � �r L� �C —� 7 , � �= ✓r',, PROPERTY OWNER INFORMATION: ��' "� �� , / � Name: � � 7�`� � �l�6t// �� ;� Phone (day): �Ja�-3 a �j — �j d 3 � �� Address: City: ZI P: � Email and/or Fax: � PROJECT INFORMATION: Overall pro�ect description: � ��:, Type of Project: Any earth movement may also require � ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: s �+ �: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) ��," W 18202 Minnetonka Blvd � .� Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ,� yt 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) $ /� ��G �� ;�a .7;; 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 hich generally cannot be given to either the public or the subject of the data. Our purpose and ' intended use of this informati is to ann Ily update our records and records of other govemmental agencies required by law. If � ou refuse to su I t info ation, the lication ma issued. ;� Applicant's Signature: Date: /'G - Zj—i _3 Owner's Signature: Date: �,: Last Updated: 03/06/2013 DATE TIME � CITY OF ORONO CALLED IN �D' ZZ INSPECTION NOTICE , / SCHEDULED /O-ZZ-/3 PERMIT NO.�13-6��`1 COMP�ETED ADDRESS I 3 � � �7'Q�k- � OWNER TELEPHONE NO.�� z-' 7 I - �� CONTRACTOR � n� � 1�1 P�`� a DESCRIPTION R DD� `��C Q� � C�"-�=��I� � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J � r s� A'� � !-'t- � o .�---� � � � � Q � W � �� GW , AIORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cati for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO cnLLED IN INSPECTION N TI E SCHEDULEO PERMIT NO. ` �1� ��E ADDRESS �� ' � . OWNER T PHONE NO. CONTRACTOR / � � � DESCRIPTION � � ❑ FOOTING ❑ PL BING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI y ❑ FRAMING ❑ MECHANICAL FINAL � ��SHORFJWETI_qNDS Z ❑ INS ATION ❑ WOOD BURNER/FIREPLACE � �EE REMOVAL ❑ SITE INSPECTION JQ ❑ DON SLAB ❑ WATER HOOK-UP ❑ PROQRESS NAL � SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATiON/REMOVAL 2 OWNERICONTRACTOR TO MEET YIpU:_YES_Np O CD � 1y � _. ' . n � � O � O _ W � 'Q � .. W W � � J a W� ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �RMANENT iNSPECTOR W{LL RETURN � PHOTO TAKEN �STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspectlon 24 hours in dvance. �9 49-46�� OwnerlContractor on site: Inspector: White Copyllnspeeto�'a File Canary CopylSite Notica