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Home My WebLink About2011-00477 - roofing CITY OF ORONO PERMIT NO.: 2011-00477 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 06/16/2011 • 952 249-4600 FAX: 952 249-4616 ADDRESS �~ : 1423 PARK DR ' PIN : 07-117-23-42-0019 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK O15 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 24,000.00 NOTE: SINCE WE DON'T HAVE AN INSPECTOR AVAILABLE FOR TEAR OFF,PLEASE TAKE PICTURES OF ICE&WATER AS YOU ARE TEARING OFF AND LEAVE ON SITE. APPLICANT pERMIT FEE SCHEDULE 398.25 EXTERIOR SOLUTIONS MN STATE SURCHARGE(VALUATION) 12.00 16641 JACARANDA WAY TOTAL 410.25 LAKEVILLE,MN 55044 (888)582-4450 Minnesota State License#: 20639419 OWNER HOWELLS,ROBERT&JEAN 1423 PARK DR MOLJND,MN 55364 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 dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not speci£ed 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 revoke t any ti for due cause. , / r � � l - L �n.(k!'l ��-�' �� —�� Appli t ermitee Signature Date Issued By Signa re Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono �a�� Building Permit Application for Internai Work , (windows, doors, siding, re-roof, etc.) Y Mailing Address: � Og,�',�O PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: ,� ��t Received b '\r��a,� �, Street Address: y� �',�, ' 'a� �ti 2750 Kelley Parkway Plan review fee: t9kESH04'� Orono, MN 55356 - 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: j Job Site Address: � `-�Z� �� C �✓' Will this be a Parade of Homes, Remodelers 3howcase Home or other Dispfay 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: �x�er;c� �:1��.� s v-,�� State License# Z�� q y � c� Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �� C� 5 � �� y S a (office) � � ��* (cell) Mailing Address: ��.u^ ��, �� City: `�� ZIP: S�-�y Contact Person: ,� ,,- Applicant is: ontracto / Homeowner (Circle One) Email and/or Fax: � PROPERTY OWNER INFORMATION: Name: _(�c�b �Je�.^ �o�.� �11C Phone (day): (D�� {q -. 1 I I r� Address: _ly Z3 �a�^k D✓" City: ��,`,^ �. ZIP: SS ��y Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 �e-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: _Estimated Construction Valuation of Project(excluding land) $ z,y � �v�� 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 intormation 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 o su I the information, the a lication ma not be issued. Applicant's Signature: Date: � � ��- �1 Last Updated: 03-01-2011 ��l I �/ ��'�� A E TIME CITY OF ORONO � CALLED IN � l INSPECTION TI E -..-7� SCHEDULED � PERMIT NO. "� COMPL ED ADDRESS � �o�� Cl� l�- OWNER TELEPHONE NO. � �g�-�� CONTRACTOR �D � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 FIN�/� p FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES,l�NO �\ ' c. � COMMENTS: (C� W 0. � � O >. � O � W � Q � 2 W � W � �� Q�/�A W9RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE �� CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on s'�te}- � Inspector. �+/ , White Copyllnspector's File Canary Copy/Site Notice DAT TIME V CITY OF ORONO CALLED IN 7 INSPECTION TICE SCHEDULED PERMIT NO. - � co LETED ADDRESS f��3 �i!/�— �� OWNER TFLEPHONE NO ��-��/ CONTRACTOR �s � 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � W �WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE �� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. .� � -� White CopyllnspectoPs File Canary CopylSite Notice