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Home My WebLink About2011-00869 - roofing . ' CITY OF ORONO PERMIT NO.: 2011-00869 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEn: 08/16/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 567 PARK LA P[N : 06-117-23-41-0045 LEGAL DESC : MINNETONKA SUMMIT PARK : LOT O11 BLOCK 006 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,000.00 NOTE: VALUATION OF PERMIT:$5,000.00 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-ADVGRTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPL�TED T}IE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 118.00 K RANDALL&CO INC STATE SURCHARGE(VALUATION) 2.50 3801 SUNSET DRIVE SPRWG PARK, MN 55384 TOTAL 120.50 (612)281-7683 Minnesota State License#: 20637998 OWNER PRESTHOLDT, PERRY 567 PARK LA 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. "Che applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be r vo d at any time for due cause. � � � ( lp � �� b�; � l Applicant Permitee ' ture Date Iss By Signature Date S ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. S `.i- �P�`MM 1"` .. . �� '�"i .._ . V��;�: J . � -� City of Orono � } � �� ."t�a �`a�..:s.,.r.j�� Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) ;,; Mailing Address: Permit number. � � � g,0,�. PO Box 66 � � �� 0 Crystal Bay, MN 55323-0066 Date received: ��/ ,� � � Received by: � a � �. �, Sfreet Address: • �',�,L�} t �Z'�� ti 2750 Kelley Parkway Plan review fe �_ 9kESH�4'� Orono, MN 55356 � � �— Total Fee: �;�/� � �-,_ Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �� Y .� This application form must be completed in full and all required information must be submitted. �; Incomplete applications will be returned. (P/ease print) y 2 GENERAL INFORMATION: �� Job Site Address: SG � %� /� � L�,,., `�, Cc nJ s j.3 5 (o ,�; Will this be a Parade of Homes, Remodelers Showcase Ho e 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. <;� .Y� - CONTRACTOR/APPLICANT INFORMATION: ` � �, ��.; Name: �. . \2..a,... �..,<< ° Ciorr� w,. �, : � ; State License# Zo�, j � 9 g � � Expiration Date: 3 S � 1 2, ,� f �`: Lead Certification Number: Expiration Date: �? ,,,` (for work on homes that were constructed prior to 1978 - �,.; Phone: (p 12 _ Z�, ( _ ?(o g � (office) q 5 z - �� '1 1 - ? �, rj�j (cell) �` ; Mailing Address: 3$a� S�hu� �� City: 5 �; � ZIP: ��U 3 �" � Contact Person: ��,ti� \.�,, Applicant is: ontractor / Homeowner (Circle One) �sa` Email and/or Fax: `�,�Z p�,��,�L`<<, U , �� <� ��: PROPERTY OWNER INFORMATION: ' �`` Name: �t�.t-�./ �p.c��k o �o� � �t �s Phone (daY)� Z Z S - Z-$� - 43 a t3 q �� " Address: 3�3 d Zlfo'+'� A,,..� /V,�✓, Cit � ZIP: � �j O l� -; � ` Y�C e a✓�, Email and/or Fax �; k`: � � �-i. (1 ,-= PROJECT INFORMATION: ,,� Type of Project: Any earth movement may require w, MCWD review&permits: '_� ❑ Door(s) ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) � � �Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd 4 �;,', � ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 3 �'� Phone: 952-471-0590 - ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq ;;y�� ::� Overall Project Description: �� Estimated Construction Valuation of Project(excluding land) $ ,S 0 o d, o0 5= �.� -� APPLICANT ACKNOWLEDGEMENT: '� �.� r ;:' • 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 i� �.; but to reject it until it is complete; �: • Some or all of the information that you are asked to provide on this application is dassified by State law as either private or ,s� ';; 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 a i purpose and intended use of this information is to annually update our records and records of other govemmental agencies ,;�� - re uired b law. tf ou refuse to u I the information,the a lication ma not be issued. �:� ��: `� x; ApplicanYs Signature: � � Date: � � ��, Last Updated: 08-09-2011 .�� z: � �,: , .� _-- -� �. .___� r_ _ --,- -- a --s � � DATE � TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO�!/– ��9 MPLETED ADDRESS � �� OWNER TE/�LEPH E NO. ��'�S�-7�� CONTRACTOR � �E °"r �� — �� a 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 � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � ��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL AETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CAllTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46�� Owner/Contractor on site� Inspector. ��'�� S � White Copyllnspector's File Canary CopylSite Notice �� DATE TIME J CITY OF ORONO CALLED IN ZZ j� ( INSPECTION NOTICE SCHEDULED ��L2�� _� PERMIT NO. r�.l�l��(,�L'1�{�9' COMPLETED ADDRESS �� k— �- OWNER TELEPHONE O.� �a^��'��3 CONTRACTOR � �-��U � DESCRIPTION �I N0.f �OC�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WAIL ❑ MECHANICAL RI p LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAI Z ❑ INSULATION � WOOD BURNER/F�REPLACE ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FIN L ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�JO � COMMENTS:�-� ca�� abu U�-r� Ol�.� r �V� a -�-�C�-r O�-�'- J O � � O � W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED �6PIOJECTCOMPLEfE W ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION �TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: � Inspector. White Copyllnspector's Fiie Canary CopylSite Notice