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Home My WebLink About2011-00453 - roofing � CITY OF ORONO PERMIT NO.: 2011-00453 ti 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEu: 06/13/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 480 RUSSELL AVE PIN : 02-117-23-31-0003 LEGAL DESC : AUDITOR'S SUBD.NO. 307 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -LINDEFINED VALUATION : $ 10,000.00 APPLICANT PERMIT FEE SCHEDULE 191 JS KENNEDY CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 17205 24TH AVE N TOTAL 196.75 PLYMOUTH, MN 55447- (612)978-7859 PAID WITH CC# 6148 OWNER CARPENTER,N[CKY&JOSEPHINE 480 RUSSEL AVE WAYZATA, MN 55391-0659 AGREEMENT AND SWORN STATEMENT "i'he work for which this permit is issued shall be performed according to lhe approved plans and specifications,applicable City approvals,and the Slate Building Code. This pennit 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 wark shall be compied with whether or not specitied herein.'1'his 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 applican[is responsible for assuring all required inspections are requested in c formance� 'h the State Building Code.This permit may be ,r7� revoked at time or cause. /l / / ,�i_�.-�� ( ��'Y�l i ''� / t�' ^�.� � Applic t Permite Signa ure Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. y City of Orono ` Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O4v�,j�O PO Box 66 Crystal Bay, MN 55323-0066 Date received: a � -�� , Sfreet Address: Received by: �' ''� �ti�' 2750 Kelley Parkway Plan review fee: � ��'kESHo4'� 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: ' / Job Site Address: ��,'U ICvSSe�l � v W z.. �- S S � ( � Will this be a Parade of Homes, Remodelers Showcase Ho e or other Display Home? ❑ Yes o If yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is availa6le. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��vv��r l� �s��f.�.-� State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �j� -j7�,� S`� (office) (cell) Mailing Address: S y% � _ City: � �,,,,� ZIP: �S 7 Contact Person: �� c, -�N _ Applicant is: Cont actor / Homeowner (Circle One) Email and/or Fax: �;�� <<;,,��.5 f� � �- PROPERTY OWNER INFORMATION: Name: /Urc%� �'�►n(��r.��r` !� Phone (day): _ O�v�!?";' Address: 9 �G l E�SS'C C ��(,�A� Z¢-�t� City: (,i/i}yl,�f�- ZIP: SS 3/ � 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 ❑ Sidin Deephaven, MN 55391 � g ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 �e-roof ❑ Fire Damage Fax: 952-471-0682 www.mi nnehahacreek.or4 Overall Project Description: r Estimated Construction Valuation of Project(excluding land) $ �U,�;�� 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 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 I the information, the a lication ma not be issued. / App(icanYs Signature: � � /��,;�.z ,�� Date: � -�)�"��( Last Updated: 03-01-2D11 �' �. �� DATE / TIME ✓ CITY OF ORONO CALLED IN '.v "��1 INSPECTION NOTICE SCHEDULED '� PERMIT NO. °�n I � �� COMPLETED �` ADDRESS �'IgD �l-LCCSC� (I � c�- OWNER TELEPHONE NO.�� 7�� ?$� CONTRACTOR ��YV^c��{—,� �1�. J �: DESCRIPTION �� `1 � �l W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV I QDING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W a � 0 � e�. f/ �� _ a � O � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑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. Call forthe next' pection 24 hours in advance. (952� 249-46�� Owner/Contracto it : Inspector. White Copyllnspector's File Canary CopylSite Notice / D T// T�ME �/ CITY OF ORONO GG��LED IN � INSPECTION NOTICE SCHEDULED � PERMIT N — c PLETED ADDRESS `-�'Cz��{��,X� �� OWNER ELEP O 0.��1� !��r��i CONTRACTOR � � 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEEi YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � W ❑WORKSATISFACTORY:PROCEED �JECTCOMPLEfE � ❑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.CAIL INSPECTOR �CITAT�ON ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on sitg: Inspector. � d 1 � White Copyllnspector's File Canary CopylSite Notice