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Home My WebLink About2010-00727 - roofing CITY OF ORONO PERMIT NO.: 2010-00727 . 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUEn: 08/18/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2095 SALEM CT PIN : 27-118-23-34-0007 LEGAL DESC : DICKEY LAKE ADDN : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILDING-UN FINED VALUATION : $ 42,000.00 APPLICANT PERMIT FEE SCHEDULE 595.75 TIMBERLINE EXTERIORS, INC. STATE SURCHARGE(VALUATION) 21.00 7026 E FISH LAKE ROAD MAPLE GROVE, MN 5531 I- MISC FEE 0.00 (651)329-6916 TOTAL 616J5 Minnesota State License#: 20633887 OWNER KATAYOUN MOHAMMAD-ZADEH,PAUL BIEGANSKI/ 2095 SALEM CT LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performcd 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 goveming this type of work shall be compied with whether or no[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 I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confor nce with the State Building Code.This permit may be revoked at an ti for due c u . � � � (;L� / / � / / Ap a e itee ign e Date Issued By g ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO �" '��5' �, � �r.��e�� --��E ,^�}. , .... �,>' � ,� ; �� 3" y tS 'c� y City of Orono � k�� . � , i�,�� "��t �� Building Permit Application for Internal Work � � ' (windows, doors, siding, re-roof, etc.) � � Mailing Address: Permit number: � �v�,� PO Box 66 3� Q � Q Crystal Bay, MN 55323-0066 Date received: � a ��',��:"y �, StreetAddress: Received by: � ;� �'�n��rvG� 2750 Kelley Parkway Plan review fee: � �'kESH�4' Orono, MN 55356 h� Total Fee: � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us w: This application form must be completed in full and all required information must be submitted. � v Incomplete applications will be returned. (Please print) � y� GENERAL WFORMATION: "_ "} Job Site Address: �� `� � �� .� �� 35 - �� - �� 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 demonstrafes sufficient on-site parking is available. Non-permitted events wil!not be allowed. ;�•' ��- ; ' CONTRACTOR/APPUCANT INFORMATION: . sy� �:� Name: `�,�2� �� .�� l� ' '� State License# � {�'y Expiration Date: ,j 3� ° l ( Phone: 1- "3 -- 8Y v'Z office cell � Mailing Address: �� (� L � Cit : �� ZIP: ,5�" j 3, ��. Contact Person: � � _ Applicant is: ontr ctor..>/ Homeowner (Circle One) � Email and/or Fax: � ,,�,r;✓�; _ �`' i,ryc.6,�,,/ �,��"�yS /�C C'�S� � ti�: � ? PROPERTY OWNER INFORM ION: • � Name: ` Phone (day): ' F - y _ (j� ' Address: „7 y5 Cit : �� 2,C; ZIP: �"j' j ',�: Email and/or Fax p � PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair torm Damage 18202 Minnetonka Blvd � :; Deephaven, MN 55391 , � ❑ Siding Restoration ❑ Other: (specify) Phone: 952-471-0590 �� ` Fax: 952-471-0682 Re-roof ❑ Fire Damage www.minnehahacreek.orp �g° Overall Project Description: ��i.— - � ,, V�vL�� ; Estimated Construction Valuation of Project (ex ding land) $ , �� 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 g 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 information, the a lication ma not be issued. �' : ` � Applicant's Signature: �' � %(�G Date: � � � � ��y �� { Last Updated: 05-04-2009 ` i ��,� � � ��' �s F )a r i �r_ � t� , s�........... ... . ��.:t�:.�,. , . .. . , � x, _..�._. � �.,,e_.a on.�.-,�.�. ,,,�... ��:<�*��.y�a �� ✓ � T /O TIME CITY OF ORONO CALLE�N � INSPECTION NOTICE CMEDULED • PERMIT NOs.��O�U D�oZ� MPLEfED ADDRESS �a �� ( '-�!�� OWNER ' TELEPHO O. 5 � aQ-��i� CONTRACTOR � � DESCRIPTION �� . � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/ RADING/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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � Q � 2 W � W � � � RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE O C RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on s�e: � Inspector. ., White Copyllnspector's Ffle Canary CopylSite Notice S_� TIME V CITY OF ORONO CALLED IN ' -� INSPECTION O IC SCHEDULED � PERMIT N � COMPLETED ADDRESS G�ZD�.S SGt��"'� G� OWNER TELEP ONE NO. �2 Z"�l� ��Z CONTRACTOR �L C7� � DESCRIPTION �`�"�-�'�'� �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p 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 _ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O � 7 ;C t� �� S �nJ f`-S�� 0 W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED �'ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ 1�5UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORREC7UNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on �te: Inspector. � _ B � White Copyllnspector's File Canary CopylSfte Notice �,� � � ✓ DAT TIME CITY OF ORONO CALLED IN INSPECTION NOTICE /� SCHEDULED 9,=/Q�� PERMIT NO.��O��<J�� COMPLETED ADDRESS ��5 S�'�''K C� OWNER TELEPHONE NO.�� 3� �/� CONTRACTOR Ti�b�,-/�n� �� a DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETIANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER PdSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALITOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor site- Inspector. lv_�/ .,��_,,, White Copyllnspector's Flie Canary CopylSite Notice