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Home My WebLink About2009-00510 - roofing � CITY OF ORONO PERMIT NO.: 20o�-oos�o ' 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 08/24/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2350 SHADOWOOD DR PIN : 27-118-23-32-0013 LEGAL DESC : SHADOWOOD FARM : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT VALUATION : $ 16,500.00 Q/� �1 l� APPLICANT pERMIT FEE SCHEDULE 295.00 HOME VALUE IMPROVEMENTS STATE SURCHARGE(VALUATION) 8.25 13756 REIMER DR MAPLE GROVE,MN 55311- MISC FEE 0.00 (763)425-9500 TOTAL 303.25 Minnesota State License#:20464927 OWNER LYNCH,PATRICK&MIA 2350 SHADOWOOD DR 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 permiu. 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. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at time for ue caus . � 8�a � o Applicant Permitee Signature Date / / Issued B ignature e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. �;_ �^,c� az �gp°�p"�' W".� .`.,^w�*r- � �--x .� '� �y,r�c€� �' �'� � , A� �: } r7.. �� 4;'��' ��. �1 . Y . £iN+', / �� . City of Orono � � `��` ' Building Permit Application for Internal Work �� (windows, doors, siding, re-roof, etc.) �� Mailing Address: �� 0,��, PO Box 66 Permit number: , � /Q ��. Crystal Bay, MN 55323-0066 Date received: � � �,:. 1_ �i� � � Received b �� a t`�'� •.�_;` s,'! Street Address: Y� 3� �� ''"� ��,i 2750 Kelley Parkway Plan review fee: ��; �`�kESHo�`� 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 alf required information must be submitted. ,�.' Incomplete applications will be returned. (Please print) - GENERAL INFORMATION: _ }�� Job Site Address: �- 35D - S�l�tC�D�vUa �•GD � ,j�j 3S �.}. Will this be a Parade of Homes, Remodelers Showcase Home or other isplay ome? ❑ Yes �,No � lf yes, a specia/event permit is required with Police Departmenf and City Council approval 60 days prior to the event. Shuttle bus service will be r", required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. �x CONTRACTOR/APPLICANT INFO MATION: � � Name: � � O l/C ��f b� State License# Expiration Date: p :�-> �u Phone: - _ � office (cell) � Mailing Address: � ' Cit : �/ ZIP: / _ ��; Contact Person: G Applicant is: Contra or / Homeowner (CircleOne) ��'' Email and/or Fax: �$. ��; PROPERTY OWNER INFORMATION: � � : ��' Name: YI - � G C � Phone (day): �� , �;.' Address: �Sf� � Q U/,r��1�i pQ� City: (��?Oj �� ZIP: S�3�� , Email and/or Fax �—� „�< �:' PROJECT INFORMATION: q_, Type of Project: � Any earth movement may require i MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑ Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 �: ❑ Re-roof Fax: 952-471-0682 , ❑ Fire Damage www.minnehahacreek.orq ��' Overall Project Description: �Q � ��` Estimated Construction Valuation of Project(excluding land) $r ,.;<t: , �: APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; � ':� • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they _#`° are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no altemative but to reject it until it is complete; ';Ys,t � • Some or all of the information that you are asked to provide on this application is classified by State law as either private or -� confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the `' data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our f;,�:v purpose and intended use of this information is to annually update our records and records of other governmental agencies '��` re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ��:,'; �� L�� -`f' �0 0 «ru; ApplicanYs Signature: Date: �� Last Updated: 05-04-2009 c�:-� x t �; . � �. �� 5,�:'e; ��u�'�-e� i ,� . a „ . . r � i f � Y � �r =aj __._ . �.'Si f.��.=.6N'�8Z��sl,v...�Ib+`�e'i..s .aL�.�.�}.c �...r�a��_A�� ,��v�'k�a tu.a.3.rYra�.'fc ua#'B DATE TIME v CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � �%� PERMIT NO.a�4��'�/� COMPLETED ADDRESS 4�i�50 �S�4�Bll�l� �' OWNER CONTR. l'�� I�Q�C�' L/Yt� , TELEPHONENO. 7�3 -$o� -' �9�-� /Q/C� � DESCRIPTION T G� L�� D\ DD f" � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a J O � � O � W � Q � Z W � W � � � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail tor the next inspection 2a hours in advance. (g52) 249-4600 Owner/Contractor on sit : Inspector. � White Copyllnspector's File Canary CopylSite Notice � —1 Q/��`�-� - DAT TIME � CITY OF ORONO CALLED IN �j � �.'�' l INSPECTION NOTICE SCHEDULED - �"� PERMIT NO. dOG�j- /O COMPLETED . ADDRESS � ��' OWNER_ CONTR. � TELEPHONE NO. G.� � �2� -F�D 7- %% �� DESCRIPTION ��/7�[ 11"D'� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL � LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION _ �FfNAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O � � O � W � Q � 2 W � W � �� / W �f WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 tor the next inspection 2a hours in advance. (952) 249-4600 Owner/Contractor on site: inspector. �� / White CopyAnspector's File Canary CopylSite Notice