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Home My WebLink About2010-00178 - roofing . CITY OF ORONO PERMIT NO.: 2010-00178 , ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 03/29/2010 (952) 249-4600 FAX: (952) 249-4616 REPRINT�D ON 3/29/2010 ADDRESS : 1930 SHORELINE DR PIN : 10-117-23-42-0005 LEGAL DESC : AUDITOR'S SUBD.NO. 356 : LOT 000 BLOCK 000 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIV[TY : O/S BUILDING - UNDEF[NED VALUATION : $ 6,000.00 APPLICANT PERMIT FEE SCHEDULE 132.75 SARA WALSTEN CONSTRUCTION 32 17TH AVE. S. STATE SURCHARGE(VALUATION) 3.00 HOPKINS, MN 55343- TOTAL 135.75 (952)217-8702 PAID WITH CASH 135.75 Minnesota State License#: 20580524 OWNER DUTCHER,JOSEPH 1930 SHORELINE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perlormed 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 specitied herein.This permit will expire and become null and void if consVuction authorized is not commenced within l80 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 are requested in conformance with the State Building Code.This pennit may bc revoked at a time for due cause. i �!„'i l l l l Applicant Permit�e'Signature Date Issued By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. -a,„ �t�� r��T�",`r'.",��'�� `,� i�`�+V. .. �- � ��r y .� s x �,� .,�„ . �� k f"�'-�:��'<... ` � �' _� ��- , ' City of Orono -�`�: �� . �- � � 6 �: Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) ' _ ci: Mailing Address: �� ,0,� PO Box 66 Permit number. '� � � 0 Crystal Bay, MN 55323-0066 Date received: .� �p �'�E-�a;� a,� Street Address: �� Received by: � x'� { "� :A? Gti 2750 Kelley Parkway Plan review fee: t`�gEsHo�`'� Orono, MN 55356 � � Total Fee: i" ''"' Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � �t 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: 'G��; � ��._ ��--�� r Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes [�No ;_ If yes, a special event permit is�equired with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be �� required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � �s � ` CONTRACTOR/APPLICANT INFORMATION: �' ' Name: ;c a. � � ' 4�v ad/ � � State License# L� Ex iration Date: � /r��'G ` �_ ��S�?�a P� c.�t • e� t� �, Phone: � — � office cell � �, Mailing Address: , � Cit : r'ps' ZIP:�� ' � � �, �` Contact Person: ��,,�� ,�,/�.,1s�e n Applicant is: ontracto / Homeowner (CircleOne) �� <= Email and/or Fax: �- `� �:; �; �,'` PROPERTY OWNER INFORMATION: � �;_ Name: �c�� (l.��2f�k; Phone (day): � Address: `n Cit : � 5 a2� (�. � 7...�c.; � ZIP: ;�S-3�l Email and/or Fax �� : �:, ;�=�; � � � = PROJECT INFORMATION: � _;,�� ` Type of Project: Any earth movement may require ' " '- MCWD review 8�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 $ : k � Re-roof Fax: 952-471-0682 �,� ❑ Fire Damage www.minnehahacreek.orq �� Overall Project Description: ,i ti� Estimated Construction Valuation of Project(excluding land) $ ��j� � � � ,,�.; 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 � F; confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the �t 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 govemmental agencies �� ` re uired b law. If ou refuse to su I the information,the a lication ma not be issued. �� :y; � / k `- ApplicanYs Signature: ��' .� �ate: � �� "�� = Last Updated: 05-04-2009 �� 3 � ,; � p � *� x �' � , �'e. �". ..�.z,�� .... , . ,.�. ..v..��..3c..�.,,,.�.��,,,��, A: '��,�Z,;e�� ..��u,..�sr�•_,._.-.�y;3��,. '�`s'�..�.�1.s�v�ta.e� � D TIME �/ CITY OF ORONO c,a�'CE�iN �-� WSPECTION NOTICE SCHEDULED � _�!� PERMIT NO.�I� —' DD�7� COMPLETED ADDRESS `�� S � OWNER�� erGc� � TELEP ONE NO. CONTRACTOR ��2- Z� 7 ��D Z' SGt�ctt CG�-�5l�f�t >: DESCRIPTION l��- �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W C � J O a � O � W � Q � 2 W � W � � d ORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE W ❑C RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETt}RN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnedContractor on site: r Inspector_ White Copyllnspector's File Canary CopylSite Notice