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Home My WebLink About2010-01030 - roofing CITY OF ORONO PERMIT NO.: 2010-01030 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssUED: 10/19/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2300 SIXTH AVE N PIN : 27-118-23-32-0002 LEGAL DESC : UNPLATTED 27 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 16,000.00 APPLICANT PERMIT FEE SCHEDULE 280.25 CONNELLS CUSTOM EXTERIORS INC. STATE SURCHARGE(VALUATION) 8.00 1125 S. FRONTAGE RD SUITE 8 TOTAL 288.25 HASTINGS,MN 55033- PAID WITH CC# 1800 (651)480-3797 OWNER O'ROURKE, MR. &MRS. BARRY 2300 SIXTH AVE N LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfom�ed according to the approved plans and specitications,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 wark which requires separa[c 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. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.�his permit may be ?:� revoked at any tim or�ue cause. ,� ' ;; %�,'f �r � �' � ��,:-•-�----__ _� ,,�,�� . � (., i i :.-� �_. i c c`��c ,c� l� -i,n,_.��, i � i Applicant Per i ee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 10/1 14:02 6514382901 CONNELLS CUSTOM EXTE PAGE 02/05 City of Orono 6uilding Permit Application for Internal Work , (windows, doors, siding, re-roof, etc.) Meiling Address.. � � � , � �, . .'% - C: .g,�,j�. PO Bax 66 P�Rnft�nu�nber�; • G,.�:i"r C "�`�C� , 0 0 a Crystal Bay, MN 55323-0066 O�te;r�iv�d'<: :'��. ../ (�'':�1�%' a, St�etAddress� Kek��tl"by: : ;� ,°,L;- � >;;;,, , ,,;, ;, , �.,�-``' ,,�;,,; "..' �. oti 2750 Kelley Parkway '�P�a�re�ieiwi��,: `� `;:;;:;,�, ��g� Oronv, MN 55356 ��•-: ' 1 Tot�ti��t , ,` �,C,�i �� , ;' Main: 952-248-4600 Fax: 952-249-4616 www.ci.orono.mn.us ;�i'� '� This application form must be completed in full and all required information must be submitted. Incomplete application�will be return�d. (Please print) GENERAL INFORMATION: Job Site Address: ' 3� Will this be a Parade of Homes, Remodelers Sho se Home or other Display Home? ❑ Yes No If yes,a speciel event pennit is required with Pol/cA Department and City Counci!approval 80 deys prior to the event. Shutt/e bus sonrice will be �equired�nless epplicent demonshates su�cient on�site petking is eveileble. Non-pem►itted ev�nts wil!not 6e ellowed. CONTRACTOR 1 APPLICANT IN�ORMATION: Name: � �. State License# ��cc��,�— Expiration Date, � 2, Phone: office � cell Mailirtg Address: S, Ci : ZIP: 3 Contact Person: A plicant is: ontractor eowner �cir�io o�o� Email and/or Fax: PROPERTY OWNER INFORMATION: ►vame: �aA1fKA D' �'161,4.�� Phone(day): �52.-- �-1'l� bl p� � �j Address' Ci : ��{,� ZIP: v��T�lo Email and/or Fax PROJECT INFORMATION: Type of Projeat: Any earth movement m�y requir�e MCWD review�permits ❑Door(s) ❑ Remodal ❑Water Damage Minnehaha Creek W9tershed District(MCWD) ❑Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 (�5iding ❑ Restoretipn ❑ Other; (specify) Phone: 95z-471-0590 Lxr�e-roof Fax: 952-471-0682 ❑ Fire Demage www � ahacree . �Overall Project Descr'iption: � � Q �� [�� _r�jq, � � �, Estlmated Construction Valuation of Pro)ect(ex uding lan ) $ 1 b �� - � ''� APPLICANT ACKNOWLEDGEMENT: • Agnees to provide all information required or requested by the Bullding Department; • Certifies thet the information supplied is true and correct to the best of his/het knowledge. The applicant recognizes that thsy are solely responsible for submitting a complet� application befng aware #hat upon failure to da so, the staff has no alternakive but to rejed it until it is complete; • Some o� all of the information that you are asked to provide on this application is classified by State law as sither private or confidential. Private data is information whPch geRerally cennot be given to the public but can be givsn to the subject of the data. Confidsntial data is information which generally cannot be given #o either the public or the subject of the data. Our purpose and intended use of.this information is to annually update our rewrds and records of other governmental agencies re uired b law. If ou refuse to su I #he information,the a lication ma not be issued. Applicant's Signature: Date: ��gL� _./� `,`�� T �� `�� DA TIME CITY OF ORONO � CALLED IN �Cf �f�� INSPECTION NOTICE .,. scHE�u�E� �� ` �-��'h PERMIT NO. '1 L' �� '�G�� COMPLETED ADDRESS o�� l, .�� x`_�1'Z �_.7 ,,� �/ < OWNER TELEPHONE NO. ��'S � y-�GlS � CONTRACTOR � '1!�1`��S ( �,�_�1� . k-�. � >; DESCRIPTION �= C' �`�" �`" C � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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/CONTRACTOR TO MEEf YOU:_YES�NO � •COMMENTS: � W 0. � � O � � O � W � Q � 2 W � W � j GW �N\ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � I❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail tor the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice