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Home My WebLink About2010-00566 - roofing CITY OF ORONO PERMIT NO.: 2oiaoos66 •'" 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE ISSUEn: 07/08/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 7S5 SPRING HILL RD PIN : 36-118-23-22-0003 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 8,314.61 NOTE: ORIGINALLY ISSUED UNDER 765 SPRING HILL RD PAID BY CC 7/6/10 APPLICANT pERMIT FEE SCHEDULE 177.00 GRUSSING ROOFING STATE SURCHARGE(VALUATION) 5.00 4305 SHADY OAK RD HOPKINS,MN 55343 MISC FEE 0.00 Minnesota State License#:20633692 TOTAL 182.00 PAID WITH CC# 6799 OWNER WINSTON,FREDERICK 765 SPRING HILL RD WAYZATA,MN 55391- 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 sepazate permits. All provisions of laws and ordinances goveming 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.This permit may be revoked at any time for due cause. `?�u�.+�;! �-- l l (;�Y►�t.d�-,rl l l Applicant Permitee Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. 2010-07-06 06:04 GRUSSING 9529356514 » +9522494616 P 2/3 R . ~ City of, Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) ,,.:-"�•-. M�iling ACdress: Pemlit number O�,O,�O PO Box 66 . . Crystal Bay, MN 55323-0068 Dete r'eceived; a ' �,� Sfreet Address: Received by; � ��' 2750 Kellsy Parkw�y Plan revleW fee: ��'� 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�requir�d information must be submitted. � Incomplete applications wlll be retumed. (Please print) GENERAL INFORMATION: Job Site Address: � , ` /� ' ��. wll this be a Parade of Homes, Rem ele howcase Home o�other Display Home? Yes No N yaa,a special event pt►rrlt/s requin�Id with Polke D�pertment end C�1ry Council approva/Bo daya prior to the su�snl. Shuttle bus sanNce wfA be requlled unless applican�demonstrstes sufficlent on site perkinq is evailable. Nor►-p�►mr7}ed events w/l!not be a/bw�ed. CONTRACTOR/APpLICANT INFOR ATJON: Name: �M 5 y��f vT7¢r vf �►r,C State License# (, y Expiration pate; Phone: S -93 '- S S office a-�J -07� cell MailingAddress: Ci ; y zIP: �'53+�� Contact Person: Applicant is� ontra or Homeowner �ci��on.� Email and/or Fax: �- _ 3 p PROPERTY OWNER INFORMATION: Name: �� Phone(day): �5�� 4-►3-�� Address: '7(v�' �,�,•.L 1.�,�� City:Ol/��3'LO ZIP: �j5�� Email and/o�Fax i��l � `�'� � PROJECT INFORMATION: Type of Project: Any earth movement may requlre MCWD review$permlts �]Door(sj ❑Remodel ❑Water Damage ❑Window{s} ❑Repair I Minnehaha Creek Watershed Distnct(AACWD) I ❑Storm Damage 18202 Minnetonka Blvd ❑Sidin9 ❑Restonation Deephaven, MN 55391 ❑Other: (specify) Phone: 952-471-0590 FaX: 962-471-0682 �roof ❑Fire DaRlaqe � _, www.minnehah�creek.org Overall Pro'ect Descrlption: ' � Estimated Constnaction Valuation of Projact(excluding land)��j�y, � APPLICANT qCKNOWLEDGEMENT; • Agrees to provide all information requi�ed or requestecl by the Building DepE►rtrnent; � • Certifies thet the informatio�supplied is Uue and coirec[to the best of his/her knowledge. The app(icant recognizes thet they are solely responsible for submitting a complete applicetion being aware that upon failure to do so, the staff has no altemabve but to feject it until li is complete; . Some or all of the information tt�at you are askad to provide On this appllCation is Gasslfled by 5t2te laW e5 eithe�prlvete or confidential. Private data is informadon which generally cannot be given ro the publi� but can be glVerl to the SubjeCt of thq data. Confidential data is infonnation which generally can,riot be given lo either the public o�Ule subjeCt of th@ dat'a. OUI' purpose and intended use of this infiormation is to annually update our r�cords and records of other govemmeMal egencies , required bY 18w. If you refuse to SUpply the information,the application may not be issued. ApplicanYs Signature: ��'�. Oate: �7 l0 1 U - Last Updated: 05-042009 �_� </�' AT TIME V CITY OF ORONO ` CALLED IN � `� ,f� INSPECTION NOTICE SCHEDULED � PERMIT NO.�via-6ds(r� COMPLETED ADDRESS /�� v��:� OWNER TE PH E N "`3��7 , CONTRACTOR �L1' � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRA ILLING Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVA� 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 INSTAIL ❑ HARD COVER REMOVAL � ❑ PLUMBIN ❑ SEPTI INAL ❑ FOUNDATION/REMOVAL � OWN C NTRACTOR T MEET YOU�ES_NO y COMME S: � a o r�� 1� D2�1�.� c .�e.�t � '' �' �cAc,� � � ° � �� .Ue �i S �e � .� s W r�2 r�o �e�- � Q � z W � W � � � �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W'❑CQRRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. /�� Whi1e Copylinspector's File Canary CopylSite Notice