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Home My WebLink About2010-00667 - roofing CITY OF ORONO PERMIT NO.: 2010-00667 •.� 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 08/OS/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : ]135 SPRING HILL RD PIN : 26-118-23-43-0006 LEGAL DESC : SPENSER ADDITION : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 42,000.00 APPLICANT PERMIT FEE SCHEDULE 595J5 YERIGAN CONSTRUCTION STATE SURCHARGE(VALUATION) 21.00 27741 LJNNERSITY AVE NE ISANTI,MN 55040 TOTAL 616.75 (763)444-5353 PAID WITH CC# 6246 Minnesota State License#: 3404 OWNER FULLERTON, ROBERT&CAROLINE 1135 SPRING HILL RD WAYZATA, MN 55391- AGREEMENT AND SWORIv 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 ordinar�ces governing this type of work shall be compied with whether or not specified hecein.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 B�tilding Code.This permit may be ^ �/J revoke any time for due � /�l'� � �' � S� � /v O��u'-�G�? �� l ��-1 � � Applic t rmitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �' ; ,•� � � City of Orono _ �. � �-' - ,8b�� i � f ^ � r ' Building Permit Application for Internal Work � (windows, doors, siding, re-roof, etc.) �2 �Y� � �� Mailing Address: Permit number: � �,L�� PO Box 66 � � Q �\ �0�1 Crystal Bay, MN 55323-0066 Date received: 5 � t�' '��-`�' s.�� StreetAddress: Received by: � � �,�:�� , �� " � � 2750 Kelle Parkwa � � y y Plan review fee: L�kESH04�' 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 required information must be submitted. � Incomplete applications will be returned. (Please print) ' GENERAL INFORMATION: � Job Site Address: ' � J r,� l " I � � Will this be a Parade of Homes, Rem de s Showcase Home or other Display Home? ❑ Yes No � /f yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shu(tle bus service will be � require d un less app licant demonstrates sufficienf on-site parking is available. Non-permitted events will not be allowed. '-c :� : ��a� CONTRACTOR/AP LICA T INFORMATIO�: �� Name: Go.,� State License# � Expiration Date: ' Q 2 � Phone: j, c�/- � office � - -, cell Mailing Address: �' " - ,, ; j� Cit : -� , ZIP: � p;� �,�` Contact Person: ;� � � �.` Applicant is: Con rac or Homeowner (Circle One) s<i Email and/or Fax: ru� t ? _ ' „ , r , ' ,,,., n, PROPERTY OWNE I F RMATION: Name: c- c�- � , � : r p.� Phone (day): - -y7 - � �. Address: ^� Cit : �� ZIP: ;; Email and/or Fax �w�::�'= �� PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�permits $ �- ❑ Door(s) ❑ Remodel ❑Water Damage � ❑Window(s) ❑ Re air Minnehaha Creek Watershed District(MCWD) � p ❑ Storm Damage 18202 Minnetonka Blvd � � ❑ Sidin Deephaven, MN 55391 4,; g ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 � ,�Re-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek.orq � �,;:: Overall Project Description: �� Estimated Construction Valuation of Project (excluding land) $ ,� b: ��"- 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 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. ApplicanYs Signature: -`" Date: ��S��lT LastUpdated: 05-04-2009 � , �_ � .. •� " " '� k . 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'�... ..,..1tAt`tw�.. c+- .!�_ <: .n � f,k.'� � :� W�� ` TE TIME V CITY OF ORONO b� v O CALLED IN v INSPECTION NOTICE � SCHEDULED n � PERMIT NO. � CONI�LETED ADDRESS �� OWNER TELEPHONE O�J� �a -��n,�z�� CONTRACTOR � � � � � � �� S� �� _� ,� �,,�G-C �: DESCRIPTION '�—�'"`- � (`-�F-�•C-�,. �i - � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRA NG/FI�,LING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETIANDS� y ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP /� _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEP IC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W C � J O � � O � W � Q � Z W � W � � GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑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. (J52� 249-46�0 OwnerlContractor on s' e: Inspector. ��j,� �lo,l C White Copyllnspector's File Canary Copy/Site Notice ��J D T TIME V CITY OF ORONO cA��Eo iN � INSPECTION NOTICE SCHEDULED — � PERMIT NO.a0/D'OD�q�p7 COMPLET ADDRESS �l � OWNER TEL PHONE NO. ��Z �� D7D�o CONTRACTOR � � � DESCRIPTION �`�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BUFiNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑1SSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT D CORRECT UNSAFE CONOITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. �,� � White Copyllnspector's File Canary CopylSite Notice