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Home My WebLink About2010-01152 - roofing '• : �� CITY OF ORONO PERMIT NO.: 2oiaoiis2 • 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 04/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2112 SUGARWOOD DR PIN : 34-118-23-21-0026 LEGAL DESC : SUGAR WOODS : LOT 007 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 59,400.00 NOTE: TEAR OFF REROOF-CEDAR SHINGLES APPLICANT � PERMIT FEE SCHEDULE 756.75 ALL SEASON REMODELING&EXTERIORS STATE SURCHARGE(VALUATION) 29.70 17344 PUMA ST.NW TOTAL 786.45 RAMSEY,MN 55303 (612)221-3318 Minnesota State License#:20388311 OWNER BERG,K&K 2112 SUGARWOOD 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 sepazate pertnits. 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 o the date of issuance,or if construction is suspended for a period of 18 days at any time after work has commenced. The applic t is responsibl for assuring all required inspections aze requested n c formance ith the State Building Code.This permit may be revoked t a time e cause. i i � /� // A ic e ' e Signature Date I d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �hov 22 10 04: 41p mike schrader 763-444-1199 p. l ow City of Orono 8uilding Permit Applicatron for tn#ernaf Work � (windows, d�Qrs, siding, re-roof, etc.) Mailing Address:.. . 0 PO 8ox B6 Pemnif number: . , � � � 1 _ . O . 0 - Crystal.Bay;MN.55323-OQ86. Date resetvpd: �/. � SYraetAddness: Received by: . � �� 2750 Kelley Parkway � �, ' Flan review fee: ��o� Orono�MN.55356� " Main: .952�249-4600'.. Fax: 952-249-4616. Total Fee: �]8/ www.ci:orano.mn.us ' / .ri. This appiication form must be completed:in,full and ail required information must be submitted � incompfete applicatians wili be.retumed. .(Please print) � GENERAL'INFORMATfON: � Job 3ite Address:� .n , . - �Il�this be a Parade of Homes, Remodelers howcase Home other Display Home? Ye ❑ No !f yss,a speclel event permit is requiied with Pofiae Department and Cify Counctl p prova/60 d a y s p r l br t o t he event S huCle bus rvice wr11 be requlred un/ess applicant demonsbates su�clent cn-site;paricfng ls.a a//ab/e. Non�ermitfed events w!!1 nof be a!lowe CQNTRACT�R/APPLICANT INFORMATION: Name: ( � a� , $�ate �icense# ' ��s-z�PsP�i� Expiration Date: ' ,� Phone: . office cell Maiting Adtlress: C' : ZiP: Contact Person: c .r I ApPiicant is: Homeowner Email and/or Fax: �, � (circie one� ' e PROPERTY O.WNER iNFORMATION: � Name: Q . Phone(day): a. . . Address:. C' : ZIP: Emaii artd/or Fax PROJECT INFORMATION: TXpe of Project: Any earth movemerrt may qulre [�Door(s) ❑ Re.mode! MCWD revi�v 8 perm � C]Water Damage . . ❑Wndow(s) ❑ Re alr Minnehaha Creek Watershed Di ct(MC1ND) p ❑Storm.Damage 'l8202`Minrtetonka Blv �Sidin9 ❑Restoration �Other: s eci Deephaven;:MN 5539 ( P �) Phone; 952-471-059 ' Re-roof Fax: 952�71-0682. ❑�ire Damage .mi eh ha ek verall Project Description: Estilnated.Construction Valuation of Project(e cluding land) $ � �APPLlCANT ACKNOWLEDGEMENT: �cJ/�, SG//h • Agrees to provide.:ail ir�formetion required or requested by the Building Department; �7�fi .�t �� • Certifies.that the infQRnation supplied is true and correct.to the best of his/her knowledge. The.app ipnt nJzes that they , ° are.solely re�ponsibie for submittfng e complete application being aware that upon failure to do so�, fhe staff h no altematiwe but to reject it ur�tfl it is complete; � . 5.o.me.or ail.aF the information that you are asked to provide on this appiicatio�is�a�,ssifie b State �av�a$ f�e`r rv tr�or confideMial. .Private dafa is (nformation which °1 P generally cannot be given to the public but,can be given to th subject of the. data. Confidential .data Is inforrnation w ich.generally nnot be given to'elther the public ar the subject the data, .Our pyrpose and inten.ded use of this.infor at3on.is fo.an Ily update our records and records of othe�:gevem ental agencies r.e ulced b law.'If ou refuse to I the in io e a lication ma not be issued. Applicant's Signature: Date: l��j .`D V J� �'� • � DAT TIME CITY OF ORONO CALLED IN INSPECTION NOrTjIC O//� SCHEDULED PERMIT NO. �OMPLETED ADDRESS � OWNER T HONE NO. � � � g CONTRACTO �-7`-�17��LL� � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIILING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � . s� � 0 S �� /� � � � ��- r- �� -�- 3 �/ - i � W � Q � Z W � W � � d �/ W/�I WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. � � � White Copyllnspector's File Canary CopylSite Notice �� DATE TIME v CITY OF ORONO CALIED IN � INSPECTION NOTIC SCHEDULED � � PERMIT NO.�/fI��SZ COMPLETED ADDRESS �l`a S � � OWNER TELEPHONE NO.��2- `7�� lZ-j CONTRACTOR � DESCRIPTION `�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a j O � � O � W � Q � 2 W � W � � O W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice