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CITY OF ORONO PERMIT NO.: 2011-01306
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 10/24/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 330 TONKA AVE
PIN : 05-117-23-14-0062
LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK
LOT 000 BLOCK 005
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ROOFING-ASPHALT
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 17,000.00
NOTE: VALUATION OF PERMIT:$17000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 295.00
WRIGHT AT HOME SERVICES, INC. STATE SURCHARGE(VALUATION) 8.50
10676 MONTICELLO LANE N TOTAL 303.50
MAPLE GROVE,MN 55369-
(763)493-2724 PAID WITH CC# 8153
Minnesota State License#:20565445
OWNER
EDMONDS,MICHEAL&SUSAN
330 TONKA AVE
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 separate
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.This permit may be
revoked at anause.
6 / 2.7/ lgyp /
Applicant Permite Signature Date J- Issuavy Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
`OCT-24-2011 10:24 From: To:9522494616 Pase:2,4
City of Orono
Building Permit Application for Maintenance / Renovation
windows, doors, siding, re-roof, etc.
Mailing Address: Per,mit num Q l�—
Og. .�O PO Box 66
Crystal Bay, MN 55323-0066 Bete received! d
�. Street Address: Recdlv6d by:
2750 Kelley Parkway Plan review fe li: IL
Orono,MN 55356
Main: 952-249.4600 Fax: 952.249-4616 Total Fee` ,�06,�
v�ww.ci,orono.mn.us
This application form must be completed in full and all required information must be submitted.
GENERAL INFORMATION
Incomplete applications will be returned. (Please print)
Job Site Address: : 'D —TW-)(
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? El Yes UNo
it yea,a special event permit Is requited with Police Department and City Councll approval 6o days prior to me evegt Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events w;l not be allowed.
CONTRACTOR/ PPLICANT INFORMATION:
Name: T A)nR Kt A-+ -Se(U i -
State License# ec< ({ j' Expiration Date:,
Lead Certification Number: n - _38'- J Expiration Date' (e j
(for work on homes that were constructed prior to 187a
Phone: WRIGHT-AT-HOME BERVICE8 INC (office) (cell)
Mailing Address: 01%M MONTICELLO LANE N City: ZIP:
Contact Person: p Applicant is: on actor / Homeowner (Circle One)
Email and/or Fax: t
PROPERTY OWNER INFORMATION:
Name:
Phone (day); '(0/a -WZ qV U
Address: -bo -Tb-n Its City: OwfC*\.Q ZIP•55 j S l0
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑Door(s) ❑Remodel ❑ Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd
❑Re-roof,cedar ❑ Restoration ❑Water Damage Desphaven,MN 55391
Phone: 952.471-0590
❑Re-roof,other(specify) ❑Siding ❑ Other: (specify) Fax: 962-471-0682
❑Window(s) �w.minne
1f+ hahacreek.ora
Overall Prdect Descri ion:
Estimated Construction Valuation of Pro'e t(excluding land) $
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�pplicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do sb,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 b a given to the subject of the
data. Confidential data is information which generally cannot be given to either the public or t Is subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to supelx the information the application may not be issued.
Applicant's Signature: 662,ia Date: /6 411ab�f
Last updated: 08-09.2011
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r DATE TIME
CITY OF ORONO CALLED IN 'l 0 n1I(
INSPECTION NOTICE j N-Db SCHEDULED
VtKa 0
PERMIT NO.- 1 1 1 - 01 3 COMPLETED
ADDRESS -3 ,3 D -( c'n t o-
OWNER TELEPHONE NO.`)(o-3--Lq3-.a_7D tq
CONTRACTOR l N ���+ o+ Hm Seev
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPT�C/FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU: YES_NO
COMMENTS: `
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/J�WORK SATISFACTORY:PROCEED El PROJECTCOMPLETE
CC W r❑\CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
OO ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectio 4 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
�D DSE/ TIME
V
CITY OF ORONO CALLED IN {{
INSPECTION NOTICE SCHEDULED /T__
'7
PERMIT NO.oalc'lr— D 130 (0 COMPLETED \
ADDRESS 330 pU11�
OWNER TELEPHONE NO. 61z 2,90 17`�O
CONTRACTOR �—� - � 9f
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q El 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
cc
W
cc
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cc
0
LL
W
cc
Q
Z
W
Z
W
cc
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Lu ❑WORK SATISFACTORY:PROCEED AROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED
❑ INSPECTION REQUIRED.-CALL.TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52) 249-4600
Owner/Contractor on si
4
Inspector.
White CopylInspector's File Canary Copy/Site Notice