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Home My WebLink About2009-00166 - roofing CITY OF ORONO PERMIT NO.: 2009-00166 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 04/17/2009 952 249-4600 FAX: 952 249-4616 ADDRESS 3685 WATERTOWN RD PIN 32-118-23-34-0011 LEGAL DESC UNPLATTED 32 118 23 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 3,000.00 NOTE: RE-ROOF ON OUT BUILDING(GUEST HOUSE) SHAAPPLICANT PERMIT FEE SCHEDULE 88.50 3685 WATERTOWN RD WADE STATE SURCHARGE(VALUATION) 1.50 3685 WAT MAPLE PLAIN,MN 55359- TOTAL 90.00 OWNER SHATZER,WADE 3685 WATERTOWN RD MAPLE PLAIN,MN 55359- 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 revoklr at any Ap is Permite ignature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application Mailing Address: o 0, PO Box 66 Permit number: U d 0 O ' Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 0 2750 Kelley Parkway Plan review fee: L`4xESs0 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: 3%a s" U,4e Will this be a Parade of Homes, Remodelers Showcase Home or other Usplay Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INF RMATION: Name: V L? Phone (day): -.9 C,& Address: a 4,N 1-7. City: q,h ZIP: SS3S Email and/or Fax co, 6c)eve PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 011ie-roof ❑ Fire Damage www.minnehahacreek g Overall Project Description: ; Y - Estimated Construction Valuation of Project(excluding land) $ 3,ova 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 s information is to annually update our records and records of other governmental agencies required by law. If you refus t supply e information, the cation may not be issued. Applicant's Signature: / Date: N7 a �ALLED TIMECITY OF ORONO IN INSPECTION NOTICE SCHEDULED PERMIT NO. 2r_, COMPLETED ADDRESS ) WCULLF0lI tI 2 OWNER 11 dLA- Q, S TELEPHONE NO. ftJ a 5 O3' _ C DESCRIPTION f��t tw ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION _ ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPT FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR T MEET YOU: YES—NO COMMENTS: �0 LU ILU ` cc 0 ac (f hUfC O Tom' A L4 L.,)A4-cf 0 W ac Q s W z W QC W ❑WORK SATISFACTORY:PROCEED -PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY CJ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52) 249-4600 Owner/Contractor on site: Inspector. n White Copy/Inspector's File Canary Copy/Site Notice