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Home My WebLink About2010-00952 - roofing A r CITY OF ORONO PERMIT NO.: 2010-00952 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/06/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 3850 WATERTOWN RD PIN 32-118-23-32-0005 LEGAL DESC HILLAWAY FARM LOT 001 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-CEDAR ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 65,000.00 NOTE: TEAR OFF REROOF-CEDAR SHAKES APPLICANT PERMIT FEE SCHEDULE 794.25 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 32.50 12366 RIVER RIDGE ROAD TOTAL 826.75 BURNSVILLE,MN 55337- (612)861-7000 PAID WITH CC# 5206 Minnesota State License#:20593656 OWNER HARRIS, STEVEN M 3850 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 revoked at any time for due cau . t. A Cel !� /tel (o l /D Applicant Permitee Signa ure Date Issdeg By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. kun-- b -w- 13aq - H14 City of Orono Building Permit Application for Internal Work windows, doors, siding, re-roof, etc. Mailing Address: 0A�', Permit number. etaI rPO�\ C 66 rysSay,MN 55323-0066 Date received: f0 O C a Street Address. Received by. G 2750 Kelley Parkway Plan review fee: ®iy Orono,MN 55356 y� ."� 8�...-ter-• Tote/Fog: 7 Main: 952-249.4600 Fax: 952-2494616 www.d.orono.mmus This application form must be completed in full and all required Information must be submitted. Ineomplate applications will be returned. (Please print) GENERAL INFORMATION.LO Job Site Address: U��rimn eaa� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? El Yes MNo if ym a special event permit is r+epuired with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless sppikent demonstrates su/fklant on-alta parking Is avellable. Non-pemdtted everts will not be allowed. CONTRACTOR/APFLICANT INFQORRMATTQN. Name: A n (__o n f-41D to State License# Expiration Date: Phone: -rI MI office call Mailing Address: Gi ZIP: Contact Person: V► Applicant is: ntractor Homeowner x cteooel Email and/or Fax: I PROPERTY OWNS INFO MATIO Name: c r i Phone(day): - Q Address: W R Ci ZIP: 3 Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑Door(s) ❑Remodel ❑Water Damage Minnshaha Creek Watershed District(MCWD) ❑Window(s) ❑Repay ❑Stam Damage 18202 Minnetonka Blvd Oeephaven,MN 55391 ❑Siding ❑Restoratlon ,❑Other.(specify) - - Phone: 952471-0590 Fax: 952471-0682 Re-roof ❑Fire Damage www.minnehahecreek.oro Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 6!j oo a 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 lnfotmation is to annually update our records and records of other governmental agencies required by law. K you refuse to sup` the information,the apiftilon may not be issued. 4Z�/i�V Applicant's Signature: Data: TU Last updated: 05-04.2009 TE TIME (J CITY OF ORONO TCALLED IN 10 V` /O INSPECTION WTICE v QS COHEDULED PERMIT NO. a / MPLETED ADDRESS �cSO - b OWNERTELE HONE O. — CONTRACTOR SIN DESCRIPTION V tW ❑ FOOTING El PLUMBING FINAL E3EXCA ING/FILLING Q El POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 v ❑ 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 0. O ' S &,c Cc O 0. W Cc Q 2 W W Z) O LUQ XORKSATISFACTORY:PROCEED ElPROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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 inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: �p Inspector. I /�i--�✓S �� White CopylInspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO._, iv 'OS 75;�-COMPLETED ADDRESS 3850 W A-fir<_y-t0 .J N R2 OWNER TELEPHONE NOS CONTRACTOR 5 � 3: DESCRIPTION ' /A oo ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO 2 COMMENTS: Ct W 0. J O QC O U. W cc Q 12 2 W Z W cc WElWORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C]CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: n c� Inspector. t�.�/�l''l� White Copy/Inspector's File Canary CopylSite Notice