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Home My WebLink About2010 - 00647 - roofing a - CITY OF ORONO PERMIT NO.: 2010-00647 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/02/2010 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1900 WEST FARM RD PIN : 27-118-23-43-0019 LEGAL DESC : THE FARM AT LONG LAKE : LOT 020 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 27,000.00 NOTE: TEAR OFF REROOF-CEDAR SHAKES APPLICANT PERMIT FEE SCHEDULE 434.50 TIMBERLINE EXTERIORS,INC. STATE SURCHARGE(VALUATION) 13.50 7026E FISH LAKE ROAD MAPLE GROVE,MN 55311- TOTAL 448.00 (651)329-6916 Minnesota State License#:20633887 OWNER WILLITS,MR.&MRS. 1900 WEST FARM RD 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 co form. ce with ,- State Building Code.This permit may be revoked/ . time ¢r due a se. I i / // /0- / / " I -, 02/ i Apr 'c1 -'e • ee Signa ur Date Issued Signature Date S' 'ABATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono 404.- / 7 Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: p7 Jb -00(y' ---:;(--:(LCC) r Box 66 o O Crystal Bay, MN 55323-0066 Date received: /�/ " ',•"' Received by: A �''` , ;,? p, Street Address: �� ! .� ,I Gtiti 2750 Kelley Parkway Plan review fee: t9kE8Sd4� Orono, MN 55356 Total Fee: /'ll./.K 06 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: /9C6 e4) ,l /62 / /v ; _ 55.55 Will this be a Parade of Homes, Remodel rs Showcase Home or �` �;er Display Home? 7 Yes 2'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: r .G[ .0iLLd r-5' /i4c= - State License# ,3761a .33&7 Expiration Date: _5/3/1, I Phone: 65/ - 353 .h'cfq 02 (office) (cell) Mailing Address: >v„G E' mi..? _,,, ../.. City: zi K7,15.--.e. 5 . ZIP: 6 _-;// Contact Person: 06.1.2./ /6 /1-/y .:...„-/-4-1 Applicant is: ntra o Homeowner (Circle One) Email and/or Fax: 7�,3- --"/e,„- 'ysGG PROPERTY OWNER INFORMATIO • / Name: 5Z A / �� 4„,- �j15 Phone (day): 95-V_ 7'7 - aaa 7 Address: /pob -s'h ( City:,e_.4-ii� ZIP: 55356 Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) E Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair @'Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 E Siding j2rRestoration ❑ Other: (specify) Phone: 952-471-0590 - Fax: 952-471-0682 ZRe-roof ❑ Fire Damage www.minnehahacreek.org erall Project Description: — c— P Estimated Construction Valuation of Project(eei'uding land) $ v `7/ 6)(. 0 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 required by law. If you refuse to supply t e information,the application may not be issued. Applicant's Si / Date:Signature:9 / //-&' /jj Last Updated: 05-04-2009 °P D TIME CITY OF ORONO CALLED IN INSPECTION NOTICE ®D �� HEDULED —L v "—' PERMIT NO. ��lD COMPLETED ,� / ADDRESS /gDD LLA i-f re2A-iv /4 / � OWNER / TELEP ONE NO.(61737zp--/ 4 /4 CONTRACTOR /L ((-e >. DESCRIPTION `//t_' /l.Z%� • ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS V) ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W cc 0 cc O W ti W W Cc CC• CIWORK SATISFACTORY:PROCEED 'ROJECTCOMPLETE W CICORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY 00 Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: r Inspector_ 6/ White Copyllnspector's File Canary Copy/Site Notice /4"--- ` ,C Q"� DA TIME , CITY OF ORONO CALLED IN U 0 INSPECTION NOTICE / SCHEDULED /O g% ozy PERMIT NO.c9::;70-eY:YO,7 COMPLETED ADDRESS /90 O a},f1 i OWNER��.LL-4.4-5 TELEPHONE NO.65/-3a 9-/�5i4 CONTRACTOR? I _ DESCRIPTION ?4 tA. Air ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRA► /FILLING 11. Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y FRAMING ❑ MECHANICAL FINAL 12 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cc W 0. O cc O U. W cc W W O 4ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 00 ❑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 ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: f / Inspector. l (T-re Uri White Copy/Inspector's File Canary Copy/Site Notice