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Home My WebLink About2010 - 00648 - roofing t � CITY OF ORONO PERMIT NO.: 2010-00648 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/02/2010 (952)249-4600 FAX: (952) 249-4616 REPRINTED ON 8/2/2010 ADDRESS : 1990 WEST FARM RD PIN : 27-118-23-43-0022 LEGAL DESC : THE FARM AT LONG LAKE : LOT 023 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 GALLAGHER, SCOTT&SARA 1990 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 coni.rm. ce with th; tate Building Code.This permit may be revoked a` / m> r due c. • AIM' / / 8`/ 2- /° A t. Pe"—itee S gnat .e Date Issu By Signature Date EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. t ,. Cek--/ .) City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: 14,O PO Box 66 Permit number: ,2U/6 —Qb w v\ Crystal Bay, MN 55323-0066 Date received: 3/Z//CD , ''`' Received by: a� 4fL2.3 J Street Address:2750 Kelley Parkway Plan review fee: 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: �j Job Site Address: /WOG/) y�A-,I2 "ee-eel ,�`i�f e . 1l'`/� ,]�, Will this be a Parade of Homes, Remodelers Showcase Home or otherc,D'tsplay Home? ❑ Yes l 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 INFORMATIO Name: -77„..d,teied'c{ 4--14-16i---5 `yx,..- State License# gel, 3,3 -7 Expiration Date: 3 / 3i /1 l Phone: /051- . - g-g. (office) (cell) Mailing Address: 7''O , �. x_,(G / City: (7i-eve ZIP: 553// Contact Person: �u„r,,fle, �(x� /J Applicant is: Contra for / Homeowner (circle One) Email and/or Fax: 7103 -,/j - .7 U PROPERTY OWNER INFORM ION: 4xe Name: ,5'72z,/--/ sGt-r cl_ Phone (day): - y 3 5�� Address: /15'U w,c.<1 f "Ze " City: /On/ A�Ce ZIP: 55351 Email and/or Fax 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 ../KI.--- , Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 E Siding .Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 'e-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: c `� Estimated Construction Valuation of Project(excl mg land) $ 7 bbU 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 information,•the application may not be issued. Applicant's Signature: (Vail Date: / W;(7 .g4/6) Last Updated: 05-04-2009 1-7 T j� TIME / OF ORONO CALLED IN t_ ! /' / /� INSPECTION NOTICE ��HEDULED /7 /D ! .3 PERMIT NO. aQ C' � _4C424 000M�PLETED ADDRESS / ! �0 (/t ,L OWNER ' TELEPHONE NQ.k -3-?q-b9/4 CONTRACTOR ��-f "Yr r DESCRIPTION U K� if //!/ LU ❑ FOOTING 0 PLUMBING FINAL /. EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS C'FINAL ❑ SEWER HOOK-UP 0 COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: W CC O a CC O W CC tnW W O W� 0 WORK SATISFACTORY:PROCEED PROJECT COMPLETE W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C7 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 OwnerlContractor on site: ^ � Inspector. LA) ! , (pi White Copy/Inspector's File Canary Copy/Site Notice