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4 CITY OF ORONO PERMIT NO.: 2011-00742
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/27/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1134 WILDHURST TR
PIN : 07-117-23-24-0044
LEGAL DESC : TONKAVIEW GARDENS
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 6,500.00
NOTE: 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 147.50
MIDWEST SIDING ROOFING&WINDOWS STATE SURCHARGE(VALUATION) 3.25
6451 SYCAMORE CT N
MAPLE GROVE,MN 55369- TOTAL 150.75
Minnesota State License#: 20010277
OWNER
WEAR,MICHAEL S&BRIT S
1134 WILDHURST TR
MOUND,MN 55364-
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 cause.
(deft Sri) 7/ 2 /// 7 / c7/
Applicant Permiteee Signature , n Issue By Signature Date /
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`- ATTE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: �0 /— V 79
�,O,�. PO Box 66
O O Crystal Bay, MN 55323-0066 Date received: -7-7/ 7
-44‘r Street Address: Received by:
titi 2750 Kelley Parkway Plan review fee:
ikeslioV-
�t ��'Il;r ��o 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: I ‘
Job Site Address: i ) i V ii, 1,1 lin/'r ! rf l
Will this be a Parade of Homes, Remodelers Showcase Home or other Display 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 INFORMATIO
Name: t 0I• f OIV 5-,t( /1,/
State License# 200 i a27 2 Expiration Date: 3/63,I/ ,)z,
Lead Certification Number: N, 7- 3r)3 45--) Expiration Date: r4 /0
(for work on homes that were constructedrior to 1978
Phone: 76 3- 1/27- 6
Q6' (office) I 3 " 2 90 .-/ (cel
Mailing Address: 644-7 4 .Ca' ✓e (f, /i/ City:40/0. hmve ZIP: S 3 6�
Contact Person: i I 40 -0 Applicant is: ntr r / Homeowner (Circle One)
Email and/or Fax: 06,(14,/
0 , !4,,jP ,p 1 1 (evil
PROPERTY OWNER INFORMATION:
Name: /4,\C/4 / /4/ &(
Phone (day): G 4---Z-- 72- 70G1 e
Address: )f-� Wi /d[1y ,Qt -re-a,/aCity: Ore,4Q ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
El Door(s) 0 Remodel 0 Water Damage MCWD review permits:
Minnehaha Creek Watershed District(MCWD)
❑Window(s) 0 Repair 0 Storm Damage 18202 Minnetonka Blvd
0 Siding 0 Restoration 0 Other: (specify) Deephaven, MN 55391
Phone: 952-471-0590
la Re-roof ❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.orq
Overall Project Description: l�rl'0I J > /' j-F 4/ as, ll-
Estimated Construction Valuation of Project(excluding land) $ (,s--0 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 the information, the application may not be issued.
Applicant's Signature: ,, - y Date: -712 7///
Last Updated: 03-01-2011
19" 477
CITY OF ORONO CALLED IN 77A TIME
INSPECTION IC '� SCHEDULED .mss%�
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PERMIT NO. -_7 v--C-OMPLL T /j
ADDRESS 7/3 y
OWNER _ TELEPHONE NO..Yb 3-`a7-% I '
CONTRACTOR /7/L '� L'YI /.I / ci lir
DESCRIPTION !l✓ i / / j FAQ A I
Li..
❑ FOOTING ❑ PLUMBING FINAL ) ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
ti ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
• Li INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
W
cc
O
a
CC
O
W
CC
LU
W
CC
LU ❑WORK SATISFACTORY:PROCEED .PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 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: f
Inspector. L / ��i ,f
White Copy/Inspector's File Canary Copy/Site Notice