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Home My WebLink About2010 - 01017 - roofing A CITY OF ORONO PERMIT NO.: 2010-01017 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/18/2010 (952)249-4600 FAX: (952) 249-4616 ADDRESS : 850 WILLOW DR N PIN : 27-118-23-33-0021 LEGAL DESC : WOLFS RUN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 47,912.35 NOTE: TEAR OFF REROOF-CEDAR SHINGLES APPLICANT PERMIT FEE SCHEDULE 660.25 ALL SEASON REMODELING&EXTERIORS STATE SURCHARGE(VALUATION) 23.96 17344 PUMA ST.NW TOTAL 684.21 RAMSEY, MN 55303 (612)221-3318 Minnesota State License#:20388311 -OWNER CARLSON,THOMAS D .. . . . ... . . .. . 850 WILLOW DRIVE N 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 workhas commenced. . . .. . • -•• The appl an s ressonsible for assuring all required inspections are ... .. ... .. .. requeste in-�n ' �. ce with the State Building Code.This permit may be � 1 , revoke, t f r due cause. • , / / /D l l 6 Ap i ica 'ermitee i•nat Date Issue t y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) 2k- 4 4EY Mailing Address: Permit number: ,2Oi4°-e/O /7 O,1O Cr Bax 66 //// �' Crystal Bay, MN 55323-0066 Date received: /a/y8/y0 -Ah L r Received by: Street Address: '$' k,,j°'i� I titi 2750 Kelley Parkway Plan review fee: .-Ei '0�w�' Orono, MN 55356 Total Fee: t B SL �/ 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: 1550 /1J )-{lri W,1(0,..) -,P Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes Z-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: X411 ,,5 i5c,� pe, (,Kt1 d-fXd', CLQ State License# �gExpiration Date: Vit Phone: 6(a.74/ 96// (office (cell) Mailing Address: A. r Ai-•-• Cit : :-. a ZIP: viliga` Contact Person: Aii. cj.„,,,GQ,.r Applicant is: ".n ractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: 7,M Cctr-fsa,., Phone(day): 6'r,? 371- 3'i5 I Address: /1 City: ZIP: 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) El Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 4211e-roof ❑ Fire Damage www.minnehahacreek.org Overall Project Description: re.j Estimated Construction Valuation of Project(excluding land) $ 4 ,, qia 3' ��/ APPLICANT ACKNOWLEDGEMENT: Sh vies • 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 refuse1/ / pply ' formation,the application may not be issued. Applicant's Signature: � Date: to "/$ -/ Last Updated: 05-04-2009 r-- TIME f/ / p // 0 CITY OF ORONO CALLED IN l J INSPECTION NOTICE SCHEDULED / � PERMIT NO. (9000' U/0// COMPLET__D_" '' ll ,^ ADDRESS 2:57) fi,/l v� OWNER TELEPHO - a/-33/y CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING cz 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS y 0 FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS • 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W cc :1: 4L 9/ / L r ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP 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 ff". side: CInspector. /7 White Copy/Inspector's File Canary Copy/Site Notice