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Home My WebLink About2010-00275 - roofing • CITY OF ORONO PERMIT NO.: 2010-00275 , 2'750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEn: OS/05/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 4160 FOREST LAKE DR PIN : 07-117-23-11-0003 LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEF[NED VALUATION : $ 8,669.00 NOTE: TEAI2 OFF AND RGROOF HOUSE AND GARAGE APPLICANT PERMIT FEE SCHEDULE 177.00 WALKER ROOFING CO., INC. STATE SURCHARGE(VALUATION) 4.33 2274 CAPP RD MN 55104- MISC FEE 0.00 O MA[L-IN FEE 2.00 Minnesota State License#: 4229 TOTAL 183.33 OWNER GOLDEN, LYNN &TIMOTHY 4160 FOREST LAKE DR MOUND, MN 55364 AGREEMENT A1vD SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,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 separatc 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 Sta[e Building Code.This permit may bc revoked at any[ime fo`due cause. `%�L(.Q.l..� !� l l l l Applicant Permitee Signature Date Issued B ignature D SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . AP�u' 27—_�010 04 : 12 PM WALKER, ROOFING 6512510916 P. 92 _ au��u��y �� r�NN��c��r� ��r inierna� nror'Ic windows, doors, sldin , re-roof, etc.� �.0� Me/NnP �6. Pemlltrfumbe,r. O —DO s � Q Cryetsl Bay, MN 56323-0066 Doba,tecelvsd: /rj � � SHset Addrsse; ReodMed by: 275Q i(elley Perkway Plon revloW tse: � Ororta,MN 63356 __ To��Fe.� J �`�33 Maln: �82-249-4600 Fox: 852-249-�816 �pp�y,�l:pr�n�.tnn�a Thle applloatlon Torm mu�t be ccmpleted In full and all requlred informatlon mu�t be aubmltted. Incampl�applicatlons wlil be r�turned, (Pleeae print) OENERAL INFORMATION: �`�� .--�J_ Q�� /`� Job 81to Addreas: `� !� /�J'+�.. WIII this be a P�rede of Hcmes, Remodelers Shcwcase Home or other Dlsplay Home? Yea No K yss,a apeo/al�vsn�pomik b ipu�hsd wkh PoIIoe D�rbnsr�t�nd CHy CouncN ippro wl e0 d�ya p�or(o Eh��wnt Shukle b�s sewlo� IN �Wbsd(a�hs��ppNornt dsmonahai�s�ull'!elant orr�IN�M►kM0 4 a►�NabN. Non-pumAY�rd�wnb woUl nof be eMoand. CONTRACTOR/ApPLICANT INFORMAT N: Neme: Q� �� St�ta Ucense�M .�-y Expiratlon Date; - - /� F'hone: /- �v �o office cell M�ill►�Address: Ci • ZIP: � , Contact Per�cn: • Applicant ie� ontrector Homeowner �oi� ona� Emell and/or Fax: � �, �-a i PROPERTY OWNER INFORMATION: / Nama, o �a"� Phone(day); z- — D Addre�m, r Cit : ��h� 21P: �mall and/or Fax ' PROJECT INFORMATION; Typ�o�t ProJect: Any aarth movement may roquln MCWD rovl�u►�p�nnits ❑f?oor(e) [J Remodel ❑Websr par»aeo Minnohqha CrookVl�torghed Oistrict(MCWpj � ❑V1Andow(s) ❑Repalr ❑Storm Damepe 182�Mlnnetonka Blvd Deephavon, MN �8361 ❑Sldlny ❑Ra�rotlon ❑Ofher:(op•cify) Phone: 852-d71-0690 o-roof ❑Flro Damape �ox: oa2-471-0882 �minnehehacreek o� Ovorall Pro ect Doecrl llort. p- � Estlmet�d Conehuctlon Volu�tton o1 Pro�ct cludln land 5 APPLICANT ACKNOWLEDOEM�NT: • Apn�o m prvvldo all Irdormotlon requlred or roqusstPd by the Bulldlnp Deparonent; • Ce�ilNeo that ths iMbrmetion oupplled la bve ond oomect to tt�e bo.t of him/her knowlod�, The appllo.�rt r000pnlzea thst they �re eolely rospon�ble Tor submltUny a oomplsoo sppllcaUon belna avv�n that upon failuro�o do ao,th�s�ff ham no al�.mative but to roJ�ot It until R lo complete; • Some or ql)of the Irtfarmation tlwt you aro aolord b provldo on this eppllcatlon la olasslfled by 6tete law as�Itlwr privat� or confld�ntiel, Pr1vo� dom fo Informa�on whloh p�norally o�nnot be Alvrn Oo }he publlc but oen be �Ivan b ths subJect of the data, Ccrttidentl�l d�� Is Iniomt�tlon wh�h Sener�lly cqnnot be piven to olthor ths publlc or ths subJmct ot tho da14. Our purpoae and IMrnd�d us� of thlo IMorm�tion lo to ennually upda6o our r�oords ond r000rdm of othor govemmer�l anenoles ro uired b law. If u r•fuao 00 ou I th•Irtformation the a Ilcadon ma not be Issued. Appllcant'8 8lgnature; Date: ��7 ��(� L�at UpdeDed; 0�04-Z006 - - - - - . . - - /�� ;(', �) ' ' � � '�� \ , �, � �� ? �� 1 ;I 1 ,: � . . . . . . , � . . • • � � * ,� � � � �� ` �- I I � r • � � ,- - ,,. , ' � ��;� � i �i�' �� ' �r / � � : ' • ' ' � • ' / • � • • � • . . . . . ; . � � . � • : , ' l ' ' ' i � i � . �� v / � / i i / / ' / I ,o<<tl (i� 1-2� 1 -(1y I.II ,1"��I.� I�r-ec R77-729-(i(i��) r��t fi51-2S �-()91 (i ??74 (_';a�� 12u��1 tit �l'�ii.�l, MN �51 14 ir�ti��(�r.>witl�c�.�r-r��ti��.ct�n� �vww.r�v��11.E��-�-u��tii��.c��r�� ► . * Confiirmation Report — Memory Send � � Time : Apr-28-2010 07:58am Tel line : +9522494616 Name : CITY OF ORONO Job number . 987 Date . Apr-28 07:54am To . 6512510916 Document paees . 002 Start time . Apr-28 07:54am End time . Apr-28 07:58am PaBes sent . 002 Status . OK Job number : 987 �** SEND SUCCESSFUL *** FiPR—ZT—�019 04 - 1� PM WfaLK�y�FY!� R�oFIHG ,�r� 6�31��i0916 P� 01 �� .i� � �I �. ��!'. ':.� '�'^�' � � � �� Worry- proot buildizzge a7i'd kiom � s sirice 1938 FAX COVER SHEET DATE: _ � �7, �� TO: �� y� FROM: : SUBJECT: . — �1 � /!� NUMBER OF PAGES INCLUDING COVER SI�EET: �— IF YOU.DO NQI'�ZL.CE�NE ALL AAGES PLEASE CAI�L BAC�t AS SppN qS ppSSIBLE. `�"� �- �r vv� �f -�-��. �'� �/� ��-��sf �i� �.�"i v� t S �/ g�. ��J Gl��2�GG�_ �lJ�S //I c"�GLn�� je� YY7G�( �G !Z G� ��... �1�7��1,.� �4-1i1 ._ �� --�-� �.�- ��. ,/ � D TE /D TIME CITY OF ORONO CALLED IN � � INSPECTION NOTICE�ry SCHEDULED PERMIT NO-.a�/d^ lJ�� COMPLETED r � �-r ADDRESS � �� OWNER TEL ON O��L��- CONTRACTOR `�`7 l �: DESCRIPTION �`"�-�-� — � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � a W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�0 OwnerlContractor on site: � Inspector. �'� � � �-� White Copyllnspector's File Canary CopylSite Notice D E TIME �/ CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED � _�� +�-� PERMIT NO.aDIO "f�Do�7� COMPLETED ADDRESS �� *,�� L� � OWNER TELE HONE NO.��l' �S�'Q9lD CONTRACTOR �: DESCRIPTION �l��—�"�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED n UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice