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Home My WebLink About2010-00712 (Roof) '� CITY OF ORONO PERMIT NO.: 2010-00712 2750 KELLEY PARKWAY ORONO, MN SS356- DATE ISSUED: 08/16/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1412 BALDUR PARK RD PIN : 08-117-23-34-0016 LEGAL DESC : BALDUR PARK : LOT 012 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 11,000.00 NOTF.: 11:AR OFF RF;ROOP APPLICANT PERMIT FEE SCHEDULE 206.50 STORM PRO EXTERIORS STATE SURCHARGE(VALUATION) 5.50 600 TWELVE OAKS CENTER DRIVE SUITE 648D TOTAL 212.00 WAYZATA, MN 55391- (952)513-8667 Minnesota State License#: 20634454 OWNER ARONS, WILLIAM 1412 BALDUR PARK RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The��ork t<�r�vhich diis permit is issucd shall be performed according to the approved plans and specifications,applicablc City approvals,and the State[3uilding Code. This permit is for only the work described and does not grant permission for additional or related wark 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 bccome null and void if construction authorized is not commenced within 180 days of�he 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 Uic State E3uilding Code."Chis permit may be revoked at any time for due cau e. � � � Ll.lrC.� 8i / (vi /D Applic Permitec Signa ure Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � f ' City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: pZ 0 /Q — � /� 4v�,� PO Box 66 � Q , Q Crystal Bay, MN 55323-0066 Date received: ��/ D � il\'��" Received b � �� a;4-�;:.m �. StreetAddress: y� ��,n � �� , ti�' 2750 Kelle Parkwa o y Y Plan review fee: L�kESII�Q� Orono, MN 55356 .� - Total Fee: a�a 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) �i �S�CJ GENERAL INFORMATION: Job Site Address: f�jl/,� �3a/�,,,,r �� ,�d� � 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 INFORMATION: Name: .S7�a�.w. p�o��.✓:.�s ?..� State License# �o�y�/3� Expiration Date: �..,,j f.�� Phone: � �/ , office (y/..) $/p-�j' y'/ cell Mailing Address: �DO T„✓cl✓c. D.�s�. O�.lh`y8,(S City: a,v��,tr ZIP: �rJ�✓ 3'S�9 i Contact Person: �j'a�o.� �,.r„ Applicant is: rac o / Homeowner (Circle One) Email and/or Fax: g,r,�,:/ i..�oE 5�,.,,�� oscf,�.r:oi.t CoM- PROPERTY OWNER INFORMATION: Name: �roKr. ��//%�•� Phone (day): Address: Cit : ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 e-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: r_r R � � Estimated Construction Valuation of Project excluding land) $ /f Qp� 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: Date: ��f� LastUpdated: 05-04-2009 C'_� �'- �. j�i�� DA TIME v � CITY OF ORONO CALLED IN Q - ��(� INSPECTION NOTICE SCHEDULED h��'��-�� '` '�"� PERMITNO.��=1C �'C �� COMPLETED ADDRESS � �-f l� ��Z (�-� � t � _��t r L ��d c OW��i�� r��►">> TELEPHONE(N�� -7�"(��y CONTRACTOR � t C'► t ti 1 1��.G �; DESCRIPTION �� D F � � ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FIN ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES�NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W k � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. �� White Copyllnspector's Fiie Canary CopylSite Notice n' � �� , / �-�" D�gT_E TIME " /(/�`� CITY OF ORONO CALLED IN �/�/ �O INSPECTION NOTICE SCHEDULED � PERMIT NO.��lD -DD7/ OMPL TE ADDRESS � �v�-�— OWNER T�PHONE NO. CONTRACTOR " >: DESCRIPTION � ��i—'�-�- _ �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � a � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 Owner►Contractor on ite: Inspector. J_T, �,) White Copyllnspector's File Canary CopylSite Notice