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Home My WebLink About2010-01026 - roofing ,. ` CITY OF ORONO PERMIT NO.: 2010-01026 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 10/2U2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1241 BROWN RD S PIN : 10-117-23-31-0066 LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE : LOT 000 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,000.00 NOTF,: "I'EAR OPP-RGROOF-ASPI[AI:I'ROOF APPLICANT PERMIT FEE SCHEDULE 182.25 TRINITY EXTERIORS, INC. STATE SURCHARGE(VALUATION) 5.00 4204 PARK GLEN RD ST LOUIS PARK,MN 55416- TOTAL 187.25 (763)473-8200 Minnesota State License#:20629997 OWNER BROWN, MONICA& MICHEAL 1241 BROWN RD S WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMEIVT Thc��°ork for which this permit is issued shall be perfonned accordii�g to thc 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 separate permits. All provisions of laws and ordinances aoverning this type of work shall be compicd with whether or not specitied herein.This permit will expire and become null and void if construction authorizcd is not commenccd within 180 days of the date of issuance,or if construction is suspended � a period of 180 days at any time atter work has commenced. The a f�ant s responsi for assuring all required inspections are req st in nlormai e with the State Building Code.This pennit may be rev ke�l�at a y time � r due cause. � � / / . Applica ��ermitee Signature Date Issued By Signature Datc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,��,��_,�� Q I��2� City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit number: ��,0,�.�� PO Box 66 �� Q�� Crystal Bay, MN 55323-0066 Date received: �� I Received b ��a '�t,' a!� Street Address_' Y� !V ��_ - �',�,� �,��1��,,,'�;„ �ti� 2750 Kelley Parkway Plan review fee: ti��`��/ Orono, MN 55356 `�kEsxo�`' ' _—_� 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. (P/ease print) GENERAL INFORMATION: Job Site Address: �a� l �a,,�,� �� .(� 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: �r'��.1+� E�c�-�,r-�orS , J,rn�- State License# ae�a9aa 7 Expiration Date: 3- 31 " aol a Phone: �4'� -qap-qs�yp (office) (cell) Mailing Address: �{�,0�-1 P G( Cit : ��,a; 6,rk ZIP: �$"�/l L Contact Person: ��{-� Applicant is: ontrac r / Homeowner (Circle One) Email and/or Fax: Q�a-q;tp=q b l 1 PROPERTY OWNER INFORMATION: Name: �.rlwa.` ��e.�v� Phone (day): G(a-�{83-8`(7q �`�t'��O'` Address: 1a`I� 3�ew�+ �oac) Sc��-�^ City�.,p�ewt�r..�' ZIP� �'S 3q ( Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: Phone(day): Address: City: ZI P: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8� �,._,/ Water Supply ❑ New Construction ❑Single Family with �Residence ❑Addition attached garage ❑ Garage/Accessory B�dg. ❑ Public Sewer ❑Accessory Building (�Single Family with ❑ Deck ❑ elocation , detached garage ❑ Office/Commercial ❑ Private Sewer Other: (specify) �Cpa., � ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 wwtiv.minnehahacreek.or Estimated Construction Valuation (excluding land) $ g��Q(�. OO � ' ATE TIME � CITY OF RONO CALLED IN � �b INSPECTION NOTICE SCHEDULED � PERMIT NO. �� -D�d � MPLETED ADDRESS OWNER TE EPHONE NO. � —��5� CONTRACTOR • � >: DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � ��4f !'A-,�• 'f`� .Z S S v Q C.� T� 0 C � �-� JG�, �,s � .�S 0 � Q o �,� _ ��..��r c�s �� -rc z td, �G.� �,k,��Q� W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: r � Inspector. White Copyllnspector's File Canary CopylSite Notice �a �E�� TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED /D 2- v PERMIT NO.av/o_�,�D�'`� COMPLETED ADDRESS �a`�/ � ,�cQ S OWNER LEP ONE NO. CONTRACTOR �� >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL • EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ 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 a � O � W � Q � Z W � W � � � d W� f�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OfiDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: > a �t Inspector. � ,;k��JJ��-�. White Copyllnspector's File Canary CopylSite Notice