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Home My WebLink About2009-00841 (roof) �- CITY OF ORONO PERMIT NO.: 2009-00841 , � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE 1SSUEn: 1U23/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2732 CAROLINE AVE PIN : 20-117-23-24-0041 LEGAL DESC : REG. LAND SURVEY NO. 1451 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-L7NDEFINED VALUATION : $ 25,000.00 APPLICANT PERMIT FEE SCHEDULE 413.00 SELA ROOFING&REMODEL[NG, INC. STATE SURCHARGE(VALUATION) 12.50 4100 EXCESIOR BLVD ST. LOUIS PARK,MN 55416- MISC FEE 0.00 (952)915-7227 TOTAL 425.50 Minnesota State License#: 0001050 OWNER PERCIVAL, CHARLES& SUSAN 2732 CAROLINE AVE WAYZATA,MN 55391- 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 no[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 applican[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. ��/�� /i /a5 /'�?� j�yyt�1 / l Applicant Pe tee ignature Date Issued By Si nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV` . �,. ' City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O�,D,�.O PO Box 66 Crystal Bay, MN 55323-0066 Date received: � Received by: a ' �, �;��, �, Street Address: �'�c, � ` �- �ti 2750 Kelley Parkway Plan review fee: tqkESlio4'� 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: • � Job Site Address: . � 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: p� Name: S��G� leobl��.a "��-�rr�mc�Qcnc� State License# �oSo Expiration Date: Phone: -��3- �U office cell Mailing Address: �l/DU � � .f��r/ City� __n_a,,� ZIP: ��-//�, Contact Person: 7��n,`, Applicant is: Cont'ractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFOR ATION: Name: L�tt.�.�.� �.�r�►v� Phone (day): gga -y7/ — OS�S Address: _ �?_3,� 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) ❑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(,Q��.-� Estimated Construction Valuation of Proj t(excluding land) $ q��p�°" 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: �� j ��]�j Last Updated: 05-04-2009 OCT-30-2007 13�53 P.02i02 Pern,ic� � �I Z_ Sandblank��t �ern�►it and Sand Source Euhibit Form � FAST TRACKPERMIT MINNENAHA Ci�EEFt WATEIt�NED 018TRICT(MCWQ) 18Z02 MINNETONKA BLYd. Ph; 66Z�471•0680 DEEPHAVEN, MN 55381 Fax: 952-4T1-p682 I, C++A�c�s �c+vR L. resid�;ae a7� Z CMte�.,�� Av4.. cP��r�n �k'�4 N 39 1 ,(�S, 471^�,SEY requeal app��ll b in�tell a S�dblankst on prope►iy descn� ote� p (�non�) �S Z73 Z. G4o�-+W� A+J E. . localed In v�'�v L�4�1N�►N � — : (8Qset sddrsa�) (IMlhln tl�s C�tq oam0ener) — (Countl�l . ��'�._�,,._,,,��on u►,�ct M.�►�►�i�ruU� C�er��ius 8�'� , (�'�' t�) I ►�ve contracte'd with 0� t�P�#�AN6 N�� , (Ne�,�l IDS��1� • (So-ea�sae�esa) M�AIa:lu1N� ta inetall clqan sand irom Vte ' (c.�ty.s ZipJ (Phone� fOIIOW{�SOU�CB_�I��_ �A.v.C�. , . . �� c�vM�M laa.zip) SL) - S � � 1 wili i 81a11 tt�e ket ilowin , t�uPP�kr) �— _,�yG tAtp�e�i N� �ate, c ( hoae My Bhoreline is w feet and th��dimenoions of the proposed aandbtenk�at are: ��X „ , (LenOml �X,�a,�. BendDlankel dkonenalona cannot exceed a length of S�0'(or SOg6 of ahorel�ne), ��h' a width of 10' and a depth of 8�". 6f this project reQui►es municipal approval or �eview, please attac� dncumenlatiare of the mun'icipel approvel with this eppliCalion_ I under�fand thet If thls appllcadon is no1 mmpletely filled cut, v�if I fail to submK the requl�ed exhlbits, the 6�pplPcati!!�1 ia incomple�e �nd will bv retumed. It wili not be rieviewad by MCWU atat� u�til pompEete. By sfgning thi� applicapon, 1 agree and u��de�stand ihat fhe Oiatrict m�rry erder the prvperty st�aaonable hour� to condue�.an inapeetion to de�ennima whether the terms of the partnit are bein�met. I furthe�und��stsnd that It I vblate the 4e�m� and conbipo�s of the permit lhal ie Issued based upon thia application, the Dislrict shall canduct a fleld inspeclion of the ��bjed Per MCWD Rule J, p►ovided wilh nhia �pplicat�on. I underst�nd the DisMd will charge�feee b cover Fhe actual co� oF fleld inspecGon9, i��luding invesbgation of ihe area 6� by !he work, anefyais of tlie w+ork, including !ha servica� of legal �counsel and engtneers, and any Bubeequent monit4ring af the work. Th�District's aotual aosts ere deemed tu begln accruing whvt�tA�plaUict issues notice of the violation oo peimittee. I heve read and understend Ihe MCWD Techniool C3uidelinee For �and . ts. �� , � gf o%7 �+asre el e'&�ne+� "�c �) 8u�acrfDea and swom te DMore Me�oru this ►d'� day of _5��..._�.�. ,200�l _ ` }� �WV►ESNAROIDg�TF� Nolary PubliF ��c . � W t;mrn F�ra�.,�1.zoro � � �� i� ,� aP�.d by: � � � r,� , ;. OGT 2 5 2001 �-� TnTAi P A� DATE TIME " CITY OF ORONO CALLED IN INSPECTION NOTIC� SCHEDULED PERMIT NO. ��/� / -�� ' COMPLETED 3�S �� ADDRESS ,.� ?3� C�/��` �• N� A;�Z� OWNER �C'f�' � v�� CONTR. S Q i ra TELEPHONE NO. � DESCRIPTION 1�` � A t �� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE O SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL � FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � . o � . c -��rP S �-�5 �e/� <� �- `�AG � � 0 � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED =�ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. „ ~ � � White Copyllnspector's File Canary Copy/Site Notice