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Home My WebLink About2009-00315 - roofing CITY OF ORONO PERMIT NO.: 2009-00315 , 2750 KELLEY PARKWAY - ORONO, MN 55356- DATE ISSUED: 06/15/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2265 BLAINE AVE PIN : 17-117-23-34-0024 LEGAL DESC : NAVARRO : LOT 002 BLOCK 001 PERM[T TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 4,500.00 APPLICANT PERMIT FEE SCHEDULE 118.00 THE HARDY BOYS, LLC STATE SURCHARGE(VALUATION) 2.25 307 MANITOBA AVE S TOTAL 120.25 WAYZATA,MN 55391- (952)270-3136 Minnesota State License#: 20631699 OWNER HOLT, CRYSTAL 2265 BLAINE 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 sepazate 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 1 SO days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in formance with the State Building Code.This permit may be i r�oked�t time f cause. , �� - /� �L � i �, ' / / �`� _ ` ( C.��-� / Applic t Permitee Signature Date Issued By Sign ture 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.) Mailing Address: Permit number: g,0,� PO Box 66 0 ;� � Crystal Bay, MN 55323-0066 Date received: I a�AY 1f I Received b I� � ��;�,�, �, i Street Address: Y� ��x��vG~/ 2750 Kelley Parkway Plan review fee: Esx / 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: ��,�� '�I�._��,� /�-<" /'�,�_„��;t Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No /f yes, a specia!event permit rs required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service wi//be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: �` ,� Name: ,�>(,_ ��,�,.� ��(11� �--(Cl.i�'I ` i �LI S State License# ��, S�� ;� Expiration Date: Phone: ��2-�`10 313G (office) (cell) Mailing Address: � o� ,�n,,:�-r,i,�_ ��,,�. S< Cit : ,, �_J�` ZIP: �-5-3�i j Contact Person: �'�,�,��j�;,r�,s / T�S� !l y--� Applicant is: ontract��/ Homeowner (Circle One) Email and/or Fax: ' � - - -\�,.r✓.SC�cx,7rc4� ��l ,cc:-...� PROPERTY OWNER INFORMATION: � Name: �Lcl<�:�- (,J; (c�� Phone (day): Address: City: ZI P: 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) Q.Repair ❑ Storm Damage 18202 Minnetonka Blvd � `�- � Deephaven, MN 55391 ❑ Siding �� ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 ~� ��. Fax: 952-471-0682 �Re-roof � ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �, ��, � .. LJ� ��^�� 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 governmentat agencies re uired b law. If ou refuse su I the information, the a lication ma not be issued. ApplicanYs Signature: � Date: C , � �`� , Last Updated: 05-04-200° �� c � _ � DATE TIME � CITY OF ORONO CALLED IN � -�`� �f INSPECTION NOT)ICE �� SCHEDULED �; '�I�-�S� �-'Yl PERMIT NO. L-C�-��—f'� � COMPLETED ADDRESS �� S �l C�� Y� � 11�-- OWNER CONTR.��,�`�-��c��c��S TELEPHONE N0. ��-�� L � �� % �.._. � DESCRIPTION � �-�-�� C � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d � W �l WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � D�ORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. /�'�� 'S White Copyllnspector's File Canary Copy/Site Notice