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Home My WebLink About2011-00265 - re-roof � ' CITY OF ORONO PERMIT NO.: 2011-00265 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 04/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2480 COBBLESTONE CT PIN : 33-118-23-II-0079 LEGAL DESC : STONEBAY SIXTH ADDITION : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 8,000.00 NOTL: TI;AR OFt� REROOI� APPLICANT PERMIT FEE SCHEDULE 162.2� MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.00 6541 SYCAMORE CT N TOTAL 166.25 MAPLE GROVE, MN �5369- (763)427-9696 Minnesota State License#: 20637010 OWNER BRADFORD, ROSE ANNA 2480 COBE3LESTONE CT LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The�vork for�vhich this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and thc State Buildine Code. This permit is for only the work described and does not erant permission for additional or relateJ work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not speciticd hercin.'I'his pennit will expire and become null and void if construction authorized is not commenced within 180 days ot�Uie datc ot�issuance,or if construction is suspended for a period of I80 days at any time alter work has commenced. "1'he applicant is responsible for assunng all rcquired inspections are requested in confbrmance ti•ith the State 13uilding Code.This pennit may be revoked at any time f r due cause. � �i � i. �lil( � 2 � Ap icant Permitce Signature Date Issuc 3y Signature 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.) MailingAddress: Permitnumber: U��b� �I O.��,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: � 29 � � � Street Address: Received by: 2750 Kelley Parkway Plan review fee: ��og�� Orono, MN 55356 Total Fee: //�/� �5 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ( �/V� This applicadon 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: � �:�� 1��',S �°� �� Will thls be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,a speaa/event permit is required with Police DepaRment and City Council approval 60 days prtor to the event. Shuttle bus service will be required unless applicant demonsGates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: �/ Name: /�;�G✓l5�` �OmF�� S��f 1�,/i'�1�0(� Ln� State License# ;�p p/p a 7 7 Expiration Date: �3/3/,�a �� Lead Certification Number: Expiration Date: (for work on homes that w�ere construc�prlor to 1978 Phone: 76 3-�/a� 7'q�O9(v (office) 76 .3 a�gO- /.3a � (cell) Mailing Address: (� ,S'/ �Qr-�,pr C�- City: �!� vL ZIP: S"s3 6 q Contact Person: �ryn/i �Q�G� Applicant is: on actor / Homeowner �ci��.o�� Email and/or Fax: 763 - y a 7- J�pO/ PROPERTY OWNER IN,�ORMATION: / � Name: !<�� ,u� ��/u��(�r� Phone(day): Address: !� y�<j ��,,b�P S{z�� C�{- City;/y�4 Gr�i�"�2 c.ti' ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑Remodel ❑Water Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Siding ❑Restoration ❑Other:(specify) Deephaven, MN 55391 Phone: 952-471-0590 ❑Re-roof ❑Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Constructlon Valuation of Project(excluding land) S , � APPLICANT ACKNOWLEDGEMENT: Agrees to provide all infortnation 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 appliqtion being aware that upon failure to do so, the staff has no altemative but to reject it until it is complete; � Some or all of the informabon 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 informatlon 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 recorcJs and records of other govemmental agencies r uired b law. If ou refuse to su I the information the a lication ma not be issued. ApplicanYs Signature: � '~ Date: �`"�� ascupdaced: os-o�-20�� / r � �� i"�� L'� � � %DATE TIME CITY OF ORONO CALLED IN /��! INSPECTION NOTICE SCHEDULED ��/�;/� PERMIT NO. ��-��"'"Cf �� C�COMPLETED ADDRESS - � � ��C(.; �C � %� �( l' S l_L`��' �'� OWNER TELEPHONE N��v� 7�"� ��' - CONTRACTOR �� 1 �� -�� -1 �f ��l� i�1�=� �� : DESCRIPTION J-C G�-'� G�+ � � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ E A /GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS � O ❑ 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 ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � , W 4 � � � � � � ( �� o � � � 0 � w � Q � z w � W � � �� ORK SATISFACTORY:PROCEED [l PROJECT COMPLETE RECT WORK 8 PROCEED ,:i 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.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on s' e: lnspector. �� White Copyllnspector's File Canary CopylSite Notice DAYF TIfVIE r/ '�yB�f�J�� CALLED EN V Vf��`�@�� 6��`�&�� SCFiEDULED u��i�l��CD��" !°00��5� COMPLETED s___�_T��l�f ��f�� o��i8c� Cta(�/e6�or�c Cv ,. �'�&�� T��.��&��J�� 9�.— �� /�Zr'�wes� � ' - �: ��Ao� �e- �a-F � � ❑ FOOTING ❑ PLUMB!?dG FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ P/tECHANICAL RI ❑ LAKESHORFJWETLqNDS ❑ FRAMING ❑ P�IECHANICAL FINAL � ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE �i � ❑ RADON SLAB � SITE INSPECTION � � ❑ WATER HOOK-UP ❑ PROGRESS I ; ❑ FI�dAL ❑ SEWER H004<-UP ❑ COMPLAINT � "`' ❑ DEfUiO-SITE ❑ SEPTIC MAINT. �OLLOW-UP I � ❑ DEMO-FINAL ❑ SEPTIC INS7ALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FI�IAL II � ❑ FOUNbATIOfV/REP/iOVAL � i�RJ�JS39�ffilCOR9Y�4C3'CLF2"�O Rl9�rt"9 V�fl9:_V�S_�� ` w � ��9��T�: /�D f�sr -o ff i�s.o�lZ`.�. r�ro�� *OLD PERMIT — NO FINAL INSPECTION REQUESTEDm � .:s � �; iG ��``G_L�io�. �/23ri<��il �; � � ' � Y lC Q �r l � � .�_ �r'�t�n+ �'� .�_i/�.��/ � � � � ❑WORK S,4TISFACTORY:PRC�EED �P64pyECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ��❑ ISSUE CEFtTIFICATE OF OCCUPANCV � O CORRECTtAfORK,CALL FOR REINSPECTIOPd TEMPORARY � �EFORECOUERIPIG PERMANENT ❑ CORRECTUfdSAFEC07�lDITIONWITHIIV HOURS. ❑ PHOTOT,4KEN I�iSPECTOR W{LL RETURW ❑STOP ORDER PDSTED.CALL lP�SP�CTOR �CITATIOId ISSUED ❑ IWSPECTIO�I RELlUIRED.C�+��L TO ARRAVGE�CCESS. ��es$o��a��o��o��e �95�� 249�4690 �9��9�a�s�4ra�Q�a��a��6�e: 6ws��r �h�- Whi4 CopylBnsp¢c'tor's File C�raan,�Cop�fSi4e tVo4ice I