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Home My WebLink About2011-00266 - roofing ! ' CITY OF ORONO PERMIT NO.: 2011-00266 2750 KELLEY PARKWAY ORONO, MN 55356- DATE iss[1En: 04/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2470 COBBLESTONE CT PIN : 33-118-23-11-0080 LEGAL DESC : STONEBAY SIXTH ADDITfON : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTNITY : O/S BUILDING - UNDEFINED VALUATION : $ 8,000.00 NO�I'F,: 7'EAIt OFF REItOOI' APPLICANT PERMIT FEE SCHEDULE 162.25 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.00 6541 SYCAMORE CT N TOTAL 166.25 MAPLE GROVE, MN 55369- (763)427-9696 Minnesota State License#: 20637010 OWNER O.T. Development, LLC 10300 I OTH AVE N PLYMOUTH, MN 5�441- AGREEMENT AND SWORN STATEMENT l�he�cork for which this permit is issucd shall be performed accordin�to the approved plans and speciticatiuns,applicable City approvals,and the State f3uilding Code. 'fhis pennit is for only the work described�md does � nol grant permission f�or additional or related work which requires separate punnits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This pennit 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 suspcnded for a period of 180 days at any time after work has commenced. "I'he a�plicant is responsible for assuring all rcquired inspections are requested in confonnance with the State Building Code.This permit may be revoke a any time for due cause. � ��y � �� L��_ /v2 �7/ ! Applicant Permitee Signature Date Issu By 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.) Mailing Address: Permit number: � d G� X� O.��,�0 PO Box 66 Crystal Bay,MN 55323-0066 Date received: / � Street Address: Re�e1�ed by: �ti`� 2750 Kelley Parkway Plan review fee: ��og� Orono,MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249�616 www.c�.orono.mn.us � �P�� -� 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: �- t, Job Slte Address: ' �� !��5�� WIII thls be a Parade of Homes, emodelers Showcase Home or other Display Home? Yes No !f yes,a speaa/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 sulflcient on-site parlcing is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: /r1��G✓lb7` �omF�� ih� j,✓i�1�OG.d L�� State License# ;Z p p/p a �7 Expiration Date: p3/3//� pr� Lead Certification Number: Expiration Date: (for work on homes that rrere construc�prlor to 1978 Phone: 76.3-�I a-� 7-9 G 9(� (office) �b 3 a�80- /�a � (cell) Mailing Address: (p S't �qr-►.pr C� City: QP� vG. ZIP: S'sj 6 q� Contact Person: �n ny /�,�QSG n Applicant is: on actor / Homeowner �ci��.o�� Email and/or Fax: ')63 - yTa 7- Jr00� PROPERTY OWNER INFORMATION: ,y �- Name: ��i;Z�.�✓l.�J �t1 i i Phone(day): Address: City: 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�71-0590 ❑ Re-roof ❑Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) S �;�-�-%�; ,� APPLICANT ACKNOWLEDGEMENT: Agrees to provide all information required or requested by the Building Department; Certifies that the iniormation supplied is Uue 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 infortnation 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 recorcls and records of other govemmental agencies re uired b law. If ou refuse to su I the information the a lication ma not be issued. App�icanYs Signature: f �� Date: �J a�V(� Last updated: 03-01-2011 �� I rL�� !� ` DATE TIME �'� CITY OF ORONO CALLED IN �{ � ��1 I � � WSPECTION NOTICE SCHEDULED ��I ��/ l � ��' � � PERMIT NO..�C�� C C.L�Lr COMPLETED ADDRESS � �-�C-� �f�' ��IC C�L7�"lL` �� • 1 ��y1' OWNER TELEPHONE N�. `�- �- ��-► � _�..� CONTRACTOR � �`� l C� � .�--F� .:�'1 (� (;,{�i (�-Y'�� j >; 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W � o � '—I �� C:� l i Z c�;� ;�- �. � 0 � W � Q � z w � W � � a W� , ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CO ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on ite: Inspector. � White Copyllnspector's File Canary CopylSite Notice