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Home My WebLink About2009-00429 - roofing � � CITY OF ORONO PERMIT NO.: 2009-00429 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/22/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2010 COLIN DR PIN : 03-117-23-21-0014 LEGAL DESC : KELLEY GREEN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 1,831.00 NOTE: TGAR OFF 4 FEET UP FROM EAVES ON BACKSIDE OF ROOF AND REPAIR. APPLICANT pERMIT FEE SCHEDULE 70.50 WESTERN CEDAR SUPPLY, INC. STATE SURCHARGE(VALUATION) 0.92 9700 13TH AVENUE N PLYMOUTH, MN 55441- TOTAL 71.42 (763)541-0304 Minnesota State License#: 20155566 OWNER FRANCHOT II1, DOUGLAS 2010 COL[N DR LONG LAKE, MN 55356- 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 ofwork 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 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 applicant is responsible for assuring all required inspections are requested in confomiance with[he State Building Code.This permit may be revoked at any time for due cause. _..�-Ls'�-'�-.�C�� !/- d//i-?i'""�'?S� ��J'��'- L� � � D 'Applicant Permitee Signature Date Issu d 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.) �—_ ,, Mailin Address �` �—� g Permit number: �� a �� g,�,�� PO Box 66 ��Q , �`,, Crystal Bay, MN 55323-0066 Date received: 7 �9 I �`�*+ I I� �'�'�.s;',. �,�� Street Address: Received by: �'� '��'� �� 2750 Kelley Parkway �i�Y� �� Plan review fee: �`�kEsxo4,� Orono, MN 55356 – Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �� Q�/ 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: �p/�� /, •� �j� �r�,��, �� „S',S �3 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required wifh Police Department and City Council approva/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: G.Gif.57�v.,% ��c�'<• � Sc�,�1� /r,�c State License# �p/,S'SS,/G � Expiration Date: C',j �-3/ "-/O Phone: >G �,�y/� c� � office) % ` - 2 �G �� cell Mailing Address: �� /� L �� y Cit : f�� ZIP: �",s"� y Contact Person: T-�`,.� ��p«�yq� Applicant is: Co / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: / Name: -� �/o�i,• f7"r"� s�G�o T Phone (day): /�j�, �/ r��,� Address: .�"�j/�7 �o/��;� yy City: �ycryr,��" ZIP: SS,� 23 Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�permits ❑ Door(s) ❑ Remodel ❑Water Damage I Minnehaha Creek Watershed District(MCWD) � ❑ Window(s) �Repair ��r .L�n�� ❑ Storm Damage 18202 Minnetonka Blvd i 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: ��y- �,��- y`� �/ ,� /� �'or� /3k c��"s G rJ �<< c�t��,E'rf/.'�:, Estimated Construction Valuation of Project(excluding land) $ /8'_3��- 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; i • 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. Applicant's Signature: ��.�rG G� � � Date: pJ-- � Z - c�/-r Last Updated: 05-04-2009 DATE TIME � CITY OF ORONO CALLED IN INSPECTION OTICE C � QSCHEDULED �js� PERMIT NO.��b�''C�`�� `COMPLETED �' ��v � ADDRESS ��O �� ( c� � � r�^V�- OWNER CONTR. �.. )��{ �� TELEPHONE N0. � �� DESCRIPTION C�C7 i � =� � � � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL 0 LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O a � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �y�PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CAIL TO ARRANGE ACCESS. Ca11 tor the next inspection 2g hours in advance. (952� 249-4600 Owner/Contractor on site:�_�� !"� � Inspector. White Copy/lnspector's File Canary CopylSite Notice