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Home My WebLink About2010-00843 roof CITY OF ORONO PERMIT NO.: 2010-00843 ° ` 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/15/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1925 COUNTRY CLUB RD PIN : 27-118-23-43-0002 LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN : LOT 003 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOF[NG -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 8,500.00 NOTE: TEAR OFF REROOF-ASPHALT SFiINGLES APPLICANT PERMIT FEE SCHEDULE 177.00 FREDENN, GLENN & LOIS STATE SURCHARGE(VALUATION) 5.00 1925 COUNTRY CLUB RD LONG LAKE, MN 55356 TOTAL 182.00 PAID WITH CC# 8106 OWNER FREDENN, GLENN& LOIS 1925 COUNTRY CLUB RD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT "I'hc work for which this permit is issued shall be performed according to the approved plans and specitications,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 not specified herein.This permit will expire and becomc null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended Yor a period of 180 days at any time after work has commenced. The applican[is responsible for assuring all required inspections are requested i conformance with the State Building Code.This permit may be revoke ny tim r dufe rau�- �,� � �.�'1s 2t"�o �/��C� Applicant Permitee Signature ate I s 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.) Mailing Address: Permit number: � 0 ` �� O�,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: /,s /� ,� ��c .� `�, :4�L`„ ,, Street Address: Received by: �',�, 't °s" Gti 2750 Kelley Parkway Plan review fee: t•�,kESKog� Orono, MN 55356 � � Total Fee: / 8'a.O 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: Name: GLtHK � �:-��l�-e x ��w� Ou «�L � State License# Expiration Date: Phone: yS�Z-y� 3 - �2 ,p y (office) (cell) �2 Mailing Address: City: ZIP: T�y� �� Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��+ � k �-' 1� i .� c,P�-� rc Phone (daY)� `Z��- ��1 32 d"'�y s Address: l �- �'. c'< . " %� Cit : 4-K 1��.� ZIP: �,�3.�` � Email and/or Fax (Tl �'�., �,v�,�j2 .J u s �a,�,�L . �,�� PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�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: Estimated Construction Valuation of Project(excluding land) $ ,��' � 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. f�_�-- Applicant's Signature: '�,��.z-` Date: J-,- � J �G'�C� , Last Updated: 05-04-2009 � + � � � � DAT TIME � �� o CITY OF ORONO CALLED IN INSPECTION t�OTICE h/' /�� SCHEDULED PERMIT NO. �U��vv�T✓ COMPLETED ADDRESS � OWNER L� �ELEP ONE NO�S�—�73328� CONTRACTOR >; DESCRIPTION � — � Lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ 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. ❑ FO�LOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � 2 w � W � j GW �9�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W�O CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTiON REQUtRED.CALLTO ARRANGE ACCESS. Cail tor the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on s'te: 7 ' Inspector. ��_t ,�� White Copyllnspector's File Canary CopylSite Notice DAT� TIME �/ CITY OF ORONO ca�� `� INSPECTION NOTICE SCHEDULED !O -/t� _�� PERMIT NO.o?0�0�- D � �� COMPLETED ADDRESS�l Z5 L�-G �� OWNER �� ''r TELEPHONE NO.CSZ-- �73 3�� CONTRACTOR �p/Z S�� 73� >; DESCRIPTION �l�a'L' �� W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORE/WETLANDS ti 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 v ❑ 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 a � J O � � O � W � Q � 2 W � W � j d � ❑WORKSATISFACTORY:PROCEED ►�PROJECT COMPLETE W ❑CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 24Q-46�� OwnerlContractor on site: Inspector. � �� v White Copyllnspector's File Canary CopylSite Notice