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Home My WebLink About2010-01016 roofing ' CITY OF ORONO PERMIT NO.: 2010-01016 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �sSUE�: 10/18/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1940 COUNTRY CLUB RD PIN : 27-118-23-42-0018 LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN : LOT 006 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEF[NED VALUATION : $ 14,430.00 NOTE: TEAR OFF REROOF-ASPHALT APPLICANT PERMIT FEE SCHEDULE 265.50 ALL SEASON REMODEL[NG& EXTERIORS STATE SURCHARGE(VALUATION) 7.22 17344 PUMA ST. NW RAMSEY, MN 55303 TOTAL 272.72 (612)221-3318 Minnesota State License#: 20388311 OWNER SMITH, MR. & MRS. 1940 COUNTRY CLUB RD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT Che work for whicl�this pern�it is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the Statc[3uilding Code. "I�his permit is for only the work describcd and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances goveming lhis type of work shall be compied with whether or not specified herein.7'his permit will cxpire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construclion is suspended for a period of 80 days at any time a(ter work has commenced. The applicant i respons� le for assuring all required inspections are requeste in c nfo iai e with the State Building Code.This permit may be revoke at an � e f due cause. � / pl �r�l� /v A lica t rmitee Signature Date [ssu 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.) MailingAddress: oZolO -b/�/ � �,�,�. PO Box 66 Permit number: O � O Crystal Bay, MN 55323-0066 Date received: /D < �� ?�'� Received by: a � ��1�.^ �, Street Address: 'S',�, � +%� Gtiti 2750 Kelley Parkway Plan review fee: ��kESH�g'� Orono, MN 55356 - Total Fee: oZ7a3. 7ov 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: /�yv �'.e�t,r.1�'�-� C�c;-�i r�� 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 Ciry Council approval 60 days prior to the event. Shuttle 6us service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��, �w�l��ti ,f�,�� L1.� State License# �v3��3i� J Expiration Date: � �� Phone: /` / y6�� office cell Mailing Address: �73yti ►��,K.a s'� .v+.✓ City: �,5�� ZIP: ��3 Contact Person: ,,l��{� 5�(��zr Applicant is: ra r / Homeowner (CircleOne) Email and/or Fax: �t1��,(15�,so�� 'i� c-�-.-�L.�c-�. .t,�f PROPERTY OWNER INFORMATION: Name: �l�{ar,/ ��c f!� Phone (day): C� ,��y�� p7i� Address: Cit : ZIP: Email and/or Fax 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: - ,. ( - r�, � Estimated Construction Valuation of Project(excluding land) $ � l " c� /�- � 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 inform ion is to an ally update our records and records of other governmental agencies re uired b law. If ou refuse to su e inf mati , the a lication ma not be issued. ;' ApplicanYs Signature: �, Date: Last Updated: 05-04-2009 _�`� ATE TIME � CITY OF ORONO ALLED tN / � INSPECTION NOTICE D/b/� SCHEDULED / PERMIT NO��D' COMP TED • � — l l ADDRESS OWNER TELEPHONE O. l "� �"�� CONTRACTOR ` �; DESCRIPTION / Il/� %��R-C � lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS h 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. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C j I< < c--� `� � U C��T C'��- ��t' ��c-� O a � O � W � Q ti Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site j� Inspector. �-� �� White Copylinspector's File Canary CopylSite Notice �/ / ✓ ATE TIME CITY OF ORONO CALLED IN D /D INSPECTION NOTICE SCHEDULED / v PERMIT NO. �v�D'D�� COMPLETED ADDRESS cl � � OWNER TELEPH NE O. CONTRACTOR � �; DESCRIPTION �� — � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � ;`�� - l'� �S � I�..2 1 � � O a � O ti ti � Q � Z W � W � j ��RNORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. rJ- pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAL�INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor on site:+ Inspector. ;��,�,�I,� White Copyllnspector's File Canary CopylSite Notice