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Home My WebLink About2009-00282 - roofing i , CITY OF ORONO PERMIT NO.: 2009-00282 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/04/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 945 COX FARM RD PIN : 27-118-23-33-0015 LEGAL DESC : SHADOWOOD FARM : LOT 003 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 48,516.00 NOTE: THIS PERMIT INCLUDES RESIDING AND TEAR OFF REROOF APPLICANT PERMIT FEE SCHEDULE 671.00 HOME VALUE IMPROVEMENTS STATE SURCHARGE(VALUAT[ON) 24.26 18330 GLADSTONE BLVD TOTAL 695.26 MAPLE GROVE,MN 55311- (763)425-9500 Minnesota State License#: 20464927 OWNER SANFORD, MATTHEW 945 COX FARM RD 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 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 become null and void if construction authorized is not commenced within I 80 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 conformance with the Sta[e Building Code.This permit may be revok at a y time fo due ause. � / � / ��4 / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i City of Orono Building Permit Application fior Internal Work (windows, doors, siding, re-roof, etc.) ��-__- Mailing Address: Permit number: ��.,�,jV.\ PO Box 66 , O� Crystal Bay, MN 55323-0066 Date received: a 'y „ s,l) Street Address: Received by: �'��'�` 1 �',�, � "� ��ti 2750 Kelley Parkway Plan review fee: �sgE$Ho�`� Orono, MN 55356 _- Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www ci orono.mn.us 7his application form muSt be completed in full�nd all required infom�ation must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: f Job Site Address: 9y�' �0,� furr�'1 �YC� ' _�5 �� Will this be a Parade of Homes, Remodelers Showcase Home or other Displ y Home? Yes o !f yes, a specia/event permit is requi�ed with Polrce Department and City Council approva/60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events wiN not be allowed. CONTRACTOR/APPLICANT INFORMATIO� Name: �.'d� �i�,C G � � i C/ � .0 S' State License# Lp � Expiration Date: 3 �� Phone: - �s- C�� office ,� - 7 /- � "' cell Mailing Address: 6 S (b ' Ci : � ?rG�� ZIP: .5"S3 Contact Person: i L Applicant is: Contra tor / Homeowner �c�rc��one� Email and/or�ax: / U �� r� S . CO/yI PROPERTY OWNER INFORMATION: / "� Wame: �lCv� � l�7' �C"�G►'C� Phone(dayj: � - - � 3 Address: c, �' Ci : C�l'G�/1 ��!'� ZIP: � � Email and/or Fax i PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�pertnits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Windovy(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 iding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 / Fax: 952-471-0682 [�'R�roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuatfon of Project(excluding land) $ L�g" /(,y 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 sole�y responsible for submitting a complete application 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 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 t the information,the a lication ma not be issued. . Applicant's Signature: i�� , 'N� Date: �'�y' �-!`��. Last Updated: 05-04-2009 / D T TIME CITY OF ORONO C LLED IN b- INSPECTION OTIC SCHEDULED - PERMIT NO. O QD�� D �OMPLETED � ` ADDRESS �� F�t, OWNER CONTR. �7�Lo UG�C� 7'��' TELEPHONE NO. �QI Z Z�S 7 3 g 9r/' � DESCRIPTION J ��- �� 0�-b0 f � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC tNSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. . . - . __ _ .. � O � � _. _ . _ . _ _. _ �. ----_.._._ � _ Q � ..___ _ _ - .. __ �.__ .__ _.__.-- _ . � Z W � ._ ._ W � � - _- d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING - � �- --- -- - - • PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. L, pHOTOTAKEN INSPECTOR WILL RETURN _.,,_ _ , ❑STOP ORDER POSTED.CALL INSPECTOR -� CITATION ISSUED � G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: Inspector. � �� White Copyllnspector's File Canary CopylSite Notice