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Home My WebLink About2010-00803 - roofing � . CITY OF ORONO PERMIT NO.: 2010-00803 . 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE ISSUED: 09/07/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1050 COX FARM RD PIN : 27-1 18-23-32-0017 LEGAL DESC : SHADOWOOD FARM : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 17,000.00 APPLICANT PERMIT FEE SCHEDULE 295.00 TIMBERLINE EXTERIORS, INC. STATE SURCHARGE(VALUATION) 8.50 7026 E FISH LAKE ROAD MAPLE GROVE, MN 55311- TOTAL 303.50 (651)329-6916 Minnesota State License#:20633887 OWNER ZONER, ERIC& DIANN 1050 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 specifications,applicable City approvals,and the State Building Code. "l his 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 ]80 days of the date of issuance,or it�construction is �uspended 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 conf rmance with t�'e State[3uilding Code.This permit may be revoked at � me,,for due � se. �� G e/` G `� � � ;��` l_ � �� i/! �� , � /(. �'�- � / Ap i P�rmitee S g re Date Issued By Sig ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. " � City of Orono � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �v�,�\ PO Box 66 Q ;; 0 `\ Crystal Bay, MN 55323-0066 Date received: � �� i ��,',�e.��;. s, � Street Address: Received by: �' ��"� �,� 2750 Kelley Parkway Plan review fee: � r9kEs�04"� Orono, MN 55356 Total Fee: 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: ��,;��'�� ,� ��z� Will this be a Parade of Homes, Remod lers howcase 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 fhe 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: "'� � . � ; State License# � �_.3_3��,f'y Expiration Date: �, Phone: < - � office cell Mailing Address: .�" ' L(� Cit : � - � ' �� ZIP: . Contact Person: .��"„,vt�� Applicant is: r '/ Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��c � Phone (day): 9�-� _ Address: d ; Cit : �rr��4�� ZIP: `�` Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) �epair torm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 ,�� Fax: 952-471-0682 I�Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: _ �� • �- Estimated Construction Valuation of Projec (ex ding land) $ '7 . 1' , ' �' �.; 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 th, inf rmatio the a lication ma not be issued. ' ;� ApplicanYs Signature: �' � Date: - , � , Last Updated: 05-04-2009 � � DAT TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE ,,��CHEDULED !� � PERMIT NO. �0��cOMPLETED ADDRESS � i�� OWNER TELEPHONE �� -3��- �7�� CONTRACTOR / l � � Q-�- � >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAD G/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 J ❑ 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 � I� �- C� �C'� o • � �v� � � �� W - � Q � _ Z W � W � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED I SUE CERTIFICATE OF OCCUPANCV - 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.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �Q52� 249-46�� OwnerlContractor on ite: Inspector. _�o � t� � White Copyllnspector's File Canary CopylSite Notice