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Home My WebLink About2010-00864 - roofing .�, CITY OF ORONO PERMIT NO.: 2010-00864 • 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/20/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 4040 DAHL RD ��. ,\ PIN : 07-1 17-23-1 1-0021 LEGAL DESC : PIRATES COVE : LOT 017 BLOCK 001 �� PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOF[NG -ASPHALT ACTNITY : O/S BUILDING - UNDEFINED VALUATION : $ 13,500.00 APPLICANT pERMIT FEE SCHEDULE 250J5 TABOR AND SONS, INC. STATE SURCHARGE(VALUATION) 6.75 10547 TERRACE RD BLAINE, MN 55434- M[SC FEE 0.00 (612)789-1902 TOTAL 257.50 Minnesota State License#: 20014248 OWNER LEPPLA, MR& MRS JOHN 4040 DAHL RD MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT The�ti�ork for which this permit is issucd 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 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 180 days of the date of issuance,or if consVuction is suspended tor 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 State[3uilding Code.This permit may be revoked at any time for due cause. �l��,r�.7�7�G��i'L c/ l �a / �p l l Applicant Permitee Signature Date Issued By � nature te SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . - City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: �,0,�. PO Box 66 Permit number: � O , Crystal Bay, MN 55323-0066 Date received: � ��, 1 ,a �� -�` s,�i Street Address: Received by: r :�,,.;�. �',�,t '� '°" Gti 2750 Kelley Parkway Plan review fee: �kESH�g'� 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: �(� �O � G`�'t� /�.,Q 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 wiU be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: %a�a-Z.� ��1/ �� _ _ 3�3�- 1� State License# � c,o! �/� y g Expiration Date: 3- 3�- �a/� Phone: q - a office cell Mailing Address: Cit : / ' 1�u„ ZIP: Contact Person: C2n.r-�,.�-� .?' '7"'�� APPlicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �� ,2'.��,� Phone (day): .�'� - �{ ?� - �Y.� Address: yG ya �� f City: 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 Re-roof ❑ Fire Damage www.minnehahacreek.orct Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ l 3� IQa ` � 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. ApplicanYs Signature: � ,�'��ti�»—,�" Date: !- at a - !o Last Updated: 05-04-2009 g TIME V CITY OF ORONO CALLED IN INSPECTION N TICE G��HEDULED PERMIT NO. � 0 COMPLETED ADDRESS OWNE TELEPHONE NO. l'1—7�9�fD� CONTRACTOR �ul �l�J-p��o�D / >; DESCRIPTION `%/��"�--� � � � ❑ FOOTING ❑ PLUMBING FINAI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J � " � �` o r t'1 ,,°LL � r-�' � ( c;�,-_ a � 0 � W � Q � z W � W � � d , W� ,[�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ' `�•.. W ❑CORRECT WORK&PROCEED ^: ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIOtV REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: � Inspector. ��. . '` ` �`� S White Copylinspector's File Canary CopylSite Notice � � ✓ �- RA TIME CITY OF ORONO �/ CALLED IN ��' �U INSPECTION N�O1TICE /�''��(/� scHEou�Eo � v� � PERMITN0.17��%I e `�^-'�lL'�COMPLETED ADDRESS �C� y C) ��j � c�� OWNER TELEPHONE NO. �� '��-lg�� CONTRACTOR ��/�'J}'__��c�C S � DESCRIPTION 1` I � � �� (1(;f � ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUM RI SE TI FINAL ❑ FOUNDATION/REMOVAL � OWNE ONTRACTOR TO MEET YO : YES_NO � COMMENTS: � W a � /'� l� , S �? C��v i i�='n� � o �-��,� � ��.fJ �r�.L.�:�-cS C�� _. J�,n ��.,�.5 � / ( ) J��p� t J�'l[ J� S LC�S �-`C�L�� W � Q � Z W � W � � � d � ORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CO ECT WORK 8 PROCEED rl SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on ite: � Inspector. White Copyllnspector's File Canary CopylSite Notice