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Home My WebLink About2010-00975 - tear off reroof CITY OF ORONO PERMIT NO.: 2010-00975 f . 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE [sSUEn: 10/1 U2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 908 DAKOTA AVE PIN : 26-118-23-33-0022 LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE : LOT 007 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOl�1 TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - LINDEFINED VALUAT[ON : $ 5,300.00 NOTE: T�AR OPF REROOF-ASPHALT SHINGI.ES � APPLICAI�IT PERMIT FEE SCHEDULE 132.75 W. F. SMITH CONSTRUCT[ON STATE SURCHARGE(VALUAT[ON) 5.00 6585 SO SAUNDERS LAKE DRIVE TOTAL 137.75 MINNETRISTA, MN 55364- (6l2) 867-3117 Minnesota State License#: 5309 OWNER KNUTSON, SCOTT&JULIE 908 DAKOTA AVE LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT "I'he�vork for��hich this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State[3uilding Code. "I'his permit is for only the work described and docs not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming 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 commenccd within 180 days of the date of issuance,or if construction is suspended for a period ot�180 days at any timc atter work has commenced. The applicant is responsible tor assuring all required inspections are requested in conformance with the State Building Code.This permit may be revokcd at a y tim or due cause. o- ��l � IU �_ /O/ /// /d Ap icant Pcrmitee Signature Date Issu y 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: O�0 - �/ ,!"> �,�,�. PO Box 66 O .\ O Crystal Bay, MN 55323-0066 Date received: /0 // %v �r��. "'" � ,, Street Address: Received by: a � ��4_�� ',�, � � �%'�� ti�' 2750 Kelley Parkway Plan review fee: r`�kEsxo4'� Orono, MN 55356 � — Total Fee: l�� 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• '/ �) �� ,Q Job Site Address: � O � �p I�6 T� I�"V� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �f No lf 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 INFORMATI N: Name: W,C�.SI��-E-t�G6 State License# S 36� Expiration Date: "3 — 'Z o r� Phone: Z- �f z -6 s- office G� '�---S 6 7 - i cell Mailing Address: �s$S` So SH� ., C..k t�!' Cit : �vl,'r-N�� ZIP: s S� d Contact Person: 'R vD Applicant i : ontracto / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: ,j Name: �-�--{- lGN✓ 1� S 6✓ Phone (day): Address: City: 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) ❑ 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 Ove II Project Description: �h,,t .� �2� _S �-1-,�,�+ ��-c ��S-� Estimated Construction Valuation of Project(excluding land) $ 5�3 csp 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 the information, the a lication ma not be issued. ApplicanYs Signature: Date: �Q"� ( � `� LastUpdated: 05-04-2009 �� ATE �� TIME �� CITY OF ORONO CALLED IN INSPECTION TIC EDULED � 6 PERMIT NO. /�� MPLETED ADDRESS � OWNER LEPHO E NO. CONTRACTOR ' ' � � � DESCRIPTION � W ❑ FOOTING ❑ PLUMBING FIN CAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ' � W 0. o � � CC��I/t.��ceti �I�I� '' �n�A� 1�.�.� S C�h a� � � 1� CCcSSQ�-f W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �CARRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-460� OwnerlContractor on te: ' Inspector. �� l � � White Copyllnspector's File Canary CopylSite Notice