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Home My WebLink About2010-00861 - re-roof i CITY OF ORONO PERMIT NO.: 2010-00861 2750 KELLEY PARKWAY , � ORONO, MN 55356- DATE �SSUEn: 09/20/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 950 DAKOTA AVE P[N : 26-118-23-33-0025 LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 9,000.00 APPLICANT YERMIT FEE SCHEDULE 177.00 MINNESOTA EXTERIORS [NC. STATE SURCHARGE(VALUAT[ON) 5.00 8600 JEFFERSON HIGHWAY OSSEO, MN 55369 MISC FEE 0.00 (763)391-5508 TOTAL 182.00 Minnesota State License#: 2877 OWNER OLEN, G 950 DAKOTA AVE LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this pemiit 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 pennits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specitied 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 l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confomiance with the State Building Code.This permit may be revoked at any time for due c�use. �l v�l,�.t.c. C�lL- / / / / Applicant Permitee Signature Date Issued By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB . � , l�S� .C?� , • City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) ,..___=;, Mailing Address: Permit number: ��,�,�.� PO Box 66 _� �� Crystal Bay, MN 55323-0066 Date received: �� Received by: ,� �� ti� �; s. Street Address: �,E, . �Y� ti 2750 Kelley Parkway Plan review fee: �9kESHog'�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. (P/ease print) GENERAL INFORMATION: Job Site Address: _��`j O�� Will this be a Par�de 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 approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLI.CANT iNGnanne-rin Name: (r��j�� State License# �� Expiration Date: 3~'�1 -/Z Phone: -S � office cell Mailing Address: Cit : �` ZIP: ln Contact Person: �,�� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: QCCC�,v , CO��J PROPERTY OWNER IN ORMATION; Name: Oy'�`�� Phone (day): ��- � - (D /,, s J�� Address: �j Cit : �1`0 h Lun 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 verall Project Description: Estimated Construction Valuation of Project(excluding land) $ ,�� 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. � / � � 1�� Applicant's Signature: ate: � Last Updated: 05-04-2009 � - � �� ✓ ��[�£//j� TIME CITY OF ORONO CALLED IN � ��`� INSPECTION OTICE SCHEDULED PERMIT NO. ��O- f� � COMPLETED ADDRESS �� o�� fi�-e— OWNER TELEPHONE NO� � � �' 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 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 a � � O >. � O � W � Q � Z W � W � � GW r�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL RETURN ❑ GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 24J-46�� OwnerlContractor on site� ,� �, �� Inspector. ��t-� ' � s �� White Copyllnspector's File Canary CopylSite Notice