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Home My WebLink About2009-00799 - roofing • CITY OF ORONO PERMIT NO.: 2009-00799 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEv: 1U10/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2380 DEVIN LA PIN : 03-117-23-22-0013 LEGAL DESC : THE NURSERY : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING - LJNDEFINED VALUATION : $ 10,000.00 NOTE: TEAR OFF REROOF-JOB IS BEING DONE ON WEDNESDAY,NOVEMBER 1 1,2009. THE CITY OFFICF;IS CLOSED THAT DAY SO THE CONTRACTOR WILL TAKE PICTURES OF THE ROOF AND ICE AND WATER BARRIER. APPLICANT PERMIT FEE SCHEDULE 191.75 PHILLIPS CONSTRUCTION INC STATE SURCHARGE(VALUATION) 5.00 16154 233RD AVE NW BIG LAKE, MN 55309- TOTAL 196.75 (763)633-4737 Minnesota State License#: 20384928 OWIVER BLAUER, DARRELL W 2380 DEVIN LA 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 scparate permits. All provisions of laws and ordinances governing this type of work shall be compied with whe[her 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 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 State Building Code.This permit may be revoked at any time for_due cause. � , 9 ) � i� ..ly::: _---t - ' � � �� ✓ � �" 7 t�� ,�� --�!/`�l� � � Applicant Permitee Signature Date Issued By S�i ature �-Da`te � , SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVF� - City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) �—__� Mailing Address: Permit number: ��0,�.� PO Box 66 �� s` O Crystal Bay, MN 55323-0066 Date received: ' ` Received by: ,� t �, Street Address: �' ' '"�� ti 2750 Kelle Parkwa � � Y Y Plan review fee: L�kESH��`'� Orono, MN 55356 ��____'� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 vrww,�a 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: �? �' v �i.�, � 4-� ��-r ��:ti• �.�i�c- �>��. 5p 3"".�� WII this be a Parade of Homes, Remodelers Showcase Ho e or other Display Home? ❑ Yes �° o If yes,a specia/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 su�cient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Pj�,i/,,%� ��.��;:�_��:�,� i�:� State License# Z L.r c '-{ S� Z S�' Expiration Date: ,�'y,y -�.� �i z�;�{c, Phone: ��j ��3- y �.3� (office) v i 1_y,y-2 �� (cell) Mailing Address: �b��v 2��r0 fr�� . ,v �r Ciry: ,;, c �,�� ZIP: �-��r.i' Contact Person: f�,rr F'y, �/,�S Applicant is: Contractor ! Homeowner (Circle One) Email and/or Fax: i�.M (,; �p,��M N� C� .^� ..--� PROPERTY OWNER INFORMATION: Name: � ` �� i��'� r�L v��i:.� Phone (day): �5 Z- y � � � `T 3 y Address: 2 3�a � ✓, .� �,a,-v c City: L�.�d, �.,jk� ZIP: 5 � 3 S� Email and/or Fax (C r x � 4�1 n�•� :� ['�-`��3 1 =}S � .: - .�. c�-Y� 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 wwwmirnehahac�eeh or� Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �' D p��, 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 i inform tion which generally cannot be given to either the public or the subject of the data. Our purpose and intended us of tht"s�information is to annually update our records and records of other governmental agencies re uired b law. If ou ref e t s I the information, the a lication ma not be issued. ApplicanYs Signature: S�A� �� i��J Date: ��/7 C5 Last Updated: 05-04-2009 AT TIME V CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED PERMIT N0.-K��OD71��' COMPL T D ADDRESS � OWNER CONTR. I TELEPHONE NO. � � 3' 7�7 � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADiNG/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIFEPLACE � TREE REMOVAL Z�ALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q INAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. � COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTA�L. � FOLLOW-UP � ❑ PLUMBING RI O SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � r � � O / � W � Q � , /�-L e Z W � W � j d W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED � SSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. r� pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on site: � Inspector. �� //1 �� White Copyllnspector's File Canary CopylSite Notice