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Home My WebLink About2010-01091 - roofing CITY OF ORONO PERMIT NO.: 2010-01091 . � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 1U08/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 720 DICKEY LAKE DR PIN : 34-118-23-22-0003 LEGAL DESC : RINGERSWOOD : LOT 001 BLOCK 001 PERM[T TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 27,500.00 NO"I�E: TGAR OF1=R�ROOP'-CGDAR SHAKES APPLICANT PERMIT FEE SCHEDULE 445.25 ALL SEASON REMODELING & EXTERIORS STATE SURCHARGE(VALUAT[ON) Li.75 17344 PUMA ST. NW RAMSEY, MN 55303 TOTAL 459.00 (612)221-3318 Minnesota State License#: 2038831 1 OWNER RADINTZ, MR. & MRS. HENRY 720 DICKEY LAKE DR LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work fbr which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and thc Slate Building Code. This permit is for only the work described and does not grant pennission for additional or related work which rcquires separate pennits. 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 beconu:null and void if construction authorized is not commenced wit n 180 days of the date of issuance,or if construction is suspende�l'fj or�erio of 180 days at any time after work has commenced. The app,�c�ant-' re Ic for assuring all required inspections are reques�'e in q6 rman with the State[3uilding Code.'1'his pennit may be revolyb iiv tiine f�r due causc. � ' // �� A plicant r ' ,ignature Date Iss e y Signature Date SEPARATE PERMITS REQUIRED FOR WORK O ER THAN DESCRIBED ABOVE. City of Orono � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: b/D"d/b 9 ��,�. PO Box 66 � �,..��,� � Crystal Bay, MN 55323-0066 Date received: // � D �;�� ; -- Received b ,� � T �,�.z �, Street Address: y� �'�, '� ��%>� �ti 2750 Kelley Parkway Plan review fee: t�'kESH g'� Orono, MN 55356 - Total Fee: .�/�9 � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us J' ' 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: ,',;'�> J�� /c.� iZ c( 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 will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFOR,�,ATION: Name: � �'-f�ll .��, ��1�h� ,-t �x�-�,� ��c State License# �' 6��-�;� Expiration Date: 3�� Phone: �i� q�, �6i� (office) (cell) Mailing Address: �-3 � �,.�q ss .ti-� Cit : �,��, z ZIP: ,,�ys�-� ��3 Contact Person: �,,� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER IN�ORMATION: Name: �d,�,f z Phone (day): �ia - g�s- ��30 Address: �� ' 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 ��-roof ❑ Fire Damage www.minnehahacreek.or4 Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ ��c�zj� APPLICANT ACKNOWLEDGEMENT: C��'12 5�� • Agrees to provide all information required or requested by the Building Department; s �-�,y� /l l� • 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 inform tion is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I e inform tio , he a lication ma not be issued. ApplicanYs Signature: Date: �//��CJ . �� Last Updated: 05-04-2009 �— / � P�Gc . I / � � `� E TIME ✓ CITY OF ORONO CALLED IN � �/� INSPECTION NOTICE SCHEDULED / / D//eT PERMIT NO. o��b-b/0�7'� COMPLET�D � ADDRESS o�� OWNER ELEPH NE NO. �Ot'� -3�� CONTRACTOR (J >; DESCRIPTION _�� GI.JGL� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 � J O �. � O � W � Q � Z W � W � � d � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ COR CT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OFDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice