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Home My WebLink About2009-00287 - roofing � CITY OF ORONO PERMIT NO.: 2009-00287 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/08/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3409 EASTLAKE ST PIN : OS-117-23-13-0036 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 000 BLOCK 008 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 3,200.00 APPLICANT PERMIT FEE SCHEDULE 103.25 BEDROCK CONSTRUCTION, INC. STATE SURCHARGE(VALUATION) 1.60 17556 36TH AVE N TOTAL 104.85 MAPLE GROVE, MN 55311- (763)923-1 l 14 Minnesota State License#: 20635004 OWNER OVSYANNIKOVA, MR. MIKHAIL& ELENA 3409 EASTLAKE ST 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 specifications,applicable City approvals,and [he 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 l80 days of the date of issuance,or if construction is suspended for a periord,of 180 days at any time after work has commenced. The applicant is{�sponsible for assuring all required inspections are requested in cerYFdrmas�ce with the State Building Code.This permit may be rev�d at grXy tttne for due cause. �j _ ��. �— / �-� �� ;� ��t ��1 ��.. ,--^ ti(_,� l ��l G��C��j ��_- � ��fr� l l Applic�ant'�'ecrtiitee Signature Date � Issued By 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.) ��\ MailiPO Bo r66 . Permit number: , Q� ��, Crystal Bay, MN 55323-0066 Date received: / ° ,T,. I � �; Received b 1� ��'✓,��,-;:;� �, ; Street Address: Y� �'�n '" �� 2750 Kelley Parkway Plan review fee: �'�kEsx�� 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: � r, � ` � ��';r 1�;,�:�- ` ; t ,'_ ' �^ �;:� � i� / Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? �Yes �No /f yes, a special event permit rs required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service I be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICf4NT INFORMATION: � i - Name: 1-_�. �ti. ; <<<".;vi��v ��`�,'� � �� State License# Z.; �-, 1,�;—c::� �, Expiration Date: <�=� ?.� '� Phone: (j L 3 i.�2_�--1 i(�i (office) �lc�,�� i�►�r (cell) F Mailing Address: - - �� -��,� ti� Cit i."�� - ZIP: �;� �� `/ Contact Person: ;: - Applicant is: Contractor�/ Homeowner (Circle One) Email and/or Fax: -re-, .�> p �; � �-"�"l �' ��,, uN ' �`cC>' v�L.i 1 s C.�� ;., PROPERTY OWNER INFORMATION: , �. , Name: � i�- �, �'. � '�'S��,r�, uc��`� Phone (day): Address: �ti� �� c'_�.�;* (t��t� ��, City: � r�� 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.orq Overall Project Description: ,'t.�Cc/� �;{ � �-y /�'�v -r��;� Estimated Construction Valuation of Project(excluding land) $ }Z c-��, ;.��`� 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 infprmatfon,the a lication ma not be issued. Applicant's Signature: � Date: L''?(:� /��jj ��:f��c�� , Last Upaatec 05-0�-?C��= I �� DAT . TIME V CITY OF ORONO ��Eo iN / INSPECTION NOTICEn SCHEDULED (,�' ---�'��9 __�� PERMIT NO. ��;��7 -CX��COMPLETED � ADDRESS �� UR �GL�-f I L�-�� OWNER CONTR.��Z,,p��jL ��f TELEPHONE NO. �� - �- / � DESCRIPTION - � ❑ FOOTING � MECHANICAL RI EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W C � J O >. � O � ti � Q � Z W � W � � a ��RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W t CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR W4LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALI TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contra r Inspector. White Copyllnspector's File Canary CopylSite Notice ✓ DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED y ��.�. PERMIT NO. COMPLETED ADDRESS { �� G� � - C�,� ��Cf -E-�. OWNER CONTR. �� TELEPHONE NO. � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL � WALL BD. ❑ WATER HOOK-UP Z ❑ ❑ SITE INSPECTION Q ❑ FINAI ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTAL . ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SE � ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: Y NO � COMMENTS: r� e') 1 /�U�Y � W a � � O '' � � i t As�J� c� � � �'c ,4 -,�— l�c�� v�n � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK E�PROCEED '=7 ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECQNDITIONWITHIN HOURS. CPHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hour�,in advance. (952� 249-4600 OwnerlContractor on site: Inspector. , � � White Copyllnspector's File Canary CopylSite Notice