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Home My WebLink About2010-00343 - roofing ' � CITY OF ORONO PERMIT IVO.: 2010-00343 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OS/13/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2800 FARVIEW LA PIN : 04-117-23-34-0006 LEGAL DESC : FARVIEW : LOT 003 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING- RUBBER ACTIVITY : O/S BUILDING - UNDEF[NED VALUATION : $ 15,000.00 NO"1'E: "I EAR OFF AND REPLACE EPUM ROOFING APPLICANT PERM[T FEE SCHEDULE 265.50 NYSTROM CONTRACTING STATE SURCHARGE(VALUATION) 7.50 3134 CALIFORN[A ST NE TOTAL 273.00 MINNEAPOLIS, MN 55418- (651)785-8531 Minnesota State License#: 20637628 OWNER KEMP,JEROME 2800 FARVIEW LA LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this pern�it is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 pennits. All provisions of laws and ordinances governing this tppe 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 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State E3uilding Code.This permit may be revo ed at any t e for due cause. " �� v Ap licant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � �o�� , City of Orono M � • Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) _-_-� Mailing Address: Perm it num ber. OZ.o/0-(�' ��,0,j�.��, PO Box 66 0\ Crystal Bay, MN 55323-0066 Date received: ��l � /`' � a ��`� '- �� Received b : ,'„�. �.�' Street Address: y �',�, ° ;'< �� 2750 Kelley Parkway Plan review fee: �qkESH��`'� Orono, MN 55356 �-_- �' Total Fee: d7� v v 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• JobSiteAddress: �,(� c��r VIQ.� �� . Ibvig � �� . V�n►J, ��(o Will this be a Parade of Homes, Remodelers Showcase Home or other splay Home? Yes ❑ No !f yes,a special event permit is required with Police Department and City Council approva/60 days prior to the event. ShuK/e bus servrce will be required un/ess applicant demonstrates su�cient on-sife parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: w� r 0 r o rc�.., � State License# Expiration Date: 3- 3� - �(}�Z Phone: 1 - 31 office cell Mailing Address: C� i � Cit : �s ZIP: $ / Contact Person: �)Q ss 2 Si�nr,K�.�.. Applicant is: on rac or / Homeowner �c��cie one� Email and/or Fax: JeSse,J S�w�.�.sa� e C—w�o��I . Cnkn PROPERTY OWNER INFORMATION: Name: J e_r ry �,,..�,D Phone (daY): � $�. - �/7(0 -02.� Address: � �GO �'a�r� �/►�J l� CitY� Lov�a ��k.Q ZIP: ��,'3S(o Email and/or Fax ►<e,,�� 5 k rS,�eq;�-S � �5�1 . �.o,,,n 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.orq Overall Project Description: '��4r p� ('�.D�a�L EP(�N1 �oo��.A, Estimated Construction Valuation of Project(excluding I nd) $ �5 ('j po,o0 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. ApplicanYs Signature: Date: Last Updated: 05-04-2009 C� DATE TIME � ' '`-' C" CITY OF ORONO '-� CALLED IN -��UT INSPECTION NOTICE `/ SCHEDULED _��1C �.� PERMIT N0. ��/r" C��7�COMPLETED ADDRESS Z � ��' � �a �C 1 E �� n � OWNER TELEPHONE NO. � � �J� �Z�j' � CONTRACTOR CI �c� '- �� 1`';Z c'�Z _ � _ >; DESCRIPTION �' ��L'�� . � �t�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILL�NG�u,( Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS L 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ S T C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W C � � O � � O � W � Q � 2 W � W � � d W� 1 1 ORK SATISFACTORY:PROCEED C� PROJECT COMPLETE W ❑CORRECT 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 WlLL RETUFN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. �c White Copyllnspector's File Canary CopylSite Notice