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Home My WebLink About2010-00389 - roofing � CITY OF ORONO PERMIT NO.: 2010-00389 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUE�: OS/26/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3060 FARVIEW LA PIN : 04-117-23-34-0014 LEGAL DESC : FARVIEW : LOT 004 BLOCK 002 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,000.00 NOTE: THE MISCELLANEOUS FEE IS DUE TO WORK BGING S"1'AR"1'ED WITHOUT PERMI"I'. APPLICANT PERMIT FEE SCHEDULE 162.25 JEFF MCCALL CONSTRUCTION STATE SURCHARGE(VALUATION) 4.00 3920 HILLCREST WAY WAYZATA, MN 55391- MISC FEE 162.25 (612)718-4345 TOTAL 328.50 Minnesota State License#: 5858 OWNER V HAFSTAD, B FLYGENRING& 3060 FARVIEW LA LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding 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 goveming this type of work shal)be compied with whether or not specitied herein."I�his 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 res onsible for assuring all required inspec[ions are requested in co orman e with the State Building Code.This permit may be i revoked ny im�for use. � � S �2{n /?�� o � �� Appli mi Signa e Date � � Issuc, Signature Date SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. . • � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 1��b0 /g,�,� PO Box 66 /Q k\ O 1 Crystal Bay, MN 55323-0066 Date received: � ,� � ��#� Received b � 1��;� �, I Street Address: Y� �'�n � '' Gti�' 2750 Kelley Parkway Plan review fee: t�'kESH04'� Orono, MN 55356 Total Fee: �j� g� 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: 3o coc� �Azv��w l� . Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No /f yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wil!be required unless applicant demonstrates sufficient on-site parking is avaifable. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �'�.E� v1��e-�.a.1.1 C-'6 rr , (� . State License# g5�6 Expiration Date: 3 Z Phone: �,�Z - ?1�- �3 S (office) (cell) Mailing Address: �s �1zo -�,a-,�_�__�� A Cit : � u.—�. ZIP: 'SS31, Contact Person: �� Applicant � . Contrac Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: --��-F S-cr.� Phone (day): �� z� �ia •�z�-z- Address: �o cao �-A�,.�;;� City: o H.-.�N � 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: Estimated Construction Valuation of Project(excluding land) $ ga�� ! 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 informa ' n, the lic tion ma not be issued. , Applicant's Signature: Date: S zco 2�� Last Updated: 05-04-2009 i �r D TIME V CITY OF ORONO ALLED IN � INSPECTION NOTICE SCHEDULED --� � PERMIT NO.c�BI�} D63C�`� t� �' r COMPLETED ADDRESS �D� �T�U��-� (� OWNER . TELEPHONE NO. �`Z 7l� �� CONTRACTOR �� -�-� �: DESCRIPTION �`/(.� �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � � d W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContr o Inspector. White Copyllnspector's File Canary CopylSite Notice