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Home My WebLink About2010-01034 - roofing � CITY OF ORONO PERMIT NO.: 2010-01034 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE �ssUEn: 10/20/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 395 FERNDALE RD N PIN : 36-118-23-41-0001 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 45,000.00 NOTt�,: "I F,AR OFt�RGR003�-CEDAR APPLICANT PERMIT FEE SCHEDULE 628.00 THOMAS BREN HOMES STATE SURCHARGE(VALUATION) 22.50 2073 WAYZATA BLVD. W. #50 WAYZATA, MN 55391 TOTAL 650.50 (952)475-6777 Minnesota State License#: 20128144 OWNER TOPOUSIS, DAMIN& ROSEMARIE 395 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specitications,applicable City approvals,and the State[3uilding Code. This pennit is for only the work described and does not grant permission Yor additional or related work which requires separate permits. All provisions of laws and ordinances governing this type o1'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 180 days at any time after work has commenced. Thc applicant is responsible for assuring all required inspections are rcquested in conformance with the State Building Code.This permit may be revo� at any�ft�'�e for due ca se. ��./� /'2.,/L ��l ��l �� i i Applicant Permitee Signature Date Issued 13y nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRBED ABO . � City of Orono � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �� ✓�' �,�,�. PO Box 66 Q �\ O Crystal Bay, MN 55323-0066 Date received: l b ��d �;��. I a '" 4��, �, Street Address: Received by: �'.�, 9� Gti 2750 Kelley Parkway Plan review fee: �9kESH0�`'� Orono, MN 55356 Total Fee: (�..5��5� 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: �� F�p_,��,£ ,f'�D, ,cl: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes [L�-f�o If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will6e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: i 6'/��1r�3 i� ,�c F�.S . .uC� State License# ,;2ola��f Expiration Date: 3 3l !/ Phone: �,�'z- �7f- (,-?7? (office) (o�2-7S�,- �'/!o (cell) Mailing Address: Zo 3 � w /.��.G'.fI Cit : ZIP: Contact Person: � Applicant is: ontracto / Homeowner (Circle One) Email and/or Fax: �`,�� -�,�� u,�- �� PROPERTY OWNER INFORMATION: Name: JT,¢�Zi,�,�,• �,�JaC�.s�J Phone (day): Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) [t]�Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 ,�,/ Fax: 952-471-0682 U✓ Ke-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �fr'f� ('p.cP,2t 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: � . D"�--� Date: Q Zv D Last Updated: 05-04-2009 � DAT TIME CITY OF ORONO CALLED IN l�� INSPECTION NOTICE (,� SCHEDULED ' -<D _��.� PERMIT NO.aD/D ��lQ�/ COMPLETED ADDRESS 345 ��/"nda.-�c ,�✓ � OWNER TELEPHONE NO. 7� �7Q S7�D CONTRACTOR ��ll�T�Y� � DESCRIPTION �� /�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o ' � - ' ✓��S �/V �i'�� O � r.�._. !� ? r '> -``� t.� r-- �l �'i c J �4.�� r W . ' � •1 Q � 2 W � W � � GW ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. � /� �� White Copyllnspector's File Canary CopylSite Notice ��G//� " — D TIME V r CITY OF ORONO CALLED IN �D �� INSPECTIONn�q TICE SCHEDULED lD'ZZ-/� � PERMIT NO. o��lD'�D�Q��COMPLETED ADDRESS 3 9S � /�� OWNER TELEPHONE NO. �lZ Z� �ZZ� CONTRACTOR �Q� �� >; DESCRIPTION �� ` /�� "� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ 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 C � . ;�>.='^t � t� ��~ .:� f�s l�if,� o {- a � 0 � W � Q � Z W � W � � GW�KSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. �.�� _�`�� White Copyllnspector's File Canary Copy/Site Notice