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Home My WebLink About2011-00466 - roofing CITY OF ORONO PERMIT NO.: 20ll-00466 _ � 2750 KELLEY PARKWAY ' ORONO, MN 55356- �ATE ISSUEn: 06/16/2011 �� 952 249-4600 FAX: 952 249-4616 ADDRESS : 565 FERNDALE RD N PIN : 36-118-23-14-0004 LEGAL DESC : UNPLATTED 36 1 18 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 9,000.00 APPLICANT PERMIT FEE SCHEDULE ]77.00 LADWALK INC. STATE SURCHARGE(VALUATION) 4.50 417 N. PRARIE TOTAL 181.50 LAKE CITY, MN 55041- (651)490-5900 PAID WITH CC# 8451 Minnesota State License#: 20578323 OWNER MARTIN,JERRY&JANICE 565 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit 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 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 180 days of the date of issuance,or if construction is suspended for a period of 80 days at any time after work has commenced. The appl s ons I r uring all required inspections are ti in co o a c i the ate Building Code.This permit may be � i/G/�J� reYoke any e d c us� �� (q , ��, Q�. C� C G�'l'�'c�''I � ��, 4"��, � pplicant Permit � na re Date Issued By Signature Date S TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �. City of Orono � Buifding Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) MailingAddress: Perrnit nurnber: CO �1 � -CC%� �lc O,¢(��O PO Box 66 • Crystal Bay,MN 55323-0066 Date received: �-�% � �� 1 � �, Street Address: Received by: Y- �� 2750 Kelley Parkway Plan review fee: ��ESH04'� Orono, MN 55356 c. Total Fee: 4 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 INFORMATlO • � 1 � � �� / /, � �� /� 5 � 3 y � Job Site Address: �v� �� w b`f7 �II this be a Parade of Homes, Remodelers Showcase Home or o er Display Home? Yes No If yes,a specia!event permif!s required with Police DepaRment and City Counci!approva160 days prior to the event. Shuttle bus service � e required unless appficanf demonsfrates sufficienf on-s'rte parking is available. Non-permitted events wrA not be allowed. CONTRACTOR/APPLIC NT 1NFORMATION: Name: �� State License# Expiration Date: office _ cell Phone: � ZIP: Mailing Address: Cit � Contact Person: . ' Applicant is: �ontractor Nomeowner �cir��e one� Email and/or Fax: - � PROPERTY OWNER INFORMATION: Name: Z Phone (day): - � Cit : .i� ZIP: �� Address: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD revlew 8�permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watetshed 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 e-roof ❑ Fire Damage www minnehahacreek.ora Overall Project Description: � "' Estimated Construction Valuation af Project(excluding land) $ :i• 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 hismer knowfedge. 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 atl 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 informafion 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 govemmental agencies re uired b law. If ou refuse to I the information,fhe a lication ma not Be issued. Q � � Applicant's Signature: Date: Last Updated: 05-04-2009 Z 'd SLO�S9STS9T �UI �liempe, e9�b �0T iT SI u�C �,(/ D TE, r�r TIME � CITY OF ORONO CALLED I /,,/` �' ��'� ' INSPECTION NOTICE SCHEDU��6�'7 �'� PERMIT NO. r�f,'I J ��'� COMPLETED ADDRESS �� Z��(�.,�G OWNER TELEPHONE NO. CONTRACTOR � �- �-�^E_ � DESCRIPTION / � y 7 v�� ` � ❑ FOOTING ❑ PLUMBING FI AL ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE IC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d W,�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W/Q'�ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ OwnerlContractor on site: , r 1 �, Inspector. `. � r-�: � �_, White Copyllnspector's File Canary CopylSite Notice DATE TIME Y CITY OF ORONO CALLED IN INSPECTION NOTICED y�� SCHEDULED PERMIT NO.�O`l� O COMPLETED � ADDRESS � � � re�� e I� OWNER TELEPHONE NO. CONTRACTOR �' � � �'`-J A � � � �Q�" >; DESCRIPTION �� ''� � � ��d�l''� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 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 � � J O � � O � W � Q � Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED r SUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �]CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice