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Home My WebLink About2010-00684 - roofing CITY OF ORONO PERMIT NO.: 2010-00684 2750 KELLEY PARKWAY 1 '' ORONO, MN 55356- DATE ISSUED: 08/1 U2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 755 FERNDALE RD N PIN : 36-118-23-11-0028 LEGAL DESC : LYDIARD HILLS : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 48,000.00 NOTE: TEAR OFF CEDAR SHAKES AND REROOF APPLICANT PERMIT FEE SCHEDULE 660.25 LADWALK INC 190 RYAN DR STATE SURCHARGE(VALUATION) ^ 24.00 -- UNIT B TOTAL 684.25 LITTLE CANADA,MN 55117- (651)490-5900 Minnesota State License#: 20578323 OWNER MITHUN,JEANNE 755 FERNDALE RD N WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this pemiit is issued shall be performed according to the approved plans and specifications,applicable City 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 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time fo due cause. _�-11.L.-�. ,/ 1� G�c�l // /070�O � / / Applicant Permitee Signature Date Issued By �g ature - e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � City of Orono �Buiiding Permit Appiication for Internal Work ` (windows, doors, siding, re-roof, etc.) Mailing Address: Petm(t number: �' v� O,�`Q�O PO Bax 66 �O f Crystal Bay, MN 55323-0066 Date received: Received by: 1 Street Address; �/� � 4 2750 Kelley Parkway Plan review fee: `�l w° Orono, MN 55356 � � � , �� 'k�'sx°¢ Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in ful! and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATI N: � �� g I Job Site Address: �' ' � Will this be a Parade of Homes, Remodelers Showcase Home or oth r Display ome? Yes o !i yes, a special event permit is required with Police Department and City Counci!approval 60 days prior to the event. Shuttle bus service !be required unless applicant demonsfrates suiFicient on-site parking is availabfe. Non-permitted events will not be allowed. CONTRACTOR 1 APPLIC�T IN�R�6ATIGON: Name: '� � Expiration Date: State License# cell Phone: (� — ofFice Mailing Address: � Ci : ` ZIP: Contact Person: ' Applicant is: f� " 1 Ho eowner (Circ�e One) Email and/or Fax: — PROPERTY OWNER INFORMATION:^ Name: � / Phone(day): - � . � , Cit : ZIP: , Address: Email and/or Fax PRO.lECT INFORMATION: Any earth movement may require Type of Project: MCWD review S.permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) Storm Dama e 18202 Minnetonka Blvd ❑Window(s) ❑ Repair � 9 Deephaven,MN 55391 ❑ Siding ❑ Restoration ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof ❑ Fire Damage ��^�uw minnehahacreek.orq verall Project Description: � = • � — D Estimated Construction Valuation of Project(excluding land) $ � aU � 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 al{ 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 th's information is to annually update our records and records of other governmental agencies re uired b law. If ou refuse su I the information, the a lication ma not be issued. � � Date: � Applicant's Signature: Last Updated: 05-04-2009 Z 'd SLOfrS9SIS9T oo� �Iempe� d9S �S0 OT �0 qa.� DATE TIME N CITY OF ORONO c� �" INSPECTION NOTICE SCHEDULED ��>_� PERMIT NO. � �� COMPLETED ADDRESS 75� �f`�� f� ' OWNER TELEPHONE NO.�� D� CONTRACTOR L.%2�LUQ�L�1 /�r��'� �: DESCRIPTION �� tl� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 a � � O a � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED �l ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on ite: Inspector_ �,t��j�s'�I�--f White Copyllnspector's File Canary CopylSite Notice L — \ ' �` c,� f DATE TIME , / CITY OF ORONO CALLED IN U ` �� /d �� INSPECTION NOTICE J�J/ SCHEDULED PERMIT NO. �� `�`� F�� OMPLETED ADDRESS OWNER TE E N 0.��0�� CONTRACTO �� >; DESCRIPTION ��N � � � ❑ FOOTING ❑ PLU I FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MEC ANICA RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL AL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION 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 � � � O � � O � W � Q � Z W � W � � d W� ORK SATISFACTORY:PROCEED [� PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 24J-4600 Owner/Contractor on site: r , Inspector. / �� White Copyllnspector's File Canary CopylSite Notice