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Home My WebLink About2010-00550 - roofing r , CITY OF ORONO PERMIT NO.: 2010-00550 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 07/06/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1055 FERNDALE RD W PIN : 02-117-23-43-0029 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 45,000.00 NOTE: REROOF RESTORATION-CEDAR SHAKE ROOF APPLICANT PERMIT FEE SCHEDULE 628.00 TIMBERLINE ROOFING& SIDING STATE SURCHARGE(VALUATION) 22.50 5051 HIGHWAY SEVEN SUITE 270 TOTAL 650.50 MINNEAPOLIS, MN 5541(r PAID WITH CC# 8302 (612)363-6158 OWNER MCCOURTNEY, GERALD& KAREN 1055 FERNDALE RD W WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. 'Chis 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 ofwork shall be compied with whcther or not specified herein.7'his permit will expire and become null d void if construction authorized is no[ commenced within 1 ays of the da[e of issuance,or if construction is suspended for a p io of 180 days at any[ime afrer work has commenced. The applicant i e for assuring all required inspections are requested i n r ce with the State Building Code.This permit may be revoked at n ue cause. i � il� i i /C� cant P itee Signature Date Is y Signature Date SEPARATE PERM[TS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. r . City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: pz0/C�—�SS—b 4v�,� PO Box 66 � . 0 Crystal Bay, MN 55323-0066 Date received: ��/O � � 4:;.;�, s, Street Address: Received by: �'� " x�� ti 2750 Kelley Parkway Plan review fee� L9kESH04'� Orono, MN 55356 ��O/�� Total Fee: 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: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will nof be allowed. CONTRACTOR/ PPLICANT INFORMATION: ��ti l��F�a.�,..� Name: v •c�n an eY tl �}' �n., f ��.a. o � t� Si�,� State License# 20l�3 !Z�!y Expiration ate: Phone: IO/Z 3l�3 Co��"�' (office) q,�'Z �2G /9ia (cell) MailingAddress: ,5os/ l-{��g,G�,,,G�� s�,/� Z7� City: �1pGS' ZIP: S',S'y�6 Contact Person: G o�e.� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: �.UOah co �,•Hfo.er/.� dyili, �� PROPERTY OWNER INFORMATION: Name: �e,r�r-y �t GGi�C�. Phone (day): Z. Zp Address: �o.SS �PrN�Po/�� G✓ • City: W��Za�� ZIP: sS��'/ 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) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding �Restoration ❑ Other: (specify) Phone: 952-471-0590 �Re-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ � � pvp 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 gene y cannot be given to either the public or the subject of the data. Our purpose and intended use of this information i o nnually update our records and records of other governmental agencies re uired b law. If ou refuse to su I the i r io lication ma not be issued. ApplicanYs Signature: Date: � � ` � /v Last Updated: 05-04-2009 v � D TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED � !� PERMIT NO�� a''"�� co PLETED ADDRESS �OSS �7�%�=�"� OWNER TELEPHO NO. '9 �/'�1�0 CONTRACTOR� . ✓�� >; DESCRIPTION ��C�K.l�c/�.- � .� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FI NG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT � ❑ 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 � J O a � O � W � Q � Z W � W � � d W� {,�'�IJORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C: ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� Owner/Contractor on site: Inspector. � � White Copylinspector's File Canary Copy/Site Notice � J� `�/r� DATE TIME v CITY OF ORONO CALLED IN � �'-- INSPECTION NOTICE SCHEDULED — � PERMITNO.o2b`D-OGSS� COMPLETED ADDRESS �DSS ��'n��-� � W OWNER TELEPHONE NO.� �� 3 6�s� CONTRACTOR �V►'�,�'P�t'�(�Q >; DESCRIPTION 0��'Q �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETUFN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on si : Inspector. � White Copyllnspector's File Canary CopylSite Notice