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2014-01146 - roofing
" CITY OF ORONO � 2750 KELLEY PARKWAY * z 0 1 4 - 0 1 1 4 6 * � DATE ISSUED: 10/06/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2220 FRENCH CREEK CIR PIN : 10-117-23-32-0004 LEGAL DESC : FRENCH CREEK : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR VALUATION : $ 20,000.00 NOTE: VALUATION OF PERMIT: $ 20000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OPF INSPECTIONS. (WF,RF,QUIRE 24-48 NOTICE, PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF P[CTURES OR A FINAL INSPECTION MAY NOT BE [SSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THG ROOF IS BEING DONE. ONCF.,WORK IS COMPLETED THE StGNS MUST BE REMOVF,D. APPLICANT �;g ty �r ��,�;;;;�, 339.25 KUHL'S CONTRACTING 275U Ke11ey�Parkw�y ` 10.00 Orono MN .,5356 95� �4.�� 4600 349.25 1515 S STH STREET HOPKINS, MN 55343- ReceiF�t N���: 3.011949 U�:t ii, 2U14 (952)935-9469 349.25 Minnesota State License #: BUIL-BC 195769 KiJHL_�ti i;i)NikA�;TINC; 1NL'� OWNER Previous B�laiice: .UO Per�ui ts FAYFIELD, ROBERT&JEANNE p2014-01146 2z20 FRENCH 339.25 2220 FRENCH CREEK CIR ckEEK CIR WAYZATA, MN 55391 101-3253U Mechanical!tieptic;Qther I'�rmi ts p2U14-01146 2�'�0 FRENCH '.��.GU AGREEMENT AND SWORN STATEMENT cREEK C;Ik 7�he work for which this permit is issued shall be performed accordin�to 101�-�C12U�' the approved plans and specifications,applicable City approvals,and the ��a�' tp 9uv ts S t�Le State Building Code. This permit is for only thc work described and does - - - not grant permission for additional or related work which requires separate i oi21: 3$9.24i permits. All provisions of laws and ordinances governing this rype of work _______________ shall be compied with whether or not specified herein.This permit will �;flP.Ck expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is Cf 12Ck No: 1688 3G9.75 suspended for a period of 180 days at any time after work has commenced. P85'or: The applicant is responsible for assuring all required inspections are KUHL:i CIJN�RAC I I NL'i I NC requested in con ance with the State Building Code.This permit may be revo t an or due cause. 6�� � l �-- �� � ����� Appli nt Permit gnature Date [ssued ��Signature Date CITY OF ORONO ' BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS �O�O Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: a � StreetAddress:' Received by: ti� �� 2750 Kelley Parkway Plan review fee: Orono, MN 55356 lqkESH��� 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: ��,�Q ��Q,� (,�Q�� G�,�� 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 not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: t� �� [,p.�, .�iN'C. State License# �' L�qs'� E iration Date: ��s Phone: cell Z — � _ office Mailing Address: � S 5� Cit : k, ZIP: $'�"3 3 Contact Person: � Applicant is: ontr c / Homeowner (Circle One) Email and/or Fax: �• �c�. tprr� PROPERTY OWNER INFORMATION: Name: Phone (day): �_�y- (�,OO< Address: City: ZIP: Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Descri tion of ro�ect: p 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal& Water Supply ❑ New Construction [�Single Family with Residence ❑Addition attached garage �Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation �r detached garage ❑ Office/Commercial ❑ Private Sewer [�..Other: (specify) (��1(b'a'C" ❑ Multiple Family/Condo ❑ Warehouse ❑ Public ❑ Storage ❑ Public Water ""Any earth movement may also require ❑ Commercial ❑ Other(specify) MCWD review 8�permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (SpeCify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ ��Wv� � ST�tUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2. Type of Construction a. Length (ft.)= Number of bedrooms= ❑ Wood/Frame b. Width (ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached= ❑ Metal ❑ Pole Bldg. c. Basement= Detached= ❑ ICF d. 1 St Story = ❑ On-site Prefab 2. 2"d StOry = ❑ Off-site Prefab f. 'h Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ ❑ Permit A lication ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Minnehaha Creek Watershed District Permit s) ❑ ❑ Plan Review Fee ❑ ❑ Application Escrow&Agreement ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • 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; • Acknowledges the Escrow Agreement is completed and signed; • Understands 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 required by law. If you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: Date: l —/4 /�� Owner's Signature: Date: r ' . ,c:.�... ... .. '�` . . ...__..._ � ss'""��� ae� � . .. - ..^_.. � . i' ' 1 i . . .;,- ..,,.„.. ^- � �� � . _.-. _ _ ... .�, > � ��1��... , ��.±?,;".Y �-w.��w�aa. � $ ' +�`�`Y� W i �. � � V ■!R 11�� a4 � � �i � ��� .. �3z ll�� !� ii� �� �Iti� ��� �- �",� ' ` ,�-ai' s x°a-� ,- �, �,;. � .��, ;�; ,�,.,� .��.� , �� � , � � � � �`r r._ � � - � � � �� ���ss��'� - M ��:�` . s.. .. : "" t�$d���Yf �$ �Y.� P 8���, ` " F...S��� S._ .._�m,.y,...�_ ,� •�, ..,. T�,'_-. 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