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Home My WebLink About2011-00493 - roofing � CITY OF ORONO PERM�T �vo.: 2oli-ooa93 2750 KELLEY PARKWAY ORONO, MN 55356- DATE Iss[1ED: 06/28/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1 170 GARDEN CT PIN : 07-117-23-24-0048 LEGAL DESC : WILDHURST WOODS/2 : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -LJNDEFINED VALUATION : $ 13,687.50 APPLICANT PERMIT FEE SCHEDULE 250.75 WEATHERGUARD CONSTRUCT[ON STATE SURCHARGE(VALUATION) 6.84 5641 MEMOR[AL AVE N TOTAL 257.59 STILLWATER, MN 55082- (651)439-4320 Minnesota State License#: 20282484 OWNER SUTTON,THOMAS&JANE 1170 GARDEN CT MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and speci�cations,applicable City approvals,and the State Building Code. 'This permit is for only the work described and docs not grant permission for additional or related work which requires separate permits. AII provisions of laws anJ ordinances governing this type of work shall be compied with whether or no[specified herein.This pennit 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. The applicant is responsible for assuring all required inspections are requested in conformance with ihe S[ate Building Code.This permit may be revoked at time for due cause. �� J �.E��%-�'.r''�� !� �� ,-,c�� ' _��i_�� / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , �-�- �� ,,�� w'� �� ;��- ��y ��ec K, ;� �� ,��, I ��- �.� � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Marling Address: Permit humber. O.¢,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: ,� z;, �, Street Address: Received by: '�,E, � . Gti 2750 Kelley Parkway Plan review fee: L9xEgH0�`'� Orono, MN 55356 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 INFORMATIO�: Job Site Address: � 1� � f�✓1 C � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service !1 be required unless applicant demonstrates su�cient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: L ��'?�� 1 '� �C�'� ��'�";VC.�i� ��C,. � State License# ��j�� , � Expiration Date: _3 ;3 J 13 Phone: � � -�-f,��f � �1 � office cell Mailing Address: (�,� 1 -� �� ` � Ci : ZIP: (; Contact Person: jcv Applicant is: Contractor / Homeowner (CircleOne) Email and/o Fax1 �,51 - 351 - �C3 � PROPERTY OWNER INFORMATION: Name: �C'►'11_�S- ►'1 Phone (day): C�;� �t��a - ��3 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) ❑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.orq Overall Project Description: ��`�� - � �� c. �G'ti Estimated Construction Valuation of Project(excluding land) $ �, �" 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. � ApplicanYsSignature: �� - � — Date: � I ��I �� Last Updated: 05-04-2009 / � --7 � � �� '��1 DATE TIME "�-1":. � �� ' � /� � CITY OF ORONO (,� CALLED IN INSPECTION NOTICE scHEou�E� __L��t� PERMIT NO. �C�l I - (?U4C1'3 COMPLETED ADDRESS��J � ��^ �� .� ,/�, i . OWNER TELEPHONE NO.��l —Y��—y�� CONTRACTOR �� n�i�t�CL �: DESCRIPTION .1�EGp_.�t -C% � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � ❑ 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 ❑ SEPTI FINA ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTORi T_ O MEET YOU:�YES�NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � a ►u,�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � .. W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ iNSPECTION REOUIRED.CALLTO 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 �� DATE TIME v CITY OF ORONO CALLED IN � INSPECTION TJ E C� 2 SCHEDULED � PERMIT NO. r 6 ✓ COMPLETED ADDRESS II �O ��-� C�� OWNER TELEPHONE N .�� t"�� `f'��-0 CONTRACTOR (� �� >; DESCRIPTION ��v�a� 2ao-� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR `J CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: / Inspector. . L%��, White Copyllnspector's File Canary CopylSite Notice