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Home My WebLink About2010-00889 - roofing CITY OF ORONO PERMIT NO.: 2010-00889 l "`� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/23/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 225 HOLLANDER RD PIN : 25-118-23-44-0007 LEGAL DESC : HOLLY ACRES 2ND ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOF[NG -CEDAR ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 37,000.00 APPL[CANT PERMIT FEE SCHEDULE 542.00 TIMBERLINE EXTERIORS, INC. STATE SURCHARGE(VALUATION) 18.50 7026 E FISH LAKE ROAD MAPLE GROVE, MN 55311- TOTAL 560.50 (651)329-6916 Minnesota State License#: 20633887 OWNER CLOSE,JILL& LOUIS 225 HOLLANDER RD 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 City approvals,and the S[ate E3uilding Code. This permit is tor only[he work described and does not grant permission for additional or related work which requires separate permi[s. 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 ot�180 days at any time after 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[ime for due cause�!� � ,;, � � � �'� � ` `!l �cG� ;j�- `/ / ' / �� t �f��_� � � �; Applica t Per ee Signatu Date �l �.�"�7�?i�Y_C�'7 / / Issued By S'gnature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono � `o ' Building Permit Application for Internal Work � r �, - '.�' (windows, doors, siding, re-roof, etc.) %� "J� Mailing Address: Permit number. Og,O,�.O PO Box 66 ---- � Crystal Bay, MN 55323-0066 Date received: ��, a j� .�F;�i�, ,, Street Address: Received by: �',�, �� °a" Gti�' 2750 Kelley Parkway Plan review fee: t`�kEsxo4`'� 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 INFORMATION: , j/� G� Job Site Address: � ,�� /�� . Will this be a Parade of Ho sem Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and Ciry Council approval 60 days pnor 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: ��.-vL L�v�-z � � .G''��y�� State License# �bG��3�� Expiration Date: � / Phone: - � � 3- ' "� �. office cell Mailing Address: L�a2 � ,L � � .c. Cit : � � � ��✓vZIP: 5� � ! Contact Persorr: G -�j c L Applicant is: on rac r / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: O � /_� Name: C.i.c��5 �� c�l ��Gl�-�. Phone (day): � — _5 / Address: `� �-� �c..��t/' - Cit : 4t��%�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 (�Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: � � '' `- r� -, � Estimated Construction Valuation of Proj c (ex ding land) $ �/`�� ; l L� 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. Applicant's Signature: % `�� Date: ��j F�,�� v2�/�j Last Updated: 05-04-2009 � DATE TIME � r�i�Y OFjORONO CALLED IN INSPECTION OTICE �J SCHEDULED PERMIT NO. �' 1 COMPLETED l'd ��0 ADDRESS �s�S t-�a l/An c'�P� �C� OWNER TELEPHONE NO. CONTRACTOR � ' M �� /�e �x i• a DESCRIPTION r`�O � 11�i^�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � a � C�n �-,� A c �to C` �� 3�� G,�9 � 1 o �'v l' �C�c��4-1 �'nS �c-�-:d�J o � '' � rt� �1�' d�� '� S ��'�'-�-�^a��. � � � �t -��..1 �1S S u/�..� S �t� �� .�s',�'d�5v �M �'r� Q �'��' ��s 12ooF � � z W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETl1RN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnedContractor on site: Inspector. � /� White Copyllnspector's File Canary CopylSite Notice I � � . DATE TIME v L rITY O:•ORONO �D IN � �U r INSPECTION NOrTIC^E �,]�!} [�. SCHEDULED f L�/�Q --� PERMIT NO..{�l I �(�"l.v7c R 1 COMPLETED ADDRESS a a ��1� �I �1'� � � OWNER TE N.E NO. �.-p� � 3�`�-�'�Y/� CONTRACTOR �; DESCRIPTION ��' '1 � � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA � ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: % � W 4 J � / � O �� >. o � 1 � �� . W � Q . � Z W c � �,• W � L � � d W ❑ SATISFACTORY:PROCEED Cl PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED r ISSUE CERTiFiCATE OF nCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION V BEFORE COVERING ��p� ❑CORRECTUNSAFECONDITIONWITHIN HOURS �� INSPECTOR WILL RETURN � ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECT�ON REQUIRED.CALLTO ARRANGE ACCESS. � %�'„� Call for the next inspection 24 hours __.__.. . . ,. .. . OwnerlContractor o site: � Inspector. t White Copyllnspector's File Canary CopylSite Notice