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Home My WebLink About2010-00930 - roofing CITY OF ORONO PERMIT NO.: 2oiaoo93o f _ 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISsuEn: 10/04/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 235 HOLLANDER RD PIN : 25-118-23-43-0026 LEGAL DESC : HOLLY ACRES 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 42,500.00 NOTE: TEAR OFF REROOF-CEDAR SHAKES APPLICANT pERMIT FEE SCHEDULE 606.50 LAKEWOODS REMODELING INC. STATE SURCHARGE(VALUATION) 21.25 9001 E.BLOOMINGTON FREEWAY ST TOTAL 627.75 BLOOMINGTON,MN 55420- (952)888-5550 PAID WITH CC# 6395 Minnesota State License#:20443066 OWNER KELSEY,DAVID&CHERYL 235 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 State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate 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 after work has commenced. The applicant is responsible for assurin equired inspections aze requ �n conformance �th the te ilding Code.This permit may be revoke at y time for e cau . � � /D � � D plican itee Si re Date Issue Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono � • Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: a�� ,0,jv. PO Box 66 `�/y /� � ��\ � Crystal Bay, MN 55323-0066 Date received: ��'"�_ I Received by: ,� �'�"� ;,��„ �, I Street Address: '$'E,r � 9" �ti 2750 Kelley Parkway Plan review f� `�kEsxos``'� Orono, MN 55356 (�j� Total Fee: � o�.� 7 S 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: �� S �p ��c,� v� ��r- 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 Depa�tment and City Councif 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: � ►vame: � a �z w��a�l s 1�� e 1 � �� State License# �0¢43o G � Expiration Date: ,3-- 3 �- I� Phone: �S�,- ' S O office cell Mailing Address: pp/ - j Ion� Cit : �•� � � ZIP: Z �" Contact Person: ,S'�� //�, G ' _ � �- �G � licant is: ontracto / Homeowner �c�r�ie o�e� Email and/or Fax: PROPERTY OWNER INFORMATION: Name: fJ�;�� `� Ch�r�, � !�e�5�� i Phone (day): Address: � �S vll�,��t � City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�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.orp Overall Project Description: 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 infor ation,the a lication ma not be issued. r Applicant's Signature: Date: �`��~ �v Last Updated: 05-04-2009 L� / � DAT TIME ✓ CITY OF ORONO CALLED IN /D � INSPECTION TICE �,�[� SCHEDULED / PERMIT NO. ��—d U /""— C MPLETED ADDRESS s `�Q'��J OWNER TELEP NE NO. �� `�`�'/' CONTRACTOR �WdG cQ�d e�7?O —� � DESCRIPTION � �� ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W k � �L�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE \ W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: - Inspector. t A�!_� � � /� � White Copyllnspector's File Canary CopylSite Notice �- � ✓ /OD � / TIME CITY OF ORONO CALLED IN � ^ � --j INSPECTION NOTIC CHEDULED D --1��0� PERMIT NO. � �'d �OMP ETED ADDRESS OWNER ELEP NE NO. � �� CONTRACTOR 0 - � DESCRIPTION �O�]� — itZ-�//�x-I" � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � • � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CANDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnedContractor on site: Inspector. o�0,_�6 ' White Copyllnspector's File Canary CopylSite Notice