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Home My WebLink About2010-01173 - re-roof � +t � CITY OF ORONO PERMIT NO.: 2010-01173 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuED: 12/02/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 280 HOLLANDER RD PIN : 25-118-23-43-0012 LEGAL DESC : HOLLY ACRES : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 49,777.45 NOTE: JOB IS BEING STARTED ON SATURDAY-CONTRACTOR WAS TOLD TO TAKE PICTURES OF THE ICE AND WATER AND WILLIE WILL GO OUT ON FRIDAY TO VIEW THE SHAKES. APPLICANT PERMIT FEE SCHEDULE 681.75 WESTERN CEDAR SUPPLY,INC. STATE SURCHARGE(VALUATION) 24.89 9700 13TH AVENUE N TOTAL 706.64 PLYMOUTH,MN 55441- (763)541-0304 Minnesota State License#:20155566 OWNER PAYNE,BYRON&JILL 280 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 separate 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 1 SO 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 the State Building Code.This permit may be revoked at any time for due cause. l l �d�i d� /l, Applicant Permitee Signature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , . � 7�� • ` 4 1�--' City of Orono Building Permit Application for Internal Work (windows, doors, si ing, re-roof, etc.) Mailing Address: Permit number: O'b//73 �,�,�. PO Box 66 ' � � 0 Crystal Bay, MN 55323-0066 Date received: � " L Received b a � '' �, Street Address: y� ��,t ° `�� Gti 2750 Kelley Parkway Pian review fee: `�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: Job Site Address: d �.�,p��a-�IC�.Q—Y � � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,a specia/event permit is required with Police Department and City Councrl approva/60 days prior to the event. Shutt/e bus service e required un/ess appficant demonstrates su�cient on-site parking is availabfe. Non-permitted events will not be allowed. CONTRACTOR/APPLICA T INFORM TION: Name: �QS�r Cl �e Cj10�:i� �1,�Pp� �I State License# ''p ,-r�SS lc(�, Expiration Date: Phone: -"') - 03Q office cell Mailing Address: SGI� , 1 C� � ZIP: Contact Person: J o Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: � — — PROPERTY OWNER INFOR TION: Name: �(� � �t�at�_Q� Phone (day): Address: p �C1.nC� �r `Q� City:�.U2� 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: � � S Estimated Construction Valuation of Project(exclu ing 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. Applicant's Signature: �-��`��I� Date: �2-'� � — � V Last Updated: 05-04-2009 DATE TIME ✓ CITY OF ORONO CALLED IN ` 1� INSPECTION NOTICE SCHEDULED PERMIT NO. ��lD"��`7.3 COMPLETED ADDRESS �� C'vn�iL� OWNER TELEPHONE NO. ��Z ��rg asd � CONTRACTOR �d�L �> �r1 C7 >: DESCRIPTION v��-J ' �-�' �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 � ❑ 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 '' ' " � .t� �+ ..� ', r � ,�. , � � '� � - � �1.1 '�..- � - O � W � Q � Z W � W � � d • W E1 WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE � ❑CORRECT WORK&PROCEED n ISSUE CERTIFICATE OF OCCUPANCY W 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor an sit�e: Inspector. _ i ; �t� -�' White Copyllnspector's File Canary Copy/Site Notice C�� / DPyTFy TIME CITY OF ORONO CALLED IN � �� INSPECTION OT�I E / SCHEDULED �- G -C�� PERMIT NO. Q [/ �`/ COMPLETED ADDRESS��,�¢-�[�t/_�`-�t-�� /�-C� OWNER TELEPHONE NO. �l a ��/ �5�7 CONTRACTOR .lt!I P.P�� DESCRIPTION `��-�' � �S � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a j 0 a � 0 � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice , �—� DATE TIME ✓ CITY OF ORONO ao,o- oii�3 CALLED IN / INSPECTION I SCHEDULED PERMIT NO. OMPLETED ADDRESS OWNER TELE HONE NO. CONTRACTOR � >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � 2 w � W � � GW ❑WORK SATISFACTORY:PROCEED .�ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. L�✓ � White Copyllnspector's File Canary CopylSite Notice