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Home My WebLink About2009-00540 - roofing / � CITY OF ORONO PERMIT NO.: 2009-00540 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 08/3U2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 870 HUNT FARM RD PIN : 30-118-23-44-0004 LEGAL DESC : HUNTINGTON FARM : LOT 001 BLOCK 007 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 20,000.00 NOTE: TEAR OFF/REROOF APPLICANT pERMIT FEE SCHEDULE 339.25 JUAN PORRAS STATE SURCHARGE(VALUATION) 10.00 7521 25TH STREET OAKDALE,MN 5512& TOTAL 349.25 (612)685-1361 Minnesota State License#:20391365 OWNER ARMBRUSTER,DENNI&BRIDGET 870 HUNT FARM RD LONG LAKE,MN 55356 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 assuring all required inspections aze requested in confo with the State Building Code.This permit may be revoked at i r�d c se. Lif' ��L� l � l Q � / � � �� Appl� t Permitee Signature Date Is By Sig ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. a � ,�73v City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) �� Mailing Address: Permit number. g �J� (� ,�\ PO Box 66 �Q �, �� Crystal Bay, MN 55323-0066 Date received: C��J� a �#� ��' Received b �'�� °1 s ��, �," Street Address: Y� `�gE��"�, �� 2750 Kelley Parkway Plan review fee: . 'o4� Orono, MN 55356 — Total Fee: � L,C� �� 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: II i\ Job Site Address: � �� (�t;U`'l� - ��rh'�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes [-}No lf yes, a special event permit is required with Police Department and Ciry Council approva!60 clays prior fo the event. Shuttle bus servrce will be required unless app/icant demonstrates sufficient on-site parking is available. Non-permitted events wil!not be allowed. CONTRACTOR/APPLICANT INF RMATION: Name: '��Q ��,�; State License# Q ( � Expiration Date: Phone: - `�5� office cel I Mailing Address: Cit � ZIP: �_ Contact Person: �,fn Applicant is: Contra to Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER FORMAT N: Name: �Gv� �oq��e(� Phone (day): " " Address: ��0 � • qr�1 City: (Z�j ZIP: �S 3 S{j Email and/or Fax PROJECT INFORMATION: Type of Project: I 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 ❑ Sidi g estoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 e-roof � ❑ Fire Damage i 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 inf r tion, e a lication ma not be issued. ApplicanYs Signature: � C Date: 0 �) � � Last Updated: 05-04-2009 �\ D TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED —�—�p _�� PERMIT NOa?B�b9—Da� D COMPLETED ADDRESS /P��" �-y�� /`�1 OWNER CONTR. f D/'�/2'1-s /Cj �.r TELEPHONE NO. (G�7 l ., DD Yq7/I � DESCRIPTION ` ��L �/ / � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WEfLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVA� Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � ti � Q � 2 W � W � � � ��%�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTiON TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR1MlL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice QDA TIME � CITY OF ORONO CALLED� `�"� � INSPECTION NOTICE SCHEDULED L7 � PERMIT NO�G��Q�s�� COMPLETED ADDRESS �T� ��-1 ��r"� OWNER CONTR.�Dr/�2S TELEPHONE NO. V�� 101� �0 S 13�0 � � DESCRIPTION �� V�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � j d /� _ W� ❑WORK SATISFACTORY:PROCEED /�CpROJECT COMPLETE W ❑CORRECT WORK&PROCEED � ❑ SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. „ White Copyllnspector's File Canary Copy/Site Notice