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Home My WebLink About2010-00904 - roofing � ' CITY OF ORONO PERMIT NO.: 2010-00904 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/27/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 525 HUNTER PASS PIN : 25-118-23-31-0006 LEGAL DESC : HUNTER PASS : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILD[NG -UNDEFINED VALUATION : $ 48,466.69 NOTE: TEAR OFF REROOF-CEDAR SHAKES APPLICANT pERMIT FEE SCHEDULE 671.00 ALL SEASON REMODELING&EXTERIORS STATE SURCHARGE(VALUATION) 24.23 17344 PUMA ST.NW TOTAL 695.23 RAMSEY, MN 55303 (612)221-3318 Minnesota State License#: 20388311 � OWNER STOBEL, MARK& SUSAN 525 HUNTER PASS WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT Thc N�ork for��hich this permit is issucd 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 typc of work shall be compied with whether or not speciYied herein."Chis permit will expire and become null and void if construction authorized is not commenced wit in 180 days of t e date of issuance,or if construction is suspend d for eriod of l80 d s at any time after wark has commenced. The ap icant i res nsi for assuring all required inspections are request in c fo ance w�th he State Building Code.This permit may be revoke at j,me or due c se. I � / / � � � /Q Appj� ant ermitee Si ature Date Iss By 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: ��b - ��d O��,�.0 PO Box 66 � � Crystal Bay, MN 55323-0066 Date received: ,� �� Received b '' .,k��, �, Streef Address: y' 's',�, r� y�� ti�' 2750 Kelley Parkway Plan review fee: t`�kEsxo4''� Orono, MN 55356 Total Fee: � /„�5 �3 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: �;a�' ��,.� P�SS 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 Pofice Department and City Council approval 60 days prror to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is availa6le. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: A�� Sc'�t S�r �%w:�c�%.�.� rl-��. GCc State License# �-,�c��i Expiration Date: 3�,� Phone: office cell Mailing Address �.� �{ _ti �� Cit : • q.�, � ZIP: v� Contact Person: �(,t�(r� �G,,acQ.�r Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: � PROPERTY OWNER INFORMATION: Name: �'1�:�k S'�r�l�( Phone (day): Address C'� ,_ , 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: e�✓ S g � '�, � (r� Estimated Construction Valuation of Project xcluding land) $ 6 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 inform tion hich gener Ily cannot be given to either the public or the subject of the data. Our purpose and intended use of t � inf mation is annually update our records and records of other governmental agencies re uired b law. If ou refuse u the ' or tion,the a lication ma not be issued. ApplicanYs Signature: Date: �1�� -iv Last Updated: 05-04-2009 �� C�}0�� 6D TE � TIME ✓ CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED �D-� —GD � PERMIT NO.o�b�� - I�� COMPLETED ADDRESS J�Gi�S �� OWNER TELEPHONE NO.��Z- '7� `�2� CONTRACTOR , ��-��aY�/J � DESCRIPTION C��'l-�u�(.. S`Zt�%�`Z.Q�4 a` �C��'C �,� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 ❑ WARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J � � � � �` � Q S �,c�S � 0 � W � Q � 2 W � W � � a � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDiTlONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-46�� OwnerlConiractor site: Inspector. � White Copyllnspector's File Canary CopylSite Notice