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Home My WebLink About2010-00675 - roofing i ` CITY OF ORONO PERMIT NO.: 2010-00675 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/06/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1800 LAKEVIEW TER PIN : 27-118-23-43-0007 LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN : LOT 003 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 10,000.00 NOTE: TEAR OFF-REROOF APPLICANT pERMIT FEE SCHEDULE 191.75 PLYMOUTH ROOFING& INSULATION STATE SURCHARGE(VALUATION) 5.00 17525 CTY ROAD 24 TOTAL 196.75 PLYMOUTH, MN 55447 (763)473-3397 Minnesota State License#: 5358 OWNER HELGESON, RICHARD&VIRIEAN 1800 LAKEVIEW TER 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 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 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 responsibie for assuring all r uired inspections are requested in conformance with e Sta i ing Code.This permit may be re oket} t a me for d ca se. � / / �/ � / � Applicant Permite ignature Date u By Signature Date SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. � ;�� .� k .�,. PqY� P F �� • � �h[ �.� �� a� �� g � . .n �7 .�.x.j .+Y '� City of Orono Building Permit Application for Internal Work � � z� (windows, doors, siding, re-roof, etc.) �� ' Mailing Address: Q/Q—jj b /�, � �v 0 PO Box 66 Permit number: 7`'7 � t �_ � ,' Q n,� � Crystal Bay, MN 55323-0066 Date received: �(O /� ;� � �� '.` s,� Street Address: Received by: �+' �'� ' q� �� 2750 Kelley Parkway Plan review fee: �� `�kEsxoQ`'� Orono, MN 55356 ,�,( p, �x�' Total Fee: �Y � l(,O,�.� �,', 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: f� T �� ; Job Site Address: g�L% �- L.(�l � '� ` � �� Ct,C E' �.o i�� .Ct_,�'�P i'3-►cv ��5 3 S� � 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 Department and City Council approval 60 days prior to the event. Shuttfe bus service wiN be ;t; required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. �,,..; ;4j CONTRACTOR/APPLICANT INFORMATION: � � ��, ►vame: I�i-YVvl,c�ll�lrt'T�'ob tf'i��` t-�t�„S(.,�lC�.�l. 'C.�� v�c: �'i ,.�.: ;� State License# �3�� Expiration Date: �- 3�—�o Gi �y. Phone: -7� 3-`f7 3�- 3 3 %�7 (office) (��-7I�'-C�-�3� (cell) �. �k Mailing Address: � 7�a.5 �i� /�c�o? `� CitY ��ynnuu�� ZIP: .;5 c�cy 7 �� Contact Person: Ket-�f� ' Applicant is: --e ractor / Homeowner � (CirGe One) ��_' Email and/or Fax: '�� ><;�; �a PROPERTY OWNER INFORMATION: ��' Name: � lC�� — �P`r�� ,; , Phone (day): �j��-�j 3d- 3�{�� Address: ��U�j ��,�; ��C� c�ty:l�c�vlc � ziP: SS ��, �;;:" Email and/or Fax � x.,�-., �$. PROJECT INFORMATION: � T e of Pro'ect: �•:.:; YP 1 Any earth movement may require '. MCWD review&permits �,:{; ❑ Door(s) ❑ Remodel ❑Water Damage � : �� Minnehaha Creek Watershed District(MCWD) �M� ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �':; Deephaven, MN 55391 ;;�;`, ❑ Siding ❑ Restoration ❑ Other. (specify) Phone: 952-471-0590 ��; Re-roof Fax: 952-471-0682 �< � ❑ Fire Damage www.minnehahacreek.orq �� Overall Project Description:'t��2��jZ�� 3�� Sht r�s�e�s� 'S�� f!'te✓� � � ��; Estimated Construction Valuation of Project(excluding land) ��j a� I L ��,r.:.�:, 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; �`�." fi��-� • 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 enerall cannot be iven to the ublic but can be iven to the sub ect of the � �, 9 Y 9� P 9� 1 � ; data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our y�,;; 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,t a I� io a not be issued. �� % �;; ApplicanYs Signature: Date: �l� ��; �. �,�. Last Updated: 05-04-2009 � ��y � � -" � K - ' . �� .,. .. . ... .. .. _... , . .... .:. . �.. ,. � .. . ..........<...... ..,.. . ti:. ...... �. .�.... �_. . .. . ,.. .: ,. :a. >.. .,,w�.,�.,�.sr,:..v.:.�e�,:_...,s_ _�...,.1,aa.s2.�. '4,.�i Y..L`�.z,�:<..._ ..; . ,..lo �_ D TIME v CITY OF ORONO CALLED IN �–� INSPECTION NOTICE SCHEDULED ��–�4 �� PERMIT NO.a��—d��7� COMPLETED ADDRESS �� T�� , OWNER TELEPHONE NO.l��2 7�� 5� CONTRACTOR � �� a DESCRIPTION / C�-�'�✓— � ❑ FOOTING ❑ PLUMBING FiNAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBiNG RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W C � J O �. � O � W � Q � 2 W � W � � W `iNORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE C�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ IPISPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on s' e: � Inspector. � �C White Copyllnspector's File Canary CopylSlte Notice � I � �� DATE TIME V CITY OF ORONO cdLLED IN � t l �-` INSPECTION NOTICE SCHEDULED /�- '� � PERMIT N0. ^ -?'�'�OMPLETED ADDRESS ��% �--�a- �� 1%��(7�� T e rr� OWNER TELEPHONE NO. �Ic�-�7IC�"(�.�, CONTRACTOR ��}'y�(:�U'f-�1 2-�'�1� �: DESCRIPTION � ��U--� �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FIN L ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W 0. � � O � � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT 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. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �' �� White Copyllnspector's File Canary CopylSite Notice