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Home My WebLink About2010-00695 - roofing ., CITY OF ORONO PERMIT NO.: 2010-00695 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEn: 08/1 U2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1840 LAKEVIEW TER PIN : 27-118-23-42-0010 LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LINDEFINED VALUATION : $ 5,500.00 APPLICANT pERMIT FEE SCHEDULE 132.75 EXCEPTIONAL HOMES&REMODELING, INC STATE SURCHARGE(VALUATION) 5.00 2890 QUEENSLAND LANE N MAPLE GROVE, MN 55311- TOTAL 137.75 (612)221-5994 PAID WITH CC# 0297 Minnesota State License#: 20626822 OWNER MERNIK,WILLIAM&LISA 1840 LAKEVIEW TER LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEME1vT 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 responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be J revoked at any time for due cause. � f`� `� ��G� � �� _ -:_ ( .%�-� ;�-��;� � �"�- l% --%�; icant Permitee Signature Date Issued By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ,>° ;F�� .� <�� < ' : �F: � , � City of Orono �' �� .�� a 4�kk{� � �: �� Building Permit Application for Internal Work � �� (windows, doors, siding, re-roof, etc.) � Mailing Address: Permit number: ;� g,�—� PO Box 66 � �� \ Crystal Bay, MN 55323-0066 Date received: �� Received by: � a, �,�4,-�,� s, ! StreetAddress: � �' �'�w".a- Gti 2750 Kelley Parkway Plan review fee: �L`�kE,sHo�'M� 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. (P/ease print) �� GENERAL INFORMATION: ',� Job Site Address: %£��' ,�`c��-�- ��—��c � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No � lfyes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be � required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. 's ;,��; CONTRACTOR/APPLICANT INFORMATION: �, Name: ��« ��,n�/ �,-.,�� /�, ��,- � �. � . State License# Za 2.GP Zz Expiration Date: -� 3l i/ � Phone: /Z—Z2��-�5-`l�� (office) 6/Z �z 2-�=5`-`�� (cell) Mailin Address: 7Y�� ac��.�f/s� � g � N Cit My /c_ G��--� ZIP: �-S-.�i� � Contact Person: ��;r ��„�l�-f Applicant is� Contrac r Homeowner (Circle One) _� Email and/or Fax: �'�co�r� -�-s G� ��, cor,-� `� � PROPERTY OWNER INFORMATION: =� Name: �s� � ivf��,�- � Phone (day): '`� Address: ��'�v G.� fr-� ��."._, �T<< City:Cl��o 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: �� :" Estimated Construction Valuation of Project (excluding land) $ .S^�.S�o e� �x. ��' 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 �` �s 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; �:�r • Some or all of the information that you are asked to provide on this application is classified by State law as either private or F'� 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: Date: �1�� 1� �f_ � LastUpdated: 05-04-2009 ��. a �� , �� J � ['^�r�?'�' $ C .,.r, _ . .__ .... �, �_ v. .._. .. ..x..,a ..,.a:..�..'.ut.#:�a4'. _.�...., i4"�A ..w'.�Se._.�n.z,txL.S.�..�..a,'� �-� 1 � DAT. TIME � ` CITY OF ORONO � w (l � � INSPECTION NOTICE,� � (��LED �� '�� `1 PERMITNO. � �IC1 COMPLETED ADDRESS l ��I � I- C�� ' / ..e �`.`� ��.� Y-f. OWNER TELEPHONE NO.�s ��y CONTRACTOR k:��/ C-`7�C� � �: DESCRIPTION ! `-�-�-r U�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FIN� ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES NO � COMMENTS: � W a o l � � � ��','� s C�'-� �� 1�'L� 0 � W � Q � z W � W � _ � a W� f�NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice