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Home My WebLink About2010-01094 - roofing CITY OF ORONO PERMIT NO.: 2010-01094 2750 KELLEY PARKWAY ,,,. ORONO, MN 55356- DATE ISSUED: 1 U12/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3600 LNINGSTON AVE PIN : 17-117-23-34-0026 LEGAL DESC : NAVARRO : LOT 004 BLOCK 001 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BU[LD[NG -LINDEF[NED VALUATION : $ 4,400.00 NO"I'E: T�AR OFF RH;ROOF APPLICANT PERMIT FEE SCHEDULE 118.00 SCHAUER CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 8693 7TH STREET GLENCOE, MN 55336- TOTAL 123.00 (612)655-1379 Minnesota State License#: 2033123 OWNER GRIMM, MARIE 3600 LIVINGSTON AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT "rhe work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and does not grant pennission 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 specitied 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 requesl�d in conformance with the State Building Code.This permit may be �� t a time f�d e cause. � �^ revoked� �� :7� � V ��( � �� "1 /�-�� Ccz�� AppNcant Permitee Sign re Date Issued By Signat re Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. Nov 08 10 10:12a Phillip Goettl 3208644084 p.1 City of Orono r . Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Ma�lingAddress: permitnumber: �7/d'd/� '�1 O•¢,Q,�.O PO Box 66 Crys�a! Bay,MN 55323-0066 Date received: �� O StnaatAddress: Received by: � 2750 Kelley Parkway Plan re�iew fee: ��° Orono,MN 5535B � Total Fee: /� � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This applicat�on form must be completed in full and all requirecf information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: C� . ��1 v'e Wi�l this be a Parade of Eiomes, Remodelers Sh case Home or other Display Home? Yes No If yes,a speclal evient permit ia required with Police Department and CityCouncil approvaf 60 days prior to the evenL Shutde 6us service will be r�quired unless appJicant demonsfralss su�cient on-site parking is avai/able. Non-permiKed events will not be a!lowed. CONTRACTOR/APPLICANT INFORMATION: Name: -��' 1�,� ('�,t��frc•r._��.� State License# aU�,3 i�...� Expirafion Date: 3 -/—/� Phone: (�%� !'�5�t 3 7� (office) -� (cell) Mailing Address: w�i?� � Ci : ;,/r;.,;�� ZIP: ;��"� � Cont�t Person: '� Applicant is: ractor � Homeowner �c��ie one� Email and/or Fax: �1��,�,�p �. e•r. o�►'� �: �� 4�`,� 5��i'� --� fi�� PROPERTY OWNER INFORMATION: Name: f/�,^,r,f �r� �v►�Yl Phone(day): �'�— U v r� Address: 3(0`� L,_uin.�y�-o�� -t- City: �h5,rl c�' ZIP: �5 J� Email andlor Fax PROJECT 1NFORMATION: Type�f Projeet: My earth movement may require MCWD review S permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑Stortn Damage 18202 Minnetonka Blvd Deephaven,MN 55391 ❑ Siding ❑ Restoration ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 e-roof ❑ Fire Damage vr�vw.minnehahacreek.or4 Overall Pro�ect Desc�iption: Estimated Constructiort Yaluation of Project(excle�ding land) $ �-J�F�t% ,�% APPLICANT ACKNOWLEDGEMENT: • Agr�ees to provide all information required a requested by the Building Department; • Cefifies that the i�ormation supplied �, true and coRect to the best of his/her knowledge. The applicant recognizes that they ar�e solely responsibfe for submitting a complete application being aware that upon failure to do so, the stafF has no altemative but ta rejed ik until it is complete; • Some or alf of the information that you are asked to provide on this application is class'rfied by State law as either private or corfiden6al. Private data is iniom�ation which generalty cannot be given to the public bui cao be given to the subject of the data. Confidential daCa 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 agenaes r uired b law. If ou refuse to the inform ion t a licatiom m �ot be issued. Applicar�Ys Signature: Date: / � � '"l� � �� "n" �' /►'1 � c/ DATE/ TIME CITY OF ORONO CALLED IN / � � INSPECTION OTICE '/ SCHEDULED � �j PERMIT NO.�d/��D/�'1 T COMPLETED- / �► _,C�L� • ADDRESS DO S/v�1 OWNER TEL HONE NO.��Z-��'379 CONTRACTOR e r �. � / >; DESCRIPTION ��-- �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � O � � O � W � Q � Z W � W � � W�VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W�❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOH REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra r site: Inspector. White Copyllnspector's File Canary CopylSite Notice