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Home My WebLink About2010-00853 - roofing � ' CITY OF ORONO PERMIT NO.: 2010-00853 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssUE�: 09/22/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1586 LONG LAKE BLVD PIN : 26-118-23-33-0030 LEGAL DESC : ALBEES LONG LAKE ADDN : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING - LJNDEFINED VALUATION : $ 6,500.00 APPLICANT PERMIT FEE SCHEDULE 147.50 PURPOSE DRIVEN RESTORATION STATE SURCHARGE(VALUATION) 5.00 18334 JOPL[N ST.NW ELK RNER, MN 55330- MISC FEE 0.00 (763)633-4737 TOTAL 152.50 Minnesota State License#: 20636655 OWNER GRONWALL, STEVEN 1586 LONG LAKE BLVD LONG LAKE, MN 55356 AGREEMENT AIVD 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 l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conf rmance with the State Building Code.This permit may be revoked at any ti e for e cause. � �. ' -� i�a il L i � 'pp i nt Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK(3THER THAN DESCRIBED ABOVE. C.•�`„"�-'r' .J � r City of Orono q/rz��o ��;�!�f ��/ � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Add�ess: Permit number: �0�0 -Oo8'S3 O,.g,��.0 PO Box 66 Crystal Bay,MN 55323-0066 Qats received: q � o. Street Address: Received by: �, �.,f` 2750 Kelley Parkway Plan feview fee: ��$ Orono,MN 55356 Main: 952-249-4600 Fax: 952-249-4616 �MNw.Ci arono.mn.us Tot�l Fee: �G�Z, '�'!a This application fo�m must be completed in full and all requi�ed information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: /S$b �-o'h L�ke ✓dl�r�0, Will this be a Parade of Homes, Remodelers Showcase Home o�other Display Home? ❑Yes No 1/y�s,a special evenf permit is required with Polic�Department and C�ty Council appiov�l 60 days pnor to the event. Shuttle bus service will De required un/�ss applicanr demonstrafes sufficient on-sif�p�ricing is available. Non•peimifted events wil!not be allowed. CONTRACTOR/APPLICANT INFORMA710N: , Name: r�� s� �r�ve� s�{��u�(«,., State License# ZO�o3a�eSS Expiration Date: y � I� 3t /l Phone: ��3- 1a3�-'��3� (office) (o�-E31��2�i0S (cel) Mailing Address� 1 33�� S I» s�!� r✓ Cit : l erf�e,r- ZIP: �3'.�0 Contact Person; f ?�.;I I: S Applicant is: ntrad / Nomeowner �Circle One) Email and/or�ax: �� n . ��^ �(�3-�33-� 9�S1 _ PROPERTY aWNER INFORMATION: Name� S�'�'�!E �s�ronbJal ( Phone (day): l2� 5Sr! ��5 Addr�ss: �sg(� �o n r Lc.l�P !�'�- City: Q,Zir,C� ZIP: �'�� Emai1 and/or Fax PROJECT INFORMATION: Type of Project: Any eatth movement may require MCWD review 8 permits ❑ Door(s) ❑ Remodel ❑Water Damage ,_./ Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair �5torm Damage 18202 Minnetonka Blvd �eephaven, MN 55391 ❑Siding ❑ Restoration ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 [6�e-rooF ❑ Fire bamage www.minnehahacreek.orA Overall Project DesCription� Estimated Construction Valuation of Pro��ct(excluding land) $ loSaO = St�/�Ct.P� APPLICANT ACKNOWLEDGEMENT: • Agrees to provida all information required or requested by the Building Department; . Certifies that the information supplied is t�ue and correCt to the best of his/her knowledge. The applicant recagnizes that they are solsly responsible for submitting a complete application being aYvdre that upon fiilure to do so, the staff has no altemaGve 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 eithar 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 a�d 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 bs issued. Applicant's Signature: � �nN ��•��/�s Date: �l��3/(� last Updated: 05-Oa-2009 ti��:a6pd 9Z9b6bZZS6�ol .�pd :wo.a� �Z�60 aZaZ-ZZ-d3S �� D TIME V CITY OF ORONO CALLED IN 9?� INSPECTION OTICE SCHEDULED �� PERMIT NO. 0 O-oa S3 COMPLETED � ADDRESS 15�� 2�D71� �'f°Gz,�:e �L�2� . OWNER TELEPHONE NO. CONTRACTOR P�e .D��ve.� ,C�sr��o,1 � DESCRIPTION TP� �'� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � W 0. � J O � � O � W � Q � 2 W � W � ' � (�� W \�10�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 Owner►Contractor on site: Inspector. _ • White Copylinspector's File Canary CopylSite Notice j t �� ` AATE TIMt / � CITY OF ORONO � CALLED IN `/�' 7 ' a i� INSPECTION NOTICE SCHEDULED r� -�� PERMIT NO.��? p t L �(�C)��'�3connPLETED ADDRESS L� OWNER TELE ONE NO.?�-�a��"�� CONTRACTOR `�-�-r�-��..� �--�-+�'��' � DESCRIPTION � «�� I��C�`L� � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 FINA ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES NO � COMMENTS: � W � o J� , ( �f�c�/� � ��I �'��— a � 0 � W � Q � Z W � W � j /�� GW ❑WORKSATISFACTORY:PROCEED ��-C�1.PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CAII TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnedContractor on site: � Inspector. 6� f� `� White Copyllnspector's File Canary CopylSite Notice