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Home My WebLink About2010-01076 - roofing � �►- CITY OF ORONO PERMIT NO.: Zoiaoio�6 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: i UO3/2010 952 249-4600 FAX: 952 249-4616 ' ADDRESS : 80 LUCE LINE RIDGE PIN : 31-118-23-34-0010 LEGAL DESC : PAINTERS CREEK : LOT 008 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-tJNDEFINED VALUATION : $ 40,000.00 NOTE: TEAR OFF REROOF-CEDAR SHAKES APPLICANT pERMIT FEE SCHEDULE 574.25 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 20.00 12366 RIVER RIDGE ROAD BURNSVILLE,MN 55337- MAIL-IN FEE 2.00 (612)861-7000 TOTAL 596.25 Minnesota State License#:20593656 PAID WITH CC# 5206 OWNER TALBOT,KEVIN&GAYLE 80 LUCE L1NE RIDGE MAPLE PLAIN,MN 55359 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 sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become nuli 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 revoked at any time for due cause. ��t� l (� �3� /v ;� Applicant Permitee S'ignature Date / D � O Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � " � � �33'? -��- City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) ^�� Me�7ing Address: pgrmft number: o?D/f>� -6 �� `O�\ Crystal Bay,MN 55323-0066 Oate reoeiv�: I/ b v 1� Sheet Address: Received hy: �� , G� 2750 Kelley Parkwey Plan revlew fee: ��serao4`$ Orono,MN 55956 �~-�_ Totat Fee: ��'�• O�� Main: 952-249�600 Faz: 952-249-461B www.ci.orono.mn.us This applicatlon torm must be compfeted in full and all required information muat be submitted. Inoomplete applicstions will be retumed. (Please print) GENERAL INFORMATIO : � , Job Slte Address: Will this be a Parade of Homes, Remodelers Showcase Home r other Display Home? Yes No N yes,a specia/eve►d pemnY ia►�quhed►wY6 PoUee DePa►tment and City Councll epprova160 dfrys prlor ro fhe event. ShuNe bus servtce ll be raquired uNasa applicenf domot?stretes sufflcier►c on-s�Perkia9�s ava�aDM. Noro-pemrifted�vieMs wdl not ba aHo�+wd. CONT'RACTOR/AP LICANT INF RMA��N: Name: �� State Lkense# Expiration Date: Phone: ` °ffice �� Mailing Address: C' : �J"I, ZIP: Contact Person: ApplkaM is: _ontractor Homeowner �cm�sone) Email andlor Fax: PROPER'TY OWNE IIdFORMATI N: Name: � Phcne(day): - C' :�r Address: ZIP: Email and/or Fax PROJECT INFORMATION: ��p��: Any earth movement may requlre MCWD revlew&parmits ❑Door(s) ❑Remodel ❑Water Damage Minneheha Creek Watershed Disfid(MCWD) ❑Windaw(s) ❑Repair �Sto►m Damage 18202 Minnet�onka BNd Deepheven,MN 55391 (]Siding []R�sficration ❑OtAer.(speafy� Phone: 952-471-0590 Fax: 952-471-0682 �oof ❑Flre Damags www.minnehah creek,o� Oversil Pro ect Description: �- n0 Estlmated Construction Valuatio�of Project luding land) S APPLICANT 4CKN4WLED(3EMENT: . Agrees to provide sll Informalion requited or requested by lhe Building Department; . Certlfles l�at the infonnaden supplled Is true and oorr�ad to the besl of hls/her krw�nAedge• The applicant recognizes that they are solely respon8ible for submlldng a complete applicalian bsing awa►e thet upon fellure lo do so, Me stefF has no alt�emative but to reject it u�al it Is completa; . Some or all of the informetion that you ere asked to provide on Ihis applksNon is Gassified by State �aw as el�er p�iva�e or oonfidenhsl. P�Ivate data Is Infortnation whlch generally cannot be given lo the publlc but can be given to die subJed of the data. ConfideMiel dala Is informatton which generally can�ol be given to elther the public or Ihe subject oi the data. Our purpose end intended use o(lhis inbrmabo� is to snnually update our recoMs and reoords of olher grnremmenta� agendes re uired b law. If refuse to su q�e InMm�adon.lhe iceaon not be issued. A licant's Si nature: ' ��e� � � � PP 9 ��upda�ea: o5-aa-2oos � � .�-.� � `/ ATE O TIME 1� CITY OF ORONO CALLED IN � INSPECTION N IC��D�� SCHEDULED / � PERMIT NO. � COMPLETED _� ADDRESS Gt�! � ��LLf.C/ ��/ OWNER TELEPHONE NO - �v" CONTRACTOR '' DESCRIPTION ry ,`/ /`�Q� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ E AV/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 ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: � W 0. o ��-� (�e s� S�r,�;c� � � 0 � Q ;�� .S �� es� ��-S � �. m Z -- W � W � � � � �VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in ad�ance. (952) 249-46�� OwnedContractor on site: Inspector. /"'��;' S w White Copylinspector's File Canary CopylSite Notfce