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Home My WebLink About2009-00368 - roofing CITY OF ORONO PERMIT NO.: 200�-oo36s ., 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE IssuEn: 07/OU2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 100 LUCE LINE RIDGE PIN : 31-118-23-34-0009 LEGAL DESC : PAINTERS CREEK : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT bl� �l VALUATION : $ 6,600.00 � APPLICANT pERMIT FEE SCHEDULE 147.50 INCLINE ENTERPRISES INC STATE SURCHARGE(VALUATION) 3.30 26175 BIRCH BLLJFF RD TOTAL 150.80 SHOREWOOD,MN 55331 (612)471-9065 Minnesota State License#:20168831 OWNER PASSOW,MR.&MRS. 100 LUCE LINE RIDGE MAPLE PLAIN,MN 55359 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate pertnits. 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 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 revoked y time for du c se. �/ I / �� / / Ap i ant Permitee Signature Date Issued By Si ture e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO � � _ry�t �� . _ -�fr.. � t-d �� S �. �� r a � �� . City of Orono � ;� r`�' '� ^��' � . Building Permit Appiication for Internal Work � � (windows, doors, siding, re-roof, etc.) � Mailing Address: � � �,� PO Box 66 Permit number: � � / \ Crystal Bay, MN 55323-0066 Date received: ' , O �, O� �, �� : a �� . , �, � Street Address: Received by: �'r��< �: �'� �j�, �% 2750 Kelley Parkway Plan review fee: �7 l.�' �� °/ xEsx�- Orono, MN 55356 Total Fee: t ' 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. ,x�� Incomplete applications will be returned. (Please print) � GENERAL INFORMATION: Job Site Address: �� ,�� ' Will this be a Parade of Homes, Remodelers Showcase Ho e or other Display Home? ❑ Yes ❑ No �;_ If yes, a special event permit is required with Police Department and Crty Council approval 60 days prior to the event. Shuttle bus service will tie +f' required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � �. �' CONTRACTOR/A�LICANT INFOR ATION: Name: ��r��. �h�.rpr�'S eS � State License# ZO I l0�83 I Expiration Date: Phone: qSZ-H f-�d��O'$ office) cell =" Mailing Address: G l'7s' $�rch �/u Cit : � �� ,-a,- ZIP: Ss 33 I � Contact Person: Applicant is: rac o / Homeowner (Circle One) ��'I Email and/or Fax: ,£r, , � PROPERTY OWNER NFORMATION: �� Name: �e.�� PGc 5 sow � Phone (day): � Address: /pp �a,��. �,-h„� � c�c,.� City: Q�y�p ZIP: " Email and/or Fax �� PROJECT INFORMATION: '`�:` Type of Project: Any earth movement may require �� MCWD review 8� permits �; ❑ Door(s) ' ❑ Remodel ❑Water Damage l�aF Minnehaha Creek Watershed District(MCWD) �' ❑Window(s) ❑ Repair ❑ Storm Damage , 18202 Minnetonka Blvd �; Deephaven, MN 55391 z� ❑ Siding ❑ Restoration ❑ Other. (specify) Phone: 952-471-0590 'r Fax: 952-471-0682 � �: ,�i�I Re-roof ❑ Fire Damage www.minnehahacreek.ora � ,� �'°! Overall Project Description: -�-,r�r,�-v�� and /'�foo � aSphc�.Q.� �,�' Estimated Construction Valuation of Project(excluding land) $ � � �p� �,� E:' $:t. �� ' APPUCANT ACKNOWLEDGEMENT: ��I . Agrees to provide all information required or requested by the Building Department; � a�� "' • Certifies that the information supplied is true and correct to the best of hislher 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; �, }� ' • 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 generally cannot be given to the public but can be given to the subject of the ''�° data. Confidential data is information which enerall cannot be iven to either the ublic or the sub ect of the data. Our � �� 9 Y 9� P J +�� purpose and intended use of this information is to annually update our records and records of other govemmental agencies _� - re uired b law. If ou refuse to su I the nformation, the a lication ma not be issued. �� `, [ { � �`�� I ,.._ ��—/ D 7 �a ; ApplicanYs Signature: Date: ,.�� ,� � : l Last Updated: 05-04-2009 �.,�� ,+ �s�'� �4�a�p i� � � `�` 'x�k �"'�'>�,�*�s,x`�2�� "� '"�V .�F: _. . .._. _. _.�. :.. ,. .,. _ . �,a__,a.�..��^.�s�.r,"�_..3�� . �� ,;:�.�. i�..,�.��e=� ��`��.r.�w�'a.��:c w.r..��-S'..�r�.,�s.�. � � �.ap/�1 � DAT TIME ✓ CITY OF ORONO iN INSPECTION NOTICE SCHEDULED ,f�°.�D PERMIT NO. COMPLETED ADDRESS �iL LG�C� OWNER_TQ.�IZ1�J �CtSS�I/V CONT . U � TELEPHONENO. � — 7�—��S � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILL�NG Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION �INAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PIUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATIQN/REMOVAL J ,/ WNE ONTRACT OMEETYOU• YES_NO � COM E TS: � �- U Tr� � � �d � � �, � � � /�.�,� � ��,� -�- C1�-�-� Q c� � � 0 °� � l' �.I� t �C �Inc� �eS' � • C S' Q � � �' � c G�e � z W � W � � O W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �ORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WiLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. y � � White Copyllnspector's File Canary CopylSite Notice