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Home My WebLink About2010-00995 - roofing � - � CITY OF ORONO PERMIT NO.: 2oiaoo99s 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/14/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 135 LUCE LINE RIDGE PIN : 31-118-23-34-0007 LEGAL DESC : PAINTERS CREEK : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 24,000.00 NOTE: TEAR OFF REROOF APPLICANT pERMIT FEE SCHEDULE 398.25 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 12.00 12366 RIVER RIDGE ROAD TOTAL 410.25 BURNSVILLE,MN 55337- (612)861-7000 PAID WITH CC# 5206 Minnesota State License#:20593656 OWNER ANDERSON,DAVID 135 LUCE LINE 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 Ciry 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 pemtits. 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 revoked at any time for due cause. � ) /�� /�i/v � /o� /�� /D Applicant Permitee Sig a ure Date `� By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � �o� # 133� �N � City of Orono Building Permit Application for Internal Work (windows, doo�s, siding, re-roof, atc.) _� Maifir►g Address: PermiC number: '� 9 ��j:�,. PO 9ox 66 � ,• Q� Crystal Bay, MN 5532�0066 Dale rocelved: � / � a srre��Add�ss: aece�ed ny: �'�t, � �� 2750 Kelley Pa�fcway Plan review fea- �� Orono, MN 55358 ,:,,�c�efvo� 7`! a � ��-'�- Tolal Fee: Maln: 952-249-4600 Fax: 852-248-4816 www,ci,orono.mn.us This application form must be completed in full and all requlred information must be submitted. Incomplete appllcatlona wlll be returned. (Please print) GENERAL INFORMATION: �C Job Slte Address: �� L��. Gv�c.� i� E Will this be a Parade of Momes, Remodeler5 ShowCase Hvme o�other Display Home? Yes No 1/yos,e apecls/avent permit is�equired with Police Depe�tment end City Councll approval BO dsys prior ro the ev�nt ShutHa bue sarvice wlll be �qWrod unleas epplice►rt demonatiates suil7ciant on-site perking Is avallable. Non-permitted events will rrot be allowe0_ CONTRACTOR! PLICANT INF RM TION: Name: \ S n 5tats Lfcense# Expiretion Date: � Phone: _ office c�ll Mailing Address: � Ci ; ZIP: Contact Per6on: � Appticant i r / HomeOwne� IClrol.oe.) Email and/or Fax: PROPERTY OWNER INF RM 710 : Name: Phone(day): 5 - 0 rr Address: („ r�, � t Ci : ZIP: �7"J Email an�/or Fax PROJECT INFORMATION: Type of ProJect: Any eartn movement may requlre ❑ poo�(s) ❑Rematlel MCWD review 8,permlta ❑Water Damege ❑Windo s Mlnnehehe Creek Watershed Dlatrict(MCWD) w( ) ❑ Repair ❑Storm D�mage 'tB202 Minneto�ka Blvd Q�ephaven, MN 55391 ❑Siding ❑Restoration ❑Other: (sp�cify) Phone: 952�471-0590 Fax: 952-471-0682 Re-roof ❑ Fire bamage www.mi e ahacre k,or Overall Pro ect Descri ion: �,- � Estlmated Construction Valua�lon of P ct(�cludin land) $ � � APPLICANT ACKNOWLEDG�MENT: • Agrees bo provlde all Informetion►equired or reQuesled by the Building Qepartrnent; • Certifies lhat Ute Infortnatlon supplied is true a�d comect to the best of hls/her knovvledge. The �ppl�ant recognizes�at they ere Boleiy responsible for swbmitti�g a complete epplication being aware that upon failure to do sa, Ihe staffi has no allemedve but to rejed Il untll It 16 Complete; • Snme or all of dte ir�fom�aNati Ihat ycu are asked to provide on thla application is Gasstfled by 3tale law as eilher privats or oonfldendel. Priv�te dala is infonrtaUon whlch �enerally r,annot be gh►en to the publlc but can be given to the eub]ect of the deta. Gor�idenGal data Is Iniormetlon wl�ich genarapy cannot be given bo either the puDllc o� the sub�ecl of the data. Our putpose and Intended use of this infom�aUon Is to annually update our records and reoorde of other govemmentel agenclee uired law, If u refuse to su Ih�information.the e lc�tion ma not be Issued_ Applicant's Signature: Date: ` �a�u��8d: og-a-zoos �� D�`TE, TIME � ITY F ORONO ��CALLED IN Il/�/��'' C � INSPECTION NOTIC^E /� /j SCHEDULED �/ PERMIT NO. �Q��/ ',JD�`7� COMPL T.ED �— ADDRESS f ��[ C �"-C' ��`�/�P__.��4/c�'e OWNER TELEPHONE NO. l✓� � l–� O CONTRACTOR �7YY`� , >; DESCRIPTION � T�C�. � � ��_Lr..? � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLIN Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 ❑ SEPTI, INAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEETjYOU: � YES_NO / � COMMENTS: � W a � J O '' �X � � !� S r L�.� � 0 � Q � ��Q � '� G� ��'��,:��-}- � z W � W � � GW VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: � inspector. �-/ �` / - White Copyllnspector's File Canary CopylSite Notice DATE TIME `� CITY OF ORONO CALLED IN INSPECTION nNOTICE 9�CHEDULED PERMIT NO.9��D "C/ro�`" COMPLETED �� ADDRESS l 3 S L �c� l t N Q OWNER TELEPHONE NO. CONTRACTOR S ' �a� a DESCRIPTION � i /\./ �'1 ` �O`�t'i•-• � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILL�NG 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O >. � O � W � Q � 2 W � W � � W ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� Owner/Contractor on site• Inspector. � a 1 �� White Copyllnspector's File Canary CopylSite Notice