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Home My WebLink About2011-00547 - roofing � CITY OF ORONO PERMIT NO.: 2011-00547 - , 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 06/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 750 NORTH ARM DR PIN : 06-117-23-43-0007 LEGAL DESC : AUDITOR'S SUBD.NO.362 : LOT 005 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTTVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,100.00 APPLICANT pERMIT FEE SCHEDULE 132.75 NELSON ALEXANDER LTD STATE SURCHARGE(VALUATION) 2.55 2051 MELODY HILL RD EXCELSIOR,MN 55331- TOTAL 135.30 (612)790-8232 PAID WITH CC# 0296 Minnesota State License#:20524131 OWNER SCHMITT, WILLIAM 750 NORTH ARM DR MOLJND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 null and void if construction authorized is not commenced within 180 days of the date of issuance,or if conswction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in confor a e with t State Building Code.This permit may be revoked at any ' e � i i � �o i � // Applicant e ignature Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . City of Orono - Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ('/�'"�� / O�v�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: f � �'� � Received b -�� a. Street Address: Y� �' "�� ti� 2750 Kelley Parkway Plan review fee: � t`�Esxo4`� Orono, MN 55356 Total Fee: � 135, �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all �equired information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes,a specia!event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wilf be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: J �Scr, �(��X�V��f' o�`� State License# �� y � 3 l Expiration Date: Lead Certification Number: Expiration Date: (for work on homes fhat were constructed prior fo 1978 Phone: �,f z �C 1 5 1(�J3 (office) _ � z 7qG g z-�'j Z (cell) Mailing Address: �(� ) 4� �'� � City: - C� �, ,Q ZIP: ��5" ` Contact Person: ,, ' ' ,{Jg �� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ' 1 �>, l� iq� �G�"J"� � f� Phone (day): ��z t/7�- 3p3� Address: ��O No r�,� ,,Q•fv✓!, d<i`vr' City: (?�� ,��' ZIP: �� .S�.c�� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review& permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 ,� Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project (excluding land) � , APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her 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 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 agencies re uired b law. If ou refuse to su I the information the a lication ma not be issued. ApplicanYs Signature: — ��, Date: �j ��'/' ' Last Updated: 03-01-2011 '�� i'� DATE / � TIME � CITY OF V1tVNO CALLEDIN ln �v0/ ` INSPECTION OTICE SCHEDULED �1� __�'�� PERMIT NO. -i �i COMPLETED ADDRESS �� - T�t"1^YYl � - OWNER TELEPHONE NO. ��a -��a--� CONTRACTOR >; DESCRIPTION v � � �� ❑ FOOTING ❑ PL BING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL � ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES�NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ IS UE 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 ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cali for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary Copy/Site Notice