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Home My WebLink About2010-00301 - roofing ` '� CITY OF ORONO PERMIT NO.: 2oiaoo3oi 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 05/04/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1680 NORTH FARM RD PIN : 27-118-23-44-0010 LEGAL DESC : THE FARM AT LONG LAKE : LOT 009 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 22,000.00 NOTE: TEAR OFF AND REROOF HOUSE,BACK PORCH,GARAGE AND BAY WINDOW APPLICANT pERMIT FEE SCHEDULE 368.75 SELA ROOFING&REMODELING,INC. STATE SURCHARGE(VALUATION) 11.00 4100 EXCESIOR BLVD TOTAL 379.75 ST.LOUIS PARK,MN 55416- (952)91�7227 Minnesota State License#:0001050 OWNER KAUFMAN,PHILIP&NICOLE 1680 NORTH FARM RD LONG LAKE,MN 55356- 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 dces • 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 compi with whether or not specified herein.This permit will expire and bec me n d void if consWction authorized is not commenced thin 180 ays of the te of issuance,or if construction is ended f a period o 180 d at y time afte ork as commenced. The a lic t is resp n e as ri all re red ins ctions aze request d confo e wi S e Bui mg Cod his permit may be revoked y ti fo due a / / �/ / Applicant itee Signature Date Issue y Signature Dat SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . �. , City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) MailingAddress: Permitnumber: �� O��,�.0 PO Box 66 Crystal Bay,MN 55323-0066 Date received: �v o-, Street Address: Received by: �',�, �titi 2750 Kelley Parkway Plan review fee: �k�Hog,� Orono,MN 55356 �7 Total Fee: �7�� /� 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. Incomplete applications will be returned. (Please print) GENERAI INFORMATION: / Job Site Address: ��pg� . �/'I�'1 CY Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will 6e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: RF.T.A Rnn�� n,rnri .r - T�s State License# Expiration Date: Phone: (o!�$y3—&0 � , � (cell) Mailing Address: ' � �`' i : ZIP: Contact Person: n� i nt is: ontractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER IJ�FORMATION: Name: �U�c,vl2.. a.� rnan Phone(day): /a— c� a'Z— 3 $� Address: /Gb'D N. �rM �ZCL Clty: D'rrtKD ZIP: SS� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8 permits ❑Door(s) ❑Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd 0 Siding Deephaven, MN 55391 ❑ Restoration ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 �Re-roof ❑ Fire Damage www.minnehahacreek.or4 Overall Project Description: ,�7�,� ,��, �t,e,�,so� ho4st�$�,,c,(c f�r�, �,�►�a.ye �13�.� t,J�„c;(o�.J Estimated Construction Valuation of Project(excluding land) $ o'��y�•° 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: � u� Date: �/3/�� Last Updated: 05-04-2009 �`� �� DATE TIME � CITY OF ORONO CALLED IN � Z-a 1 O INSPECTION NOTICE SCHEDULED S�Z-�I in � PERMIT NO.Z-� � �' �d I COMPLETED ADDRESS � l p�O �J � �� 'Vl ,�LCI. OWNER TELEPHONE NO. �Sa��aI? CONTRACTOR � �� l��f �►'Y�, �; DESCRIPTION �� n � � �f��" � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:_YES NO y COMMENTS: l C '�'� ��I I�2�lI �� '��l2'f' � -�Je o p�T� �- -��t�r'c' .T i�� c /�-�� PG� /� t � '�G-,�'.��5 , -5�, �Y�S ° I�Nt�� i��/�n..� �- J��2 � .S t-o � T3 Q 'R Q v� 3,Q c� c5 fi�c �� Q � � �-�S �c -�� tl.� � f1 r �� ,v . � ��. � t� G.. �� es Cc c�.= r�e ��cs P�-�. � 13�� P t�� ,r�c i4�Pl,c� � � ❑WORKSATISFACTORY:PROCEED �pROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site- Inspector. I . �� White Copyllnspector's File Canary CopylSite Notice I I V 7/ DAT TIME CITY OF RONO CALLED IN INSPECTION NOTICE �{/],�/� SCHEDULED PERMIT NO. �v��v"�./�/ COMPLETED ADDRESS ��O � �a�� ' ► , � OWNER LEPHO E NO�.�"�"J�S�7�'3 CONTRACTOR �- �; DESCRIPTION �L"�w � ❑ 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 O 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � Z W � W � � W ❑WORK SATISFACTORY:PROCEED �Q�ROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: - Inspector. �' White Copyllnspector's File Canary CopylSite Notice