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Home My WebLink About2010-00833 - roofing R . . . CITY OF ORONO PERMIT NO.: 2010-00833 2750 KELLEY PARKWAY ORONO, MN 55356- DATE 1ssuEn: 09/13/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2165 NORTH SHORE DR PIN : 15-117-23-22-0001 LEGAL DESC : UNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOF[NG-ASPHALT ACT[VITY : O/S BUILDING-UNDEFINED VALUATION : $ 12,575.00 NO'I'E: TEAR OFF RGROOF-ASPHALT SHINGLES APPLICANT PERMIT FEE SCHEDULE 236.00 ROOF COMPANY NA INC. STATE SURCHARGE(VALUATION) 6.29 5565 QUAM AVE NE ST MICHAEL,MN 55376- TOTAL 242.29 (763)550-0444 Minnesota State License#: 20172153 OWNER The Foley Companies R[NGER, WALTER 4275 NOREX DR CHASKA, MN 55318- AGREEMENT A1vD 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 pecmit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied wi[h whether or not specitied 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 I 80 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 ' e � ue aus � �/ �� / /O %/�� /�� licant Permitee Signature Date Iss d By Signature Date SEPARATE PERM[TS 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: �v/d'd� � �,�,�. PO Box 66 Q Q Crystal Bay, MN 55323-0066 Date received: �� ,� ��N�'"' Received by: s�`.�� , Street Address: �'.�,L �� A" ��ti 2750 Kelley Parkway Plan review fee: �kESH04 Orono, MN 55356 Total Fee: ��, �% 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) GENERAL INFORMATION: / Job Site Address: ��(cs /��L'�� . �Z�,�� ,�� . 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 ill be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLIC�NT INFORMATION: Name: R � , ('-e; /La� State License# 20 Expiration Date: — 2�/ Phone: � —� office cell Mailing Address: � ,S Cit : 5�. /Ll�c u ZIP: S''S 3 7 Contact Person: ;o l� rl �, Applicant is: Contractor / omeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: � Name: S�IC•� C'A'e'pGVS �LC� Phone (day): S'Z- Z7o - ��O �1� Address: .�. 3�� (r,7 City: C��ad� l�c�� ZIP: SS3Z 3 Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑ Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 e-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: �.�,r�,� /,� Estimated Construction Valuation of Project(excluding land) $ I2, S7S: t}c� 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 i rmation, the a lication ma not be issued. ApplicanYs Signature: / � Date: '�J �� / � / Last Updated: 05-04-2009 � �j �/j��v TIME.� CITY F ORONO CALLED IN � INSPECTION NOTICE �� SCHEDULED PERMIT NO�D/O-UD��-, COMPLETED ADDRESS � s v ✓�'`` OWNER TELEPHONE NO. 7�3 �� CONTRACTOR a � � ' >; DESCRIPTION �� lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice —r — ' ` DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �� PERMIT N0. a0/Q —�G�33 COMPLETED ADDRESS a�� /Ud�"� ��P �'Z/ OWNER TELEPHONE NO. 7�� 0��T CONTRACTOR !��" � � DESCRIPTION �� --v�- � ❑ 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 ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � 2 W � W � � � W ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OFiDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on si� ' Inspector. A ^ � + -� White Copyllnspector's File Canary CopylSite Notice