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From:ALLSTAR CONSTRUCTION 17634796900 04/2712015 10:33 #142 P.002/005 City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structuraf expansion. Only windows, doors, siding, re-roof, etc.} a O�O Mailing Address: Permit number. f PO Box 66 �`�s�� Crystal Bay,MN 55323-0066 Date received: ---�Z�L/� Street Address: Received by: �. � 2750 Kelley Parkway Plan review fee: ' Ft � Orono,MN 55356 RkESHO�� /�, Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and ali required information must be submitted. Incomplete appiications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: 3898 Cherry Ave-Orono, MN-PID- 08-117-23-33-0085 Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? Yes No !f yes,a special event permit is required with Police Department and Clty Council approval 60 days prior to the event. Shuttle bus service will be ; required unless applicant demonstrates su�cient on-site parkirtg is available. Non-permittcrd evonts will not be allowed. ' CON7'RACTOR 1 APPLICANT INFORMATION: Name: Allstar Construction, LLC-5145 Industrial Street, Suite 103-Maple Plain, MN 55359 State License# BC690352 Expiration Date: March 31,2016 Lead Certification Number. NA Expiration Date: (for work on homes that were consfructed prior fo 1978 Phone: (cell} 612-865-8262 (office) 763-479-8700 Mailing Address: 5145 Industrial Street, Suite 103 Ci : le Plain ZIP: 55359 Contact Person: Braden Larson Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: braden@allstartoday.com PROPERTY OWNER INFORMATION: Name: Sean Ennevor Phone(day): 612-306-6212 Address: City: ZIP; Email and/or Fax; PROJECT INFORMATION: Overall ro'ectdescri tion: Type of Project: Any earth movement may also require ❑Door(s) ❑Remodel ❑Fire Damage MCWD review&permits: �}Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 ❑Re-roof,other(specify) ❑Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 0,535.0 -MAI U - GE N T INC. APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information req�ired or requested by the Building Departme�t; • Certifies that the information supplied is true and correct to the best of hislher knowledge. The applicant recognizes that they are sofely responsible for submitting a corttplete application being aware that upon failure to do so,the staff has no atternative 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 generaHy cannot be give�to either the public or the subject of the data. Our purpose and intended use of this informatio is ann Ily update our records and records of other governmental agencies required by law. If au refuse to su 1 the inf lication ma not be issued. ApplicanYs Signature: Dafe: �`��S Owner's Signature: `-aF�. '�`�`t��'-{�`'� �'-°"'tYn'�-�,___ Date: '`f'"'z7�- �S� Last Updated:03/06/2013