The URL can be used to link to this page

Home My WebLink About2010-00357 - roofing CITY OF ORONO PERMIT NO.: 2010-00357 � ' ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE 1SSUEu: 05/17/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1650 SHADYWOOD RD PIN : 17-117-23-21-0014 LEGAL DESC : SHADY-WOOD : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTN[TY : O/S BUILDING -UNDEFINED VALUATION : $ 25,000.00 NOTE: TEAR OFF REROOF — �LSO SI,�1 i�(C� os/,�/ � APPLICANT PERMIT FEE SCHEDULE 413.00 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 12.50 5145 INDUSTRIAL ST SUITE 103 TOTAL 425.50 MAPLE PLAIN, MN 55359 (763)479-8700 Minnesota State License#: 20631574 OWNER KREISLER,JERROLD&BARBARA 1650 SHADYWOOD RD WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to Ihe approved plans and specifications,applicable City approvals,and the State E3uilding Code. This permit is for only the wark described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with 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]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 time for due cause. ,�- �' l ,FII� �.�yL(-1-�� /-7/ /� Ap � nt Permitee ig ure Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � -•� ., , ,4.: r�ras,'c � „++�..�.�,.,q(:�r F'� .�"'�.�., y� R�,�ic f', �� #"ih t�;� 3_r�t`' .,.�� 3� it 4� � � ' _ ��i' �� .�t r�k {� R"�s.�'��iy '� �f� '� .u�'�Y°8h.M ,�, . a.� _ .,�a rv��a: k ,�z�. _�"' �.�.� � �� City of Orono . . �:: Building Permit Application for Internal Work � � (windows, doors, siding, re-roof, etc.) � � ;� ti.. ' Mailing Address: Permit number: ��O— ��J� � #�` �0,� PO Box 66 � `: '�' � k\ Q Crystal Bay, MN 55323-0066 Date received: ��/ /O �� ,-� �`�,c�., . � r.�w� a ��`�'� ��-�+;,, �, �� Street Address: Received by: �'„', �'� 4 �q� �ti 2750 Kelley Parkway Plan review fee: // t`�kEsxot''� Orono, MN 55356 �I T �:� � �� U � Total Fee: �j 5� ��f 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: �,-L ; ,��, � �, � � ��,' Will this be a Parade of Homes, Remodelers Showca e 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 be r��y� requrred unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. �. CONTRACTOR/APPLI A JT INFORMATION: ;� �r: Name: '�-� ��.S�riv�ra✓r � �� State License# Expiration Date: � Z �;�� Phone: - �7 -8?ad office cell �' � Mailing Address: /� y� Cit : �'�, ZIP: �- � : Contact Person: �, � Applicant is: ontra to' / Homeowner (Circle One) �= Email and/or Fax: � �-�; -� � � y7y- ��oo �; PROPERTY OWNER INFORMATION: �; Name: �h�✓r� �/'�� Phone (day): � - _ �-� � _ — ' Address: � - ,, � Cit : n-�� ZIP: � �'� Email and/or Fax s� � , >. �F ' `` PROJECT INFORMATION: �� a"Y Type of Project: Any earth movement may require � MCWD review&permits �� ❑ Door(s) �Remodel ❑Water Damage ��tn; Minnehaha Creek Watershed District(MCWD) � ��, ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � �; � Deephaven, MN 55391 � � Siding ❑ Restoration ❑ Other. (specify) Phone: 952-471-0590 �;t �. Fax: 952-471-0682 � � , Re-roof ❑ Fire Damage www.minnehahacreek.orq � �'� O erall Project Description: �,t; Estimated Construction Valuation of Project(excluding land) $ � /�(`� c� k` T�` 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 recogni2es 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; �y., �4�. • Some or all of the information that you are asked to provide on this application is classified by State law as either private or ��;,: r 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. � �� s ` Applicant's Signature: Date: � >��a �v� �� i� � ,j� � �`f Last Updated: 05-04-2009 � � �� <� ; x '� � x 6 i ' M1�v_ . ry d. ''3 €3'S ,.N A��'�'�,&�m�. �� 2. :': c. - . ...,,�...,eiat:.d.�zsii�e..a.e...,..vC�aa�`:*,.�_rLt.r�h.�'s. __._.__._._ ...__.. ._._...___-_— ._.___.__ -:�a s3�:i.,. C � / TIME ✓ CITY OF ORONO CALLED IN ��`�d INSPECTION NOTICE CHEDULED PERMIT NO.��D—OG23S� PLETED ADDRESS ��5d � � OWNER TE EP ONE NOe�'�� 7�� CONTRACTOR �� - �/�� DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � d W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑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.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: Inspector. �.�L White Copylinspector's File Canary CopylSite Notice