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Home My WebLink About2010-00242 - roofing � CITY OF ORONO PERMIT NO.: 2010-00242 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE�ssuED: 04/20/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1670 SHADYWOOD RD PIN : 17-117-23-21-0015 LEGAL DESC : SHADY-WOOD : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 50,000.00 NOTE: THIS PERMIT INCLUDES ROOFING, SIDING AND WINDOW REPLACEMENT APPLICANT PERM[T FEE SCHEDULE 681J5 ALLSTAR CONSTRUCT[ON STATE SURCHARGE(VALUATION) 25.00 5145 INDUSTRIAL ST SUITE 103 TOTAL 706.75 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#: 3247 OWNER KIELLEY, DONALD&ARLENE 1670 SHADYWOOD RD WAYZATA, MN 55391 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 does not grant permission for additional or related wark which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or no[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 construction is suspended for a period of 180 days at any time after work has commenced. The applicant is resp n ib�or assuring all required inspections are reques i o r a with the State Building Code.This permit may be revo ny e cause. � � / �-� / /Z '� Applicant rmitee Signature Date � �� I sue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. � : _ � �. ��r; ��-� ?. ,. ,, � �. . ., , 4 , �� t�C � 7` ��i - City of Orono �� `� k �;_ , , �� i:: Building Permit Application for Internal Work �' �s �'�`�`� ��. (windows, doors, siding, re-roof, etc.) � � � x� Mailing Address: -, Permit number. �-/ ;-L? y �` 4.,0.� PO Box 66 �� .� � Crystal Bay, MN 55323-0066 Date received: � �' /O �� - �� '' Received b �� °�' �a ��-��` �. � StreetAddress: � y� � �r; `� 9� �,,. k ; � � Gti 2750 Kelley Parkway ' Plan review fee: � L�kESIi04'� Orono, MN 55356 � Total Fee: r7f-, j f�� ' Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �CJ l� � � This application form must be completed in full and all required information must be submitted. '�� z Incomplete applications will be returned. (Please print) �� 4�; GENERAL INFORMATION: / � �� Job Site Address: �7 v Shh� �a� c�/ �o p � � Will this be a Parade of Homes, Remodel rs Showcase Home or other Display Home? ❑ Yes �No ��' If es, a s ecial event ermit is re uired with Police De artment and Cit Council a �� Y P p q p y pproval 60 days prior to the event. Shuttle bus service will be " required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � ' '' CONTRACTOR/APPLICANT INFORMATION: {.' y,. Name: l �n �L��on `` State License# 3/ Expiration Date: 3�3/-�/a + ��' �� Phone: -c 7 - �� office cell = Mailing Address: ��,.f�,�,�� ,��,_�,i,e �v 3 Cit :�l„e/r Jl..' ZIP� �S y Y �. Contact Person: r�,��s-�,�- Applicant is: Contractor / Homeowner (Circle One) �' Email and/or Fax. '��..yys -G�ov a , ,;r a� � PROPERTY OWNER INFORMATION: � Name: ,C�� C.I�e.�IQ,c� � ��• Phone (day): 'Ji'o3-1�7f-�'7ov � ; Address: _/�?v 5�•.�ty�.,,, City:��1��a Z�P:ss.�y l �� -' Email and/or Fax ^ �s: PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits � ❑ Door(s) ❑ Remodel ❑ Water Damage �� r� �indow s Minnehaha Creek Watershed District(MCWD) �� O ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � " Deephaven, MN 55391 ��. Siding ❑ Restoration ❑ Other. (specify) Phone: 952-471-0590 g Fax: 952-471-0682 �, [�e-roof ❑ Fire Damage www.minnehahacreek.orq z., Overall Project Description: ao�, ,a �� a-�'S ty� � Estimated Construction Valuation o roject xcluding land) $ v voo• �� k� i,?: �� , 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; ;n ,,; :k F � • 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 �" �u, purpose and intended use of this information is to annually update our records and records of other governmental agencies � �i re uired b law. If ou refuse to su I the information,the a lication ma not be issued. �~ X.`, f i' a�'� �:��. ApplicanYs Signature: Date: � � � LastUpdated: 05-04-2009 �.'� � -� a �: r`�� t � ��4 � .a< ._�,�'.�� ._.. � . - ,..xt�. � .,..r...3.,,... ..''�.,ss.v_ rz,�,o , ._ra.:i'� <��iW.c.y a�.a;�'�.,�.m.�a.,r�_`-ai��s �� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED S-� o PERMIT NO. �IO—O�a�� COMPLETED ADDRESS I�D�� _SG►Gt� l,�DO�. K� . OWNER TELEPHONE N0��3 �7� �7�� CONTRACTOR t7.L( S�_ >; DESCRIPTION /" `�+ 1 � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � �� K.�^ � r�� 7 i�! ' ;�-1 o �` � � � �`="�—r �'� ��.Q �•-t��.-�✓�' ��7 �7c,A�� 0 � W � Q � z W � W � j d,�^ �—�1LvORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN tNSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952� 249-4600 Owner/Contractor on site• Inspector. �' �. =� ��-S White Copyllnspector's File Canary CopylSite Notice