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Home My WebLink About2010-00365 - roofing / • CITY OF ORONO PERMIT NO.: 2010-00365 2750 KELLEY PARKWAY ORONO, MN 55356- DATE�SSUED: OS/19/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1680 SHADYWOOD RD PIN : 17-117-23-21-0016 LEGAL DESC : SHADY-WOOD : LOT 009 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 11,000.00 APPLICANT pERMIT FEE SCHEDULE 206.50 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 5.50 5145 INDUSTRIAL ST SUITE 103 TOTAL 212.00 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#:20631574 OWNER DOLEMAN,JOHN 1680 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 work which requires separate permiu. All provisions of laws and ordinances governing this type of work shall be compied with whether or not 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 responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked atany ti e r due caus � � � � ��d / / ' ant Permitee Si a Date Issued By Si ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . . � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: g,�,�. PO Box 66 �, � Crystal Bay, MN 55323-0066 Date received: a, �� , SfreetAddress: Received by: �',�, z �� `�' 2750 Kelley Parkway Plan review fee: l9gE$Hog�' 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: ,� j /7, Job Site Address: �p � '' =��'�s Will this be a Parade of Homes, Remodele 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 e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICA T INFORMATlON: Name: j/�� ;,� State License# ��s/c-�'y' ' Expiration Date: 3 Phone: � - office �- �i;s' �' ""'``' �� cell Mailing Address: / " -�`� J ' Ci : �' :, Zlp: .�"`r';�'" Contact Person: -. ,- � Applicant is: Cont ct / omeowner (Circle One) Email and/or Fax: " ��'? � �., - PROPERTY OWNER INF RMATION: Name: �� ,�,,� Phone da --�� - �'�y ' � ( Y)� ��-� i� % c� � Add�ess: / � �c.dt.t',/nr�a� City:/�+ �a.. ZIP: �"S_� �� 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 Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: � , Estimated Construction Valuation of Project(excluding land) $ ��`ry �`� 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. ��' �� i:�. � ApplicanYs Signature: d` Date: / �' / 1 T— � Last Updated: 05-04-2009 DATE TIME � CITY OF ORONO CALLED IN �`''1�� INSPECTION NOTICE SCHEDULED fo- 4- � � PERMIT NO. 'ZD�fl—d�3b5 COMPLETED �� ► ADDRESS f 6 �DU SN�a-ot.,[v�ca� /14` OWNER CONTR./�-S�� TELEPHONENO. �63"Y�� 1�v �J�-'�, � DESCRIPTION ��`� �'1 �N +� � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z �LL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � � DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �� `"�3�+��5 � W a � � O a � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContra r n ite� � Inspector. White Copyflnspector's File Canary CopylSfte Notice