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Home My WebLink About2010-01081 - roofing asphalt � � CITY OF ORONO PERMTT NO.: 2010-01081 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 1 UO3/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1300 SIXTH AVE N PIN : 26-118-23-31-0004 LEGAL DESC : LINPLATTED 26 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 6,500.00 NOTE: TEAR OFF REROOF-ASPHALT / APPLICANT pERMIT FEE SCHEDULE 147.50 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 5145 INDUSTRIAL ST TOTAL 152.50 SUITE 103 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#:20631575 OWNER SHEEHAN,JOHN 1300 SIXTH AVE N LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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 sepazate permits. 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 consvuction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revo d y time f r due cause. ( i � l l'� /li 03i /d App icant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 3� ► . �� City of Orono � � Building Permit Application for Internal Work � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ��G'—O/�� Og,�,�.0 PO Box 66 � Crystal Bay, MN 55323-0066 Date received: // ,� d � �;��,�,� Received by: ,�;.., �, Street Address: �'.�, '� °9" Gti 2750 Kelley Parkway Plan review fee: r`�gESKo�''� Orono, MN 55356 �/ -- Total Fee: �y` �J/--� �� 1_ 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: �� C� l� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o 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 � required unless applicant demonstrates su�cient on-site parking is avaifable. Non-permitted events will not be allowed. a � CONTRACTOR/APPLICANT INFORMAT�ON: Name: �1�15"i��. �l�S�(12 , State License# 63i�5� Expiration Date: Phone: ��3- � - 7a�_ office cell Mailing Address: S�y> 7�s sT. � i�3 Cit : /Y�A�O�� ZIP: ,SS 3�� , Contact Person: Applicant is: Contractor / Homeowner (Circle One) ;" Email and/or Fax: PROPERTY OWNER INFOR AT�N�� 1 Name: N Phone (day): j Z- `�� - - � Address: �'� �,y�. Cit : �� ZIP: �S� �� Email and/or Fax � � �� PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�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: � �c��F Estimated Construction Valuation of Project(excluding land) $ 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. ` . � \ ApplicanYs Signature: Date: � � � � ' � J Last Updated: 05-04-2009 JD TIME ✓ CITY OF ORONO CALLED IN r'� INSPECTION NOT/IC� E / �j SCHEDULED PERMIT NO.�DIIJ �D 1DO � COMPLETED ADDRESS I�J�D vSIJ�-� �v'c OWNER TELEPHONE N0.7�3 � �� CONTRACTOR � >; DESCRIPTION ► C�- �� ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � � ,t �' i� �_ti.� c_��-�� (�� ; �, ° i ?� . a � ��r-� � Q �tt�=( 1_a c' � 12+� � �-..�� '"r-4�� r�� !�� P S�,' W � W � � � a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE ��ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � r O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL�NSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site� Inspector. � � � White Copyllnspector's File Canary Copy/Site Notice ��-- DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED //—�7—�� `- - ��-- PERMIT NO.aO/�— OI�� COMPLETED ADDRESS �3�� -� OWNER TELEPHONE NO.��Z ��7 ��OC�.�i CONTRACTOR �" ��' �: DESCRIPTION �`�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 J ❑ 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 � o Q.� ��.�i " �Q " � � •�U��S � �� A � 0 � W � Q � 2 W � W � � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED n SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIOtV REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnedContractor on site: Inspector. o,� /" J J.��J White Copy/lnspector's File Canary CopylSite Notice