HomeMy WebLinkAbout2010-00499 - roofing CITY OF ORONO PERMIT NO.: 2010-00499
2750 KELLEY PARKWAY
� � ' ORONO, MN 55356- �ATE ISSVEn: 06/18/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2004 SUGARWOOD DR
PIN : 34-118-23-21-0004
LEGAL DESC : SUGAR WOODS
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S�E�t ���
VALUATION : $ 50,000.00
NOTE: CEDAR SHAKE ROOF
APPLICANT PERMIT FEE SCHEDULE 681.75
ALLSTAR CONSTRUCTION
5145 [NDUSTRIAL ST STATE SURCHARGE(VALUATION) 25.00
SUITE ]03 TOTAL 706.75
MAPLE PLAIN, MN 55359
(763)479-8700
Minnesota State License#: 20631574
OWNER
SCHROCK, MICHEAL&CATHERINE
2004 SUGARWOOD DR
LONG LAKE, MN 55356
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
permits. All provisions of laws and ordinances goveming 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 Yor assuring all required inspections are
requested�n conforma,t��ie with the State Building Code.This permit may be
r�dfat any ti dyEe cause.
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Issued By Si ture ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
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� Building Permit Application for Internal Work - �a�
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(windows, doors, siding, re-roof, etc.) }�
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Mailing Address: �
Permit number:
�yv�,� PO Box 66 �,
� Q Crystal Bay, MN 55323-0066 Date received: �,
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a � ���;�, s. f Street Address: Received by: ��
�' '� �"•' G�ti 2750 Kelley Parkway Plan review fee: �
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��kESHOg'� Orono, MN 55356 <;
Total Fee: �
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ;.:�:
d ! This application form must be completed in full and all required information must be submitted. �'
f . Incomplete applications will be returned. (Please print) �
GENERAL INFORMATION: � ��?
Job Site Address: �����'.. � '�, _�, ,, ' � ),�-,,,� �'
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Will this be a Parade of Homes, Remod'elers 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 be �
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. :�
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CONTRACTOR/APPLICANT INFORMATION: >;,o
Name: /1//��:�,� �:�;��f.u`�� ,,;� '"'
State License# aoc,3,��s Expiration Date: -; -3�- � � �
Phone: 7�,3-ci �t -Fr�Jo (office) (cell) , r��t
Mailing Address: _��iys T,...,�,w.��,,..,•P� s L. 5�.�� ��,� City: �-r,�<< �-3;,;., ZIP. �_�� � ' i�
Contact Person: %/,���,� Applicant is: Contractor / Homeowner �c���ie o�e� '=�
Email and/or Fax: ��, 3 _ �a�;• -����� �
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„ PROPERTY OWNER INFORMATION: �.
Name: ^�::�.�, '>�Sci��w�- lC ��;
Phone (day): ��S� - y � ,�-�� ,� �
Address: �T , .�j ��-titi a�w��,,.l L�,-z Cit : /'��n o ZI P: ���5(, �
Email and/or Fax -� �
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PROJECT INFORMATION: ��
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� Type of Project: Any earth movement may require `
,� � MCWD review&permits °
❑ Door(s) ❑ Remodel ❑Water Damage
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Minnehaha Creek Watershed District(MCWD) s
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd s;
Deephaven, MN 55391 ��
❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 �:
Fax: 952-471-0682 '
�e-roof ❑ Fire Damage www.minnehahacreek.orq �
Overall Project Description: T�,,� ,�f - , � � ,�, �/ �''/�,� /„�/ 3�, i,� ,r�f �:
Estimated Construction Valuation of Project(excluding land) $ ,�V vov. "" �
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APPLICANT ACKNOWLEDGEMENT: '`� ��
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• Agrees to provide all information required or requested by the Building Department; ::,�
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• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they �
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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; �
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• 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 inf rmation, the a lication ma not be issued. F�
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Applicant's Signature: � �� �. 1�,�--- Date:
Last Updated: 05-04-2009
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ITY F R N ALLED IN � � " "
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INSPECTION NOTICE /�'� G�' SCHEDULED
PERMIT N � ��/`� / MPLETED
ADDRESS
OWNER PHONE N �` �
CONTRACTOR
� DESCRIPTION `v /
� ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/F
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WET NDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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W� �IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on si :
Inspector. / �
White Copyllnspector's File Canary CopylSite Notice
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� "CITY OF ORONO �i�CALLED IN �7l
/ INSPECTION NOTICE SCHEDULED � -Z7�
PERMIT NO. a DI� '"C�� COMPLETED
ADDRESS o�D[. U �S (��Ck!'�( � (`�jI n� .
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OWNER T T EPHONE NO. 7� y� 8.7�
CONTRACTOR � � � StC'c !2. ('��lS-�
� DESCRIPTION ���f ��h� �
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l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FIN ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED '�PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-4600
OwnerlContractor on ite:
Inspector. _� �.j���
White Copyllnspector's File Canary CopylSite Notice