HomeMy WebLinkAbout2010-01006 - roofing CITY OF ORONO PERMIT NO.: 2010-01006
-• 2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE ISSUED: 10/15/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2009 SUGARWOOD DR
PIN : 34-118-23-21-0013
LEGAL DESC : SUGAR WOODS
: LOT 005 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -CEDAR
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 35,000.00
APPLICANT PERMIT FEE SCHEDULE 520.50
ALLSTAR CONSTRUCT[ON
5145 [NDUSTRIAL ST STATE SURCHARGE(VALUATION) 17.50
SUITE 103 TOTAL 538.00
MAPLE PLAIN, MN 55359
(763)479-8700
Minnesota State License#: 20631575
OWNER
KILEEN,MARY&THOMAS
2009 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 rcquires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compicd with whether or not specified herein.This permit will
expire and become null and void if construction authorized is no[
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
reque onformance wit State Building Code.This permit may be
�[ev at ti� e e. �
,
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Applicant ermitee ignature Date Issued By Sig ature Date
SEPARATE PERMITS REQUiRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
, Building Permit Application for Internal Work a�
(windows, doors, siding, re-roof, etc.) �
Mailing Address: Permit number:
O�D,�.O PO Box 66
Crystal Bay, MN 55323-0066 Date received:
a ��� Received by:
>e�'.z' �, Street Address:
�',F, � `s%�� �ti 2750 Kelley Parkway Plan review fee: ,�
�9kESHOg'� 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:
Job Site Address:
Will this be a Parade of Homes, Remodelers 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.
CONTRACTOR/AP L CANT INF RMATION: /
Name: ��� �,:2�l�c.c_�'7`i�i�r�
State License# ��(�_� � ��t( Expiration Date:
Phone: - ' - v -�' ' office cell
Mailing Address: �/ Cit : ZIP: - �
Contact Person: y���w Applicant is: on r c o Homeowner (CircleOne)
Email and/or Fax:
PROPERTY OWNE,.�INFORMATION:
Name: 1�3,,� �r ���k�
Phone (day): ��
Address: J�� � - �l - S �d��` City;���,Csy-� f ZIP:
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 '.
;y
Fax: 952-471-0682
Re-roof ❑ Fire Damage www.minnehahacreek.orq
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ , � � ��
`�,�,'
APPLICANT ACKNOWLEDGEMENT: F�
• 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 i
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 ication ma not be issued. t�
;
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ApplicanYs Signature: ; Date: �Q S ��� �
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Last Updated: 05-04-2009 °�'
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- DA TIME �
CITY OF ORONO CALLED IN G� �O
INSPECTION NOTICE /_SCHEDULED /Q v
PERMIT NOo��IO'���5�co ETED
ADDRESS ��� ���- � �
OWNER TEL ON O. l� ����'�''�
CONTRACTOR `
>; DESCRIPTION -�����-G"��
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� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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Q ❑ 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
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBWG RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CdRRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL REfURN
i�� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. �l C���
White Copyllnspector's File Canary CopylSite Notice
DATE TIME ✓
CITY OF ORONO CALLED IN �--��/�O
INSPECTION NOTICE /� ��j SCHEDULED 1���L� �'• �
PERMIT NOF�n/ �7 O I�"-`0" COMPLETED
ADDRESS ,�dC�c� � Z�-CC'-�1 C.L;Oc=� ,O� ,
OWNER T EPHONE NO. �r� `��'L-;,)
CONTRACTOR �' / �� � �'Lh- � `y� �� - f�
�; DESCRIPTION � / ��� I /�--��f
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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 ❑ PLUMBWG RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED ,.�ROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
-7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site:
Inspector. L-�✓ �t 'J � -J
White Copyllnspector's File Canary CopylSite Notice