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Home My WebLink About2011-01082 - roofing CITY OF ORONO PERMIT NO.: 201�-o�os2 , 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUEn: 09/19/2011 952 249-4600 FAX: 952 249-4616 ADDRE3� : 3050 SUSSEX RD PIn. : 04-117-23-32-0010 LEGAL DESC : FOX BEND : LOT 004 BLOCK 001 PERMIT TYP : MINOR ALTERATIONS PROPERTY T PE : RESIDENTIAL CONSTRUCT ON TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 21,500.00 NOTE: VALUA ION OF PERMIT: $21,500.00 ROOFING PE ITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING S ARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVER ISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK I COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 368.75 ALLSTAR CO STRUCTION 5145 INDUST AL ST STATE SURCHARGE(VALUATION) 10.75 SUITE 103 TOTAL 379.50 MAPLE PLAI MN 55359 (763)479-8700 Minnesota State License#: 20631574 OWNER FEUSS, CHAR ES& LINDA 3050 SUSSEX D LONG LAKE, N 55356- AGREE ENT AND SWORN STATEMENT The work for whic this permi[is issued shall be performed according to the approved plans nd specifications,applicable City approvals,and the State E3uilding Cod . This permit is for only the work described and does not grant permissi for additional or related work which requires separate permits. All provis ons of laws and ordinances governing this type of work shall be compied th whether or not specified herein.This permit will expire and become ull and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a pe iod of 180 days at any time after work has commenced. The applicant is re onsible for assuring all required inspections are .� requested in confo ance with the State Building Code.This permit may be �� revo�cEd�,t any tim for/ e e�se-�" � y � :�� % /�---�-t C�YI'l C-Ch � �' � ��'1 1�I Applicant Permit e Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCWBED ABOVE. � i .� � Cit of Orono ��2� y .� F uilding Permit Application for Maintenance / Renovation �'� � �� :. (windows, doors, siding, re-roof, etc.) � �; � . Mailing Address: Permit number. �� j� ' ("�I L`/� Z. ��,� � PO Box 66 3. � Crystal Bay, MN 55323-0066 Date received: �� L' '� �� ,� ;; �, Streef Address: Received by: `, ;� �.�,t �t -�` Gti 2750 Kelley Parkway Plan review fee: ,; `�kEsxo4`'� Orono, MN 55356 > ' Total Fee: 4t 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 I FORMATION: Job Site Ad ress ��(��U �� X �'c� Will this be Parade of Homes, Remodelers Showcase Fiome or other Display Home? ❑ Yes �-Fd'o �,. If yes, a sp ciaf event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be equired unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. �`e CONTRACT R/APPLICANT INFORMATION: � :�� Name: L � � ��iri., v i o�� State Licens # e��f��I�/ Expiration Date: 3 � Lead Certific tion Number: Expiration Date: �; (for work homes that were constructed prior fo 1978 ;; Phone: (office) (cell) s° _ Mailing Addr ss:�� ,,��,�L S f- City: ��w ��ZIP: c�� Contact Pers n: —' Applicant is: Con r ctor / Homeowner (Circle One) Email and/or ax: PROPERTY WNER INFORMATION: , . Name: _��4�(%S , i. v�S Phone (day): Address: �3� �� n/ City•.��J� ZIP: �5`�S� Email and/or ax PROJECT I FORMATION: Type of Proje t: Any earth movement may require �,� � _ ❑ Door(s) ❑ Remodel MCWD review&permits: `�� ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) �;; [�Re-roof, as halt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ��'' ❑ Re-roof, ce ar ❑ Restoration ❑Water Damage Deephaven, MN 55391 � Phone: 952-471-0590 r �< ❑ Re-roof, ot r(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 �' ❑Window(s) www.minnehahacreek.orq d� � ' Overall Proje t Description: ., Estimated C nstruction Valuation of Project(excluding land) $ �j� , =k �::; APPLICANT ACKNOWLEDGEMENT: `�' • Agrees to provide all information required or requested by the Building Department; • Certifie that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they �; � are sol I res onsible for submittin a com lete a lication bein aware that u on failure to do so, the staff has no alternative '�: Y P 9 P PP� 9 P but to r ject it until it is complete; • Some r all of the information that you are asked to provide on this application is classified by State law as either private or confide tial. Private data is information which generally cannot be given to the public but can be given to the subject of the data. onfidential data is information which generally cannot be given to either the public or the subject of the data. Our purpos and intended use of this information is to annually update our records and records of other governmental agencies ': re uire b law. If ou refuse to su I the information,the a lication ma not be issued. f'� � +_. C � Applicant's Sig ature: / ,QJ Date: ��j 9'�j Last Updated: 08- 9-2011 T� � i li / � / DAT / TIME v CITY OF 0 ONQ� CALLED IN ( INSPECTI N O ICE �CHEDULED � PERMIT N � �0 a�v COMP(�ETE,D ADDRESS D O �!/c.s OWNER TELEPHONE NO. � ��l� CONTRA OR � a DESCRIP ION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED L� I � ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATIO ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SL B ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL I ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SI E , ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FI AL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CON RACTQR TO MEET YOU:_YES_NO � COMMEN S: � W C � C �/ (� � o - � � o , W � Q � z W � W � � d W� ❑WORKSA 15FAC RY:PROCEED �PROJECTCOMPLEfE W ❑CORREC WORIC��PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARREC WORI4,CA�I FOR REINSPECTION TEMPORARY V BEFORE 04ERING PERMANENT ❑CORREC UNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INS CTORNJlLLRETURN ❑STOP OR ER PO�TED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECT ON RE@�JIRED.CALL TO ARRANGE ACCESS. all fof he next inspection 24 hours in advance. (952) 249-4600 OwnerfC ntraF or o site: Inspect . ,� Whike Copyllnspector's File Canary CopylSite Notice