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Home My WebLink About2010-00053 - roofing CITY OF ORONO PERMIT NO.: 2010-00053 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02103/2010 952 249-4600 FAX: 952 249-4616 REPRINTED ON 2/3/2010 ADDRESS 3020 WATERTOWN RD PIN 33-118-23-33-0001 LEGAL DESC UNPLATTED 33 118 23 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 35,000.00 APPLICANT PERMIT FEE SCHEDULE 520.50 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 17.50 5145 INDUSTRIAL ST SUITE 103 TOTAL 538.00 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#: 3247 OWNER RENCKENS,DEBRA A 3020 WATERTOWN RD 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 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 at any time for due cause. Applicant Permitee Signature DateIssued By S@nature Wr±ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: F Permit number: 'Qv 0 PO Box 66 0 iO Crystal Bay, MN 55323-0066 Date received: Received b Street Address: y Gti4 2750 Kelley Parkway Plan review fee: ��gkEs 04� Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: This application form must be completed in full and all required information must be submitted. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: �7J")_n L✓,O/t-_�- own / c� 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/APPLICANT INFORMATION: Name: fJiisf.�,� G�.,sE'Z,C_ /_,^ State License# ;2o631-� -2y Expiration Date: 3 Phone: _ F-700 office cell Mailing Address: 115 — .��-5t5"1 Cit Contact Person: /,): t(_ j3e L Applicant is: r / Homeowner (Circle One) Email and/or Fax: 7,�3- `f -711- & >� PROPERTY OWNER INFORMATION: Name: Phone (day): 5.�_ V 11 - -La Address: j��y ✓,1�� ,�. xZ / City: 0111 ,,I o 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 Fax: 952-471-0682 E�-__Re-roof I ❑ Fire Damage www.minnehahacreek.o Overall Project Description: 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 required by law. If you refuse tOsupply the information, the application may not be issued. Applicant's Signature: Date: —,�;z s Last Updated: 05-04-2009 D U' CITY OF AA�ORONO CALLED IN E � TIME INSPECTION N9TACE CHEDULED Ila 4 n PERMIT NO. - OMPLETED <� ADDRESS OWNER CONTR /- �l TELEPHONE NO. 1, �,,2 �7Uv DESCRIPTION ❑ FOOTING ❑ MECHANI AL RI ❑ EXCAV/GRADING/FILLING h ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: afr— y/�y/L W Q. O O cc O LL W cc Q 2 W Z W W ❑WORK SATISFACTORY:PROCEED JECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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. (952) 249-4600 Owner/Contractor sit e: Inspector. 4 White CopyllnspectoPs File Canary Copy/Site Notice