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Home My WebLink About2011-00593 ' CITY OF ORO O PERMIT NO.: 2011-00593 2750 KELLEY PA WAY ORONO, MN 553 6- �ATE 1SSUEu: 07/07/2011 952 249-4600 FAX: 95 249-4616 ADDRESS : 4375 BAYSIDE RD PIN : 06-117-23-12-0008 LEGAL DESC : UNPLATTED 06 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,500.00 NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR FF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVF,RTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING T E TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT F E SCHEDULE 162.25 ALLSTAR CONSTRUCTION STATE SU CHARGE(VALUATION) 3J5 5145 INDUSTRIAL ST SUITE 103 TOTAL 166.00 MAPLE PLAIN, MN 55359 (763)479-8700 Minnesota State License#:20631575 OWNER WHITE, STEVEN& PATRICIA 4375 BAYSIDE RD MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to i the approved plans and specitications,applicable City approvals,and the State Buiiding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separatc 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 alI required inspections are �equested in conformance with the Sta Building Code.This permit may be revoked at e ue cause. , , � / / / l / i Applicant r itee Si tu Date Iss e By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. h City of Orono �� Building Permit Application for Internai Work � �� (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: /l �� v�.� PO Box 66 � � Crystal Bay, MN 55323-0066 Date received: t � � ;��,� a Streef Address: Received by: �c� � �,'tiF 2750 Kelley Parkway Plan review fee: �Esxot''� Orono, MN 55356 Total Fee: � �p�, � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be compieted in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: � t� � Job Site Address: Will this be a Parade of Home , Remodelers Sho ase Home or other Display Home? ❑ Yes ❑ No If yes, a specia/event permit is required with Police Department and City Council approva160 days pnor to the event. Shutt/e bus service wi//be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPL CANT INFORMATION: Name: C �.. State License# �p�p��` , ']y' Expiration Date: 3� o�� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 9978 Phone: (office) — (, `v,�� (cell) Mailing Address: � � City: � p� Contact Person: � Applicant is� ontractor om owner (Circle One) Ernail and/or Fax: PROPERTY OWNER INFORMATION: • - - - - fdame:- j�� L�� - Phone (day): ( -8( -�5.3�Z - - - - - --- - - - - - ---- - Address: - n a Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: ❑Window(s) ❑ Re air Minnehaha Creek Watershed District(MCWD) P ❑ Storm Damage 18202 Minnetonka Blvd ❑ ing ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Re-roof Phone: 952-471-0590 ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek orq Overall Project Description: Estimated Construction Valu tion of Project( xcluding 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 app(icant 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: � , / Last Updated: 03-01-2011 DAT� TIME � C+ITY(�F ORONO CALLED IN 6NSPECTION NOTICE SCHEDULED PERMIT NO. o�ok-OGS y3 COMPLEfED -a s-�4 ADDRESS_ 3�S �G� �. � OWNER TELEPFiONE id0. CmNf�'RACTOFI �IISL<<cr /'�.tf� . >: DESCRIPTIO(V �� -roa �' � 4! ❑ FOOTING ❑ PLUMBING FINAL � ❑ POURED WALL ❑ EXCAV/GRADING/FILLING � ❑ MECHANICAL RI ❑ LAKESHORFJWETLqNDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FlREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP � COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ��OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBItVG RI ❑ SEPTIC�INAL ❑ FpUNbATION/REMOVAL � OWNERICONTRACTOR TO MEEY'VpU:_YES_NO _ � COMMEIVTS: /U6 ��r -o�i,zS��lo,.� i•-�cor�c� � *OLD PERMIT - NO FINAL INSPECTION REQUESTEL � � O � /'�tfi� v'e��.l�`.�.�, ,o�rx.�c-� 0 � �, _ --- .� orK a��s �rc,�� /� � !Y�/w�..`t �'.�� J � � ❑WORK SATISFACTORY:PROCEED �pROJECT COMPIEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY o ❑CORRECT WORK,CALL FOR RElNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL ONSPECTOR � CITATION ISSUED ❑INSPECTION REQUIRED.CG,LL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� Z49-4600 OwnerlContractor oee safe: Inspector��.,�- 7� White Copyllnspector's File Canary CopylSite Notice