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Home My WebLink About2009-00868 - roofing ' CITY OF ORONO PERMIT NO.: 2009-00868 , 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/OU2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 650 BROWN RD N PIN : 34-118-23-12-0004 LEGAL DESC : UNPLATTED 34 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,040.00 NOTE: TEAR OFF AND REROOF GARAGE ONLY-28 SQUARE FEET APPLICANT pERMIT FEE SCHEDULE 132.75 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 2.52 5145 INDUSTRIAL ST SUITE 103 TOTAL 135.27 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#: 3247 OWNER GARRETT, WARREN&TANA 650 BROWN RD N 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 I80 days at any time after work has commenced. The applicant is responsible for assuring all requiced inspections are requested in conformance with the State Building Code.This permit may be revok at any time for due cause. � 1�� l � � �L 1�/ � D pplicant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. � . � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) �O� Mai1rP0 Bo�r66 � Permit number: D " ��O � � � ;\ Q C rystal Ba y, MN 55323-0066 Date received: �a��/�O �''�i��' � � Received b ,� \�`��;��-��` �, I StreetAddress: y� r.�;_ �� '4'� �'? � �ti 2750 Kelley Parkway Plan review fee: /, �kESH�4'� Orono, MN 55356 91,� Total Fee: u��, �7 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: x Job Site Address: SD l�/ roc��► Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wil!be required unless applicant demonstrates sufficient on-sife parking is available. Non-permitted events will not be allowed. CONTRACTOR/AP LICANT INFORMATION: Name: �r N �►.,•� ioh State License# �6 3�S�Y Expiration Date: 3 D Phone: ��3 � y�g g�z�p (office) (cell) Mailing Address: � Cit : Q, ZIP: �S3S Contact Person: C��, W,y,�1{,. Applicant is: on actor Homeowner (Circle One) �=mail and/or Fax: PROPERTY OWNER INFORMATION: � Name: (,.Ic„rer, � Ta.,e ('�a�•r� Phone (day): (01�6� �� Address: S.4-Mf Cit : ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require � MCWD review 8�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 Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: 'j— p �- y,e_,., �,..� e eh I - Estimated Construction Valuation of Project(exclu �ng nd) $ " d yp — � 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 re uired b law. If ou refuse to su I the information, the a lication ma not be issued. � ApplicanYs Signature: Date: �Q� /�q � LastUpdated: 05-04-2009 C �� D TE TIME V CITY OF ORONO CALLED IN I C> INSPECTION NOTI�Ef1, Q Q SCHEDULED PERMIT NO ��L � `'L)J v COMPLETED ADDRESS (/�J�� /I/• �� OWNER � CONTR. L-L`C �� TELEPHONENO. �'V�'C.��Y��I '"��7G�-�7`�`� � DESCRIPTION G�—r--- L'[.�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTO O MEET YOU:_YES_NO � COMMENTS: � � C� � �r� W C � � O >. � O � W � Q � Z W � W � � a W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C SUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor n site: Inspector. White Copyllnspector's File Canary CopylSite Notice