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Home My WebLink About2010-00441 - roofing r � CITY OF ORONO PERMIT NO.: 2010-00441 2750 KELLEY PARKWAY ORONO, MN 55356- DATE 1ssuEn: 06/09/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1645 BOHNS POINT RD PIN : 17-117-23-11-0007 LEGAL DESC : REG. LAND SURVEY NO. 0565 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILD[NG-UNDEFINED VALUATION : $ 21,895.00 NOTE: TEAR OFF AND REROOF APPLICANT PERMIT FEE SCHEDULE 368.75 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 10.95 5145 INDUSTRIAL ST TOTAL 379J0 SUITE 103 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#: 20631574 OWNER HALLORAN, PATRIC& KATHLEEN 1645 BOHNS PT RD WAYZATA, MN 55391- 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. 7�his 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[his type of work shall be co�npied 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 I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are reque,sted in confortnan,ce Wijh the State Building Code.This permit may be revo�ced at any tim�oY'du�cause. ,1- ' �� , ��1��j� :� l�t�``�.--_ ._- .1., �� / � /�j _:i�: / / �� Applicant Per ' ee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. � ' City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: Ol0/d-. OD �� ,�. PO Box 66 � � O Crystal Bay, MN 55323-0066 Date received: /� ,� �'��4�; �, StreetAddress: Received by: � t'v d -�- �'.�, '° '�� Gti 2750 Kelley Parkway Plan review fee� � ��kESH04'� Orono, MN 55356 ��' L� Total Fee: !3 � 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/APPLICANT INFORMATION: Name: ' � ' State License# ;��-�_,-,,;i� 7 S Expiration Date: ��; -;;� - ; r Phone: ��,�- �j��; . �, " (office) (cell) Mailing Address: ;�y�L;,��„�;� / >�( `� �. ' - �_.�..�f r City:;�i�;r;(� ��'r��, ZIP: . � ; ; Contact Person: �J,� �� ,�� Applicant is: Contractor / Homeowner �c��ae o�e> Email and/or Fax: 7�,3-c�� ;- /,-C�� PROPERTY OWNER INFORMATION: Name: ��,� _,-_<-,- Phone (day): ;� / y; �� '•� � , Address: /t i' �'�i;,�_s .��:.,1 J��: City: _ ;s . ZIP: Email and/or Fax r 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) Q=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: ;":� ,f f� �; , %t_', � ,' < �" '�� K__ Estimated Construction Valuation of Project(excluding land) $ �, n;� ��' 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 s� I the information, the a lication ma not be issued. � � . , % _� � a G� ! �� ! " ApplicanYs Signature: bG-�t�:� -� Date: � 1-� -� Last Updated: 05-04-2009 v � .+� DATE TIME V CITY OF ORONO CALLED IN / INSPECTION NOTICE _��k�)�//� SCHEDULED 2 PERMIT NO.o2d/D �'�`7 COMPLETED ADDRESS � � � OWNER TELEPHONE NO rd ' � CONTRACTOR � DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � � d W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site: inspector. 1 ,40 � r 0 White Copyllnspector's File Canary CopylSite Notice c�"' DATE TIME / ,J CITY OF ORONO CALIED IN � INSPECTION NOTICE SCHEDULED — � �' PERMIT NO. � � COMPL ED ADDRESS l ��d � OWNER LEPHO�NE NO. �� Z��`��' CONTRACTOR J =-��/ • >; DESCRIPTION ��v� � LL� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q ti Z W � W � � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�0 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice