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Home My WebLink About2010-01080 - roofing CITY OF ORONO PERMIT NO.: 2010-01080 ' � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 1UO3/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1635 CONCORDIA ST PIN : 17-117-23-22-0040 LEGAL DESC : REG. LAND SURVEY NO. 1628 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOl�1 TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILDING- LJNDEFINED VALUATION : $ 24,000.00 APPLICANT PERMIT FEE SCHEDULE 398.25 ALLSTAR CONSTRUCTION 5145 INDUSTR[AL ST STATE SURCHARGE(VALUATION) 12.00 SUITE 103 MISC FEE 0.00 MAPLE PLAIN, MN 55359 TOTAL 410.25 (763)479-8700 Minnesota State License#: 20631575 OWNER ALTON, L[SA 1635 CONCORDIA ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issucd shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant perniission 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 specitied herein."Chis 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 ot�180 days al any time atter work has commenced. The applicant is responsible for assuring all required inspections are requ� ted in confonnance with the State Building Code.This permit may bc revo d t an time for e cause. � / I 1 � 3 �� ' -?�I,L��-' i � G�-�� /�� Appl cant Permitee Signature Date [ssue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �,�,�. PO Box 66 O � O Crystal Bay, MN 55323-0066 Date received: �'`''�`�'�'=� Received by: ,� �' ��,, s, Street Address: �'.�, r� F� Gti 2750 Kelley Parkway Plan review fee: ��kESH04'� Orono, MN 55356 - Total Fee: 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. (P/ease print) GENERAL INFORMATION: ,_ Job Site Address: � �� .<:,�c,�c.�p;I� 5►- 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 will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORM TION: � Name: �t,-S�d'L-- �tJStY�I�►� � State License# 'Z t3�'jj�7� Expiration Date: Phone: � 3- �� - Fl�� office ° cell Mailing Address: �iy S -�-*��JS'Ch,�ACI. ST. City:jY'�l,�s ZIP: 3�r� Contact Person: �"7�,'3 -�{��-g 7 a� Applicant is: o Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: 1 Name: ,�t-3 {�L� N Phone (day): 1 Z- 6�� - o Sa � 1 / Address: 3� Co C�vL✓J -� �;� Cit : �1-� c� ZIP:�S3�/ 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 Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: 8F Estimated Construction Valuation of Project(excluding land) $ `Z, �O i 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: � '� �� '`� Last Updated: 05-04-2009 _ _ � � � �� TIME V CALLED IN �� CITY OF ORONO I INSPECTION OTICE /�Q/)SCHEDULED ) % PERMIT N��D �/�-` UL/ COMPLETED ADDRESS ��OJ�� i ( (�f'� /�— ! ' OWNER TELEPHONE NO. �? � �� CONTRACTOR - �: DESCRIPTION / L`"`�`�` � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPt1aINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � j d W ❑WORKSATISFACTORY:PROCEED �f PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-460� OwnerlContractor on site: 1 � -- .y r,,,_ Inspector. � ` '�� (> -.-� White Copyllnspector's File Canary CopylSite Notice ��jA� TIME V CITY OF ORONO CALLED IN � INSPECTION NO CE SCHEDULED ( PERMIT NO. ' B � COMPLETED ADDRESS 1�0.3� �� OWNER TELEPHONE N0.7�3 �F�R S 7U� CONTRACTOR � �: DESCRIPTION ' �—� �""'"� ' � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � O ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � a '; 1 c� . �.,� �'� � �-�c.�S � � 0 � W a Q � z W � W � � GW ,�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: ' Inspector. �� lS-S White Copyll�spector's File Canary CopylSite Notice