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Home My WebLink About2010-00821 - roofing CITY OF ORONO PERMIT NO.: 2010-00821 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 09/10/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2565 COUNTRYSIDE DR PIN : 04-117-23-11-0011 LEGAL DESC : COUNTRYSIDE MANOR 2ND ADDN : LOT 001 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 20,000.00 �_. APPLICANT PERMIT FEE SCHEDULE 339.25 ALLSTAR CONSTRUCTION 5145 INDUSTRIAL ST STATE SURCHARGE(VALUATION) 10.00 SUITE 103 TOTAL 34925 MAPLE PLAIN, MN 55359 (763)479-8700 Minnesota State License#: 20631574 OWNER MICH, MR. & MRS. 2565 COUNTRYSIDE DR LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT l he work for«hich this pemiit is issued shall be performcd according to the approved plans and specitications,applicable City approvals,and the State Building Code. "l�his permit is for only the work described and does not grant permission for additional or rclated work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compicd with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 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 requeste � contor ance wit he State E3uilding Code.This permit may be ,/�/ re oked t any tim or ca ��/�� / /.� / f� r � l� � � ^G��l^� //� — /�1 / L � � /�' 7� Applicant Permitee,ignature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � , City of Orono �� S � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �v 0,� PO Box 66 / Q �\ 0 Crystal Bay, MN 55323-0066 Date received: � �:- �i,� �� '�-;;. � Street Address: Received by: �'�,n '� ti 2750 Kelle Parkwa � Y Y Plan review fee: �RkESHo4'� 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. (Please print) GENERAL INFORMATION: � Job Site Address: ZS(�S C'��,.�f�(S,p� (�(, �`F�� U Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No /f 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-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: ^� Name: .�,S��4(C, �.p�S�}.�C�J State License# 2U�� lS-"1 Expiration Date: Phone: ' = y� - '�o� office � cell Mailing Address: yS �:Stvt,�,/�CL, S�. � iJ Cit : � v.i� ZIP: .�� ` Contact Person: '{�.� Applicant is: r��'t�r Homeowner (Circle One) Email and/or Fax: -- PROPERTY OWNER INFORMATION: Name: '"f-� ��Ci� Phone (day): �j �Z- `�i 3 - (�6�� . Address: �6S C,�,�S��-� �. City: ��2-�r%� ZIP:s S s,.S-6 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 e-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: � ;c�c�(y�. Estimated Construction Valuation of Projec (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 re uired b law. If ou refuse to su I the information, the a lication ma not be issued. ` �: ` C�( _ � �� )J ApplicanYs Signature: Date: LastUpdated: 05-04-2009 _— D T TIME " CITY OF ORONO ALLED IN �� INSPECTION NOTICE -7 SCHEDULED �� PERMIT NO.��lD��`/ COMPLETED ADDRESS o�J�b� � �P� OWNER TELEPHONE NO. ��Z O �7 �� CONTRACTOR ��/ >; DESCRIPTION / /�--�'��/«-C � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 � � � 0 a � 0 � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. �j 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. �952� 249-46�� Owner/Contractor on site: Inspector. �- �` __ __ White Copyllnspector's Fiie Canary CopylSite Notice r� ��/�Q� � �E TIME ✓, 1 � `-f'' �� p CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED �� __1`�� PERMIT NO. � D/O -�� I COMPLETED ADDRESS oZ� � � � �% �-c r��--�.�5(,�o ,�� OWNER TELEPHONE NO. ��c �� '�j'"�,�C 7Qd CONTRACTOR � �l �r�x-'�-- � DESCRIPTION �Q� �`'`�� O�/`� G'X".Fi � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS h ❑ 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�O � COMMENTS: � W C � �n /l-�Ur (,� �.--�3 �-jL ��i � � � ,J ��l �r "n.� �.-l� S �-�w J W � Q � Z W � W � � d W��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ��RRECT WORK&PROCEED !� ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 Owner/Contractor on site: Inspector. ,e,/ � � White Copyllnspector's File Canary CopylSite Notice