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Home My WebLink About2010-00520 - roofing �" CITY OF ORONO PERMIT NO.: 2010.00520 - 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/24/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3205 CRYSTAL BAY RD PIN : 17-117-23-41-0011 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 001 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -METAL ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 11,800.00 APPLICANT PERMIT FEE SCHEDULE 221.25 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 5.90 5145 INDUSTRIAL ST SUITE 103 TOTAL 227.15 MAPLE PLA[N, MN 55359 (763)479-8700 Minnesota State License#: 20631574 OWNER ANDERSON, RICHARD 3205 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT "Che work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and [he S[ate[3uilding Code. This permit is for only the work described and does not grant pennission 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 permi[will expire and becomc 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 respons le for assuring all required inspections are requested in conformar��with the State Building Code.This permit may be revoke¢a�.a�y ti,e f r�_,e cause. �� / / r�`' �� J 1��u l J %� l�:.�i� �jC�-C (�yyi C U'J � � -a S�-1 pplicant ermitee Signature Date Issued By 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 0 � 0 Crystal Bay, MN 55323-0066 Date received: �".+.;,ar.. a ��.,��'�,'� s, SfreetAddress: Received by: ti � �'�n � �� ti 2750 Kelle Parkwa o y Y Plan review fee: �`�kEsxo4`'� 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: 3a0S �'2�sCo l „L3,�,, ,ee� Will this be a Parade of Homes, Rem delers Sho case Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approva!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: .4��s�A� C�,,rE,�.�Gt,..,, State License# �o� 3 i 5 �S Expiration Date: �-3�_i r Phone: 7�,3 -y�� -��, (office) (cell) Mailing Address: SiyS.z'„�«,�.�,;i sG Sw. � ��3 City:/yo,,/��/o,;, ZIP:SS ?S f Contact Person: G,�,,,,�„ 5��.�,h��s Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: �� 3 - �� -�� PROPERTY OWNER INFORMATION: Name: ,�,��, .� L�e_sa �-'��-c.s,,n Phone (day): �,d a�c, -3ys� Address: 3a�s C�y.rf, I �',r ��1. Cit : i4A1Z�� ZIP: �S3y; 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 Pro'ect Descri tion: a��' , p ��,� �{f ,ce �4� �, G,�4 �i ,� r�, . ��-� ��, s �� Estimated Construction Valuation of Project(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 infor ation, the a lication ma not be issued. ApplicanYs Signature: Date: � '""v�s' l U Last Updated: 05-04-2009 DATE TIME V CITY OF ORONO CALLED IN �� INSPECTION NOT�., f'� ��-, SCHEDULED � __ P�I3I�AIT NO. "J , �'�`' COMPL �—�— I�DDFiESS � J`'')'� ; �� _ 01NtdEFi EP _O_N.�—E—N��. COPITRACTOR _ ��'� �x.r i.-�,�•�� _ a DESCRIPTIOtd �. - � 0 POOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIEfLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL e ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OYdIdERlCONTgA��OR TO MEET YOU:_.YES_NO / ��, � CQ�E�T�: � 1� � � [ v� ° � r►�� "" o .�. �� 1;� o _ , c� / , o -- � _, -' � � -� � -- � Q �C � - W � �u -- � J _ d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANGI � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 952) 249-460� OwnerlContrac#or on site: lnspector. •`�� < �� Whfte Copyllnspector's File ' Cenary CopylSite Notice