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Home My WebLink About2009-00835 - roofing repair � CITY OF ORONO PERMIT NO.: 2009-00835 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 1U18/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3980 DAHL RD PIN : 08-117-23-23-0001 LEGAL DESC : UNPLATTED 08 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT VALUATION . $2,500�00"' NOTE: ROOF REPAIR- 10 SQUARE APPLICANT PERMIT FEE SCHEDULE 88.50 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUAT[ON) 1.25 5145 INDUSTRIAL ST SUITE 103 MISC FEE 0.00 MAPLE PLAIN, MN 55359 TOTAL 89.75 (763)479-8700 Minnesota State License#: 3247 OWNER MCGLYNN, THOMAS 3980 DAHL RD MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances governing this type of work shall be compied wi[h whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The appiicant is responsible for assuring alI required inspections are reques[ed in conformance with the State Building Code.This permit may be revoked any time for due cause. � /f �l / I$ ld`� l l A licant Permitee Signature Date Issue By nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOVE. � � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: /�L,0,� PO Box 66 �� Q Crystal Bay, MN 55323-0066 Date received: �`.. � �'�,�`,` s,�; Street Address: Received by: �, 4..�„ �'�n ��,�,�,,, �� 2750 Kelley Parkway Plan review fee: '� f�'�Y�� Orono, MN 55356 �kE5H04 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: � �i � r Job Site Address: a p� 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/APP ICANT INFORMATION: Name: r ,t�o State License# �B�3lS�y Expiration Date: 3 3 � Phone: office cell ^� Mailing Address: ,• s . Cit : J �� ZIP� 35 Contact Persorr: Coyrv WiL,KI2r Applicant is: ontractor / Homeowner (CircleOne) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: %ow, Me�lvti� Phone (day): (�(2 �5-1 � 14 Address: s}��, City: ZIP: 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 ��0� ❑ 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: oc� IQeD�,'r – l0 5� Estimated Construction Valuation of Pr ject(excludi g land) $ �,s�� — 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: � _ LastUpdated: 05-04-2009 DATE TIME � CITY OF ORONO CALLED IN � INSPECTION OTIC ��EDULED � PERMIT NO. �D S ./COMPLETED ADDRESS �� OWNER CONTR. �� S� TELEPHONE NO. Z�3 �79 �7�� L�/�P�- � DESCRIPTION �eQ�Y�IT � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ 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. ❑ FO�LOW-UP _ � PLUMBING RI ❑ SEPTIC FINAL ❑ HARO COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �"� � r� Tl,.e,� � Tr�� ;�� t��'S o� /_.I,� � D�crC � ('r�a��-� �� ' ��e �l� � Q �, �� z W � W � � d � ORK SATISFACTORY:PROCEED C� PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ` ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �:; PHOTOTAKEN INSPECTOR W{LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice