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Home My WebLink About2010-00765 - roofing CITY OF ORONO PERMIT NO.: 2010-00765 � - 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/26/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 930 DAKOTA AVE PIN : 26-118-23-33-0024 LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE : LOT 009 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 17,000.00 NOTE: THIS PGRMIT INCLUDES BOTH A TEAR OPF REROOF AND ALSO SIDING APPLICANT PERMIT FEE SCHEDULE 295.00 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUAT[ON) 8.50 5145 INDUSTRIAL ST SUITE 103 TOTAL 303.50 MAPLE PLAIN, MN 55359 (763)479-8700 Minnesota State License#: 20631574 OWNER ODEAN ET AL, THOMAS C 930 DAKOTA AVE LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd 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 rclated 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 permit will expire and become null and void if construc[ion 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 atter work has commenced. The applicant is responsible for assuring all required inspections are reque ted in conformance with the State[3uilding Code.This permit may be revo d a�an time f ue ause. l l C1l/� �l��j �� Applicant Per itee Signature Date Is u By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRBED ABOVE. . . City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: ��l — bQ7 �,�,� PO Box 66 p Permit number: ' Q,;�\" Q Crystal Bay, MN 55323-0066 Date received: (� 2��0 � ��'��^,;. a, ; Street Address: Received by: �" �'� ' '" "''� ��/ 2750 Kelley Parkway Plan review fee: �` Orono, MN 55356 t`'kESH04� � D�,�/ 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: `�� E�;Y-� ��. �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No lf 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: �S(�- �'�3►�S('�lrr:�`►.L�� . State License# �,3�,�7`� Expiration Date: ��-IZ-�Z Phone: b � � �t - ,�z� office � cell) Mailing Address: Si'�S I N0.��tk1�, - l03 Cit � `� �trJ ZIP:S �y� Contact Person: �-E Applicant is: ontrac Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: `�� •��,d-�Q1.CL (7� Phone (day): �SZ- S i 3- �$7� Address: ��c�r=o� �VL',5- City: �(�►-�C� ZIP: SS �',� 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 �iding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: 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 information, the a lication ma not be issued. � Applicant's Signature: Date: ��' � � Last Updated: 05-04-2009 r�LI / v T TIME `� V I �� CITY OF ORONO CALLED IN � INSPECTION OTIC� 007��5�HEDULED PERMIT NO. co � ADDRESS � OWNER EPHONE NO. CONTRACTO �: DESCRIPTION D � � ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � j d W� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED I� ISSUE CERTIFICATE OF OCCUPANCY O ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on site: Inspector. � White Copylinspector's File Canary CopylSite Notice