HomeMy WebLinkAbout2010-00848 - roofing CITY OF ORONO PERMIT NO.: 20�o-oos4s
{ _ � 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuED: 09/16/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 830 HUNT FARM RD
PIN : 30-118-23-44-0005
LEGAL DESC : HUNTINGTON FARM
: LOT 001 BLOCK 008
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 35,000.00
NOTE: TEAR OFF REROOF-CEDAR SHAKES
APPLICANT pERMIT FEE SCHEDULE 520.50
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 17.50
5145 INDUSTRIAL ST
SUITE 103 TOTAL 538.00
MAPLE PLAIN,MN 55359
(763)479-8700
Minnesota State License#:20631574
OWNER
FRASER,PAUL&NANCY
830 HUNT FARM RD
LONG LAKE,MN 55356
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 dces
not grant permission 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 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 180 days at any time after work has commenced. �
The applicant is responsible for assuring all required inspections are
requeste in conformance with the State Building Code.This permit may be
revoke any t e for d e ca se.
l�6 / a � �/� � /�
Applicant ermi ee Signa ure Date ss y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK O ER THAN DESCRIBED ABOVE.
City of Orono �--��� `7 S�
� ° • Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number. �G'/�� - I�C��
.��,�. PO Box 66
O �` O Crystal Bay, MN 55323-0066 Date received:
I ��.t�" Received by:
�,� ��F,;+�, ,, I Street Address.�
�'s',�, ? '��:� �ti 2750 Kelley Parkway Plan review fee:
\L\xEsxo4`'� 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: �5� {-�J�� ��kkr�rvl � ..
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 Ciry 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: ��5'��-Q�- �1`��'r
State License# '7�6 31 S Z`� Expiration Date:
Phone: �b3-`-F?� - � ��`� (office) .. (cel I)
Mailing Address: St`i S �-r�Qvs(tiuA'l- S�� -�c�3 City�►�,A-(�i t�� ZIP: 53�;(
Contact Person: � Applicant is: Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWN INFORMATION:
Name: ►'�N� �t'�-'(��-
Phone (day): � S''Z- `I "] ~ i( � 1
Address: �3� �t.vr�r �l,y��, r City: (�tZ.OM� ZIP: SS^�S�
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
e-roof ❑ Fire Damage www.minnehahacreek.orq
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ 3 S J�J� , �—
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 ref se to su I the information,the a lication ma not be issued.
Applicant's Signature: Date: � � � �'� � �
Last Updated: 05-04-2009
�� � D T TIME �
CITY OF ORONO 'ca��E�irv R"
SCHEDULED —Z��� �,o,,� �,�,�-
INSPECTION T E C�'"'���
PERMIT NO.���-���� COMPLETED
ADDRESS 30 ���-��`- /�L[-
OWNER TELEPHONE NO. 7�3 �"7`T g7OD
CONTRACTOR � �/�-
>; DESCRIPTION ���- D� � `—����'
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ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
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
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on site
Inspector. � ��'
White Copyllnspector's File Canary CopylSite Notice
� I DATE TIME ✓
CITY OF ORONO CALL�
INSPECTION O IC SCHEDULED D� �IO
PERMIT N COMPLETED
ADDRESS �
OWNER TELEPHONE NO. ��Z a�7 O�jC�
CONTRACTOR � �L�3�1. �l�G
�; DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ 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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
Owner/Contractor on site:
Inspector. �� -S
White Copyllnspeclor's File Canary CopylSite Notice