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Home My WebLink About2010-00744 - roofing CITY OF ORONO PERMIT NO.: 2010-00744 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUE�: 08/20/2010 - (952) 249-4600 FAX: (952) 249-4616 ADDRESS j : 500 HUNTER PASS PIN : 25-118-23-31-0005 LEGAL DESC : HUNTER PASS : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 53,000.00 APPLICANT PERMIT FEE SCHEDULE 704.25 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 26.50 �145 INDUSTRIAL.ST SUITE 103 TOTAL 730.75 MAPLE PLAIN, MN 55359 (763)479-8700 Minnesota�State License#: 20631574 OWNER DELANEY;RORY&ANE-GRETfIE 500 HUNTER PASS 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 the State Building Code. 'I�his permit is for only the work described and does 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�vith 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 f�0 days at any time after work has commenced. Che ap icant is res ns b e for assuring all required inspections are requ��t iyf onfo "an �ith the State[3uilding Code.This permit may be � revo ry ti ' e cause. .,y , � ,,:�;. �`� ��► ,, �� i � _�`.�� .�- ��c�� ;� � /� � �-� �� ,� � ° �,_a ; � c� -� , � ' � Applicant Permitee 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: �,D,�r PO Box 66 Permit number: � Crystal Bay, MN 55323-0066 Date received: � , � � i� �� ,-.- �j Received by: ,� t� ��G-_:�� , Street Address: �'.�, � ° �� Gti 2750 Kelley Parkway Plan review fee: t9'kESH04� 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: �� f,�„ �:��,L �i_��`s 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/APPLICANT INFORMATION: Name: �T/�s�o;� �rS��n.�� ,� State License# ,;��3r 57 S Expiration Date: 3- �/ — t Phone: /�3- �j - �p�i office cell Mailing Address: �" 5 i ,� ;dj � � ' J"' Cit : � ZIP: `,_j,',� ` Contact Person: � ,t., Applicant is: on ract / Homeowner (Circle One) Email and/or Fax: �G3��/75�-��G�� ,��.-.��, �o�a . �>� PROPERTY OWNER INFORMATION: Name: �l_";�� /�/'E./r,•, �.�r Phone (day): ��:3 - �-5� � Address: ,Cvo ��C��t� p� City: �i/f.J� v ZI P: J ,S.3i / 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 ❑ Re-roof ❑ Fire Damage www.mi nehahacreek.or Overall Project Description: ��,,� �.,�,1' � /f;�;,-l� �,�,,; �_ t ��,t„ �„ � ,, ) Estimated Construction Valuation of Pro'ect excludin land $ "�� 1 ( 9 ) .SJ 5 vv�-�, 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 alf 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 sy �t e inf ation,the a lication ma not be issued. �� ' Applicant's Signature: ��,ti ? ,�� Date: �„y � � ��/U Last Updated: 05-04-2009 � � � TIME �/ CITY OF ORONO CALLED IN � INSPECTION ky��J/�l/jSCHEDULED � PERMIT NO. U �rT C P ED ADDRESS �S / OWNER TELEPHONE NO �� ! CONTRACTOR � DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑�ROJECTCOMPLEfE W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Corttractor on te: Inspector. � White CopyllnspectoPs File Canary CopylSite Notice