HomeMy WebLinkAbout2010-00774 - roofing ,s� � CITY OF ORONO PERMIT NO.: 2010-00774
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE �SSUEu: 08/30/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1802 LAKEVIEW TER
PIN : 27-118-23-43-0006
LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN
: LOT 002 BLOCK 004
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 12,000.00
NOTE:
1'F,AR OFP REROOF-ASPHALT SHINGLES
APPLICANT PERM[T FEE SCHEDULE 221.25
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 6.00
5145[NDUSTRIAL ST
SUITE 103 TOTAL 227.25
MAPLE PLAIN, MN 55359
(763)479-8700
Minnesota State License#: 20631574
OWNER
ANDREASEN, GRANT& PATRICIA
1802 LAKEVIEW TER
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 specitications,applicable City approvals,and thc
State Building Code. This permit is for only the work described and docs
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 wmpied 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 afrer work has commenced.
T'he applicant is responsible for assuring all required inspections are
req ted i confor nce with the State Building Code.This permit may be
rev e t im o due cause.
/ / / /
App icant P rmitee ignature Date Is' d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE.
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C ity of O ro n o ��_ �
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` Building Permit Application for Internal Work �����
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(windows, doors, siding, re-roof, etc.) ��
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�O� MailiPO Bo�r66 . Permit number: D D - 07 7 £�
Q Crystal Bay, MN 55323-0066 Date received: �� /v �
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� ����,��-;;,;, � Street Address: Received by: �
- � �ti 2750 Kelley Parkway Plan review fe � �
`• � `v Orono, MN 55356 � �
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Total Fee: p� �l �• � � �
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: ':��t�Z �,��E�1 U�� ,����,`� �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �lo ��
' 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/ PLICA T INFORMATION: �
Name: �-- S ��,�� ,
State License# � i� 7 y Expiration Date: �L-lZ �
Phone: "? - � - �`7�� office cell ��
Mailing Address: � S ��' � ��t,�,Jg1, ��� Cit : q4�1.; ZIP: 5� �
�.' Contact Person: Applicant is: Contractor / Homeowner (Circle One) ��
�= Email and/or Fax: '
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PROPERTY OWNER INFORMATION� ��
Name: r� �'(`� ���� �°�
Phone (day): - ,�� p g� /' �
Address: �� �02 �� ��Z , City: � ZI P: �S 3S b ��
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require Y�
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) $ � � •`�
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department; ��
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• 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. ��
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Applicant's Signature: Date: � � J� - l � �'
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'� Last Updated: 05-04-2009 , y� � �
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� ������� DATE TIME "
�C, C1TY OF ORONO CALLED IN R ��L�
` INSPECTION NOTICE SCHEDULED ��
PERMITNO. �L��� —�� 7�� ---L�
, COMPLETED
ADDRESS I��`�Z �IL.� C.�% �w T��/''
OWNER TELEPHONE NO. � �a �g�� �nb�v�
CONTRACTOR ���S f C��'" � !T�'Y���-
�; DESCRIPTION �� �'k-� 1 �"L1a�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WA�L ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
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
v ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call tor the next inspection 24 hours in advance. (J52� 249-46��
OwnerlContractor on site:
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Inspector. n� � �, __ — _
White Copylinspector's Fiie Canary CopylSite Notice