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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. . . si. �` ` P 'x s '-!6 � .�'..TYa'� � 3 � .. � ��` �`�t RtA M � . � '. ``"1 ..�s ' _ s��s K�'t� C ity of O ro n o ��_ � `� �� ` Building Permit Application for Internal Work ����� � (windows, doors, siding, re-roof, etc.) �� �� �O� MailiPO Bo�r66 . Permit number: D D - 07 7 £� Q Crystal Bay, MN 55323-0066 Date received: �� /v � � \ � I � ����,��-;;,;, � Street Address: Received by: � - � �ti 2750 Kelley Parkway Plan review fe � � `• � `v Orono, MN 55356 � � L9kESHo4' � 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: ' �` � �:� 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; �� '� • 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. �� ' t Z / �'� Applicant's Signature: Date: � � J� - l � �' . aj� '� Last Updated: 05-04-2009 , y� � � S ' `£ � __ .....s �� i �.�. ,.�. ..�..+ . . .� 3�.a.. . _� sf . ,..v...d�,r�.w.."�L ��.f..M 3u�u�l._.,a�.'�t+"Si � ������� 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: � W C � J O >. � O � ti � Q � Z W � W � � � ❑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: r «• � Inspector. n� � �, __ — _ White Copylinspector's Fiie Canary CopylSite Notice