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Home My WebLink About2010-00685 - roofing CITY OF ORONO PERMIT NO.: 2010-00685 • 2750 KELLEY PARKWAY " ORONO, MN 55356- �ATE IssuED: 08/09/2010 ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 1900 LAKEVIEW TER PIN : 27-118-23-42-0008 LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 12,000.00 APPLICANT PERMIT FEE SCHEDULE 221.25 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 6.00 5145 INDUSTRIAL ST SUITE 103 TOTAL 227.25 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#:20631574 OWNER KOSCIOLEK,MR. &MRS. 1900 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 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 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 request in conformance with the State Building Code.This permit may be revoke any time o due ause. � , d�1� �y t f —(U d; (� l l�v �_ ( C�yy��C��'( / � / Applica t Permite Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �� T�� TM �� Y� ' a �. �' �;'�� ,. ro nn� � '� _ _ ?. "r ,..'4?-.' ,.�..�� "�' v� �� City of Orono �� 6'S a� ' ♦ �� Building Permit Application for Internal Work �� ,;;; R . (windows, doors, siding, re-roof, etc.) � � e Mailing Address: f �,L,�,� PO Box 66 Permit number: ��", � � � Crystal Bay, MN 55323-0066 Date received: � F-:�' O�'� 4�;� O Street Address: Received by: � `� ��,n '� `�" �titi 2750 Kelley Parkway Plan review fee: � �,. 9 � � ��-: L kEsxo4`' 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: ` CS� (,6�'�,�1�� l�'L -� � U(�.� � � �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No �; /f 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/A PLICANT INFORMATION: � �.' Name: S�nJG(�. State License# 3 Expiration Date: -�3� -1 Z �'. Phone: (�3-�7� - o� (office) Mailin Address: � � (cell) 9 lyS -t- ��t�4.1 l � � cit :n1►41' d zIP: 37 ��; Contact Person: Applicant is: ontracto / Homeowner (Circle One) �e Email and/or Fax: �,,'3- ��j-- 66pZ� PROPERTY OWN R I FORMATION: �� Name: KbS� L �j. Phone (day): y��'Z- y y`�_�,�y� �^ �x� Address: �9 a� C��v�� !-+� City: G�N� ZIP: �S�O � Email and/or Fax a.�. t;;� PROJECT INFORMATION: k Type of Project: Any earth movement may require � j 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.orp �� Overall Project Description: � Estimated Construction Valuation of Project (excluding land) $ �1QQ `-- �:� � � �-"� 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 efuse to s I the information, the a lication ma not be issued. � �r ' �__ � �� : � _� _ j� �b Applicant's Signature: Date: � �: �� Last Updated: 05-04-2009 :�'` �• e _�_ 3d �i:: _. . . . _. _ ... � . _ � .. . . . .. _ .. ..�.i . � � �� ,�.� � �,,. ''r.a 'e r�:-�.£� u:.; ..enwr�„ua.+.,°��.� I �� r T TIME � � �r� � � �r � � l CITY OF ORONO CALLED IN INSPECTION NOTICE �. SCHEDULED �� PERMIT NO. �U I u ��o�.� COMPLETED ADDRESS�_J C� � —� U/ ��-t1 -T-P�'� OWNER TELEPHONE NO. ��3` `t��I`�7aU CONTRACTOR �1- l L��-��r G�S�'- • �: DESCRIPTION ' �'��- � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y Q ❑ 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 � OWNERICONTRACTOH TO MEET YOU:_YES�i NO � COMMENTS: � w a � � O a � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �RROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice