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Home My WebLink About2010-00783 - re-roof CITY OF ORONO PERMIT NO.: 2010-00783 , ' ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/3U2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1925 LAKEV[EW TER PIN : 27-118-23-42-0014 LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN : LOT 002 BLOCK 002 PERMIT TYPE : M[NOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOF[NG-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 11,000.00 APPLICANT PERMIT FEE SCHEDULE 206.50 ALLSTAR CONSTRUCTION 5145 INDUSTRIAL ST STATE SURCHARGE(VALUAT[ON) 5.50 SUITE 103 MISC FEE 0.00 MAPLE PLAIN, MN 55359 TOTAL 212.00 (763)479-8700 Minnesota State License#: 20631574 OWNER NETISHEN, STEVEN&KELLY 1925 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 Yor 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]80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in co formance with the State Building Code.This permit may be revo at�n i e f du cause. �� 31 �(� � � Ap l�ca Per itee Signature Date Issued By ' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED AB E. �yb . . -�.`'. . .. i .,: C... '—'..� . ! � ,tt' T�:Y'� _K k '� k"k t �P' � � � .�� ' . .. . .. � k' �W � � 1 � J � `� ,t, >. � � � �'� ��,� �,� � � :� City of Orono � ��=�r � � , �k.; ��, ' Building Permit Application for Internal Work � �� _ (windows, doors, siding, re-roof, etc.) � ��, � Mailing Address: Permit number. ,��;; ��,� PO Box 66 t Crystal Bay, MN 55323-0066 Date received: � � �� 4 � � ��-�` �, ' Street Address: Received by: � �� ` �'� 2750 Kelle Parkwa �<x `'�' �� Y Y Plan reviewfee: L9.gESH�g,�' 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: � 1 r�; Job Site Address: � �r I.�ILt� �q�- � ��:%,�.� � 3#- Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ��lo '` If es, a s ecial event ermit is re uired with Police De artment and Cit Council a �,• Y p p q p y pproval 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: �(/`-S� 1 `j0� State License# �� ,�' Expiration Date: Phone: ' �— o� office cell �� Mailing Address: �yS S`J � -i� ( Cit : 1,�3 r✓ ZIP: � S , Contact Person: Applicant is: n ra or � Homeowner (Circle One) �'. x��; Email and/or Fax: �; PROPERTY OWNE INFORMATIq N: . � N �F S��-(� �.,,; Name: �� a �� Phone (day): ��'2•• �i 3 --z t-�� ; Address: (�Z� �,y�TU�,inl l�►�.IC. City: �r�=i�c� ZIP: `SS �S � �K�{-, Email and/or Fax �;�>;; :;,;; �� PROJECT INFORMATION: �:j 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- oof ❑ 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 � �s> 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 s�.r? 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. :� ` Y+ �" � ApplicanYs Signature: Date: (� � � �^ �� Last Updated: 05-04-2009 � �-�-. b� : ��x�WF�' �-' s f .-,tt � Y.. 3 ,��` �Ai .::�- ... . .._ ... _.... ...... , ,..a ., , ..i ,.,,.�3 . . , .,.. ...,it.G �,.«,.�iv.i_.��fa�, s.�'..�_.,.-.�3.�, _....;�`��',.s�:l�.� � ap �' �, pA�TE� � TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED �� PERMIT NO. ��!D-'G�' `7S� COMPLETED ADDRESS ��Z � L C��,L o. � T rr _ OWNER TELEPHONE NO. ��Q - CONTRACTOR �( �f�r �� DESCRIPTION ��'��r��✓�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � � / C.. (�� '� �� A) � 0 � W � Q � 2 W � W � � W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY W � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETUFN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor site: Inspector. � / /', ^' �1 C White Copylinspector's File Canary CopylSite Notice