HomeMy WebLinkAbout2010-00936 - roofing CITY OF ORONO PERMIT NO.: 2010-00936
- 2750 KELLEY PARKWAY
� ORONO,MN 55356- DATE IssuEn: 10/04/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2295 LONGVIEW CIR
PIN : 03-117-23-22-0025
LEGAL DESC : LONGVIEW 2ND ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTNITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 17,000.00
APPLICANT pF,RMIT FEE SCHEDULE 295.00
ALLSTAR CONSTRUCTION
5145 INDUSTRIAL ST STATE SURCHARGE(VALUATION) 8.50
SUITE 103 MISC FEE 0.00
MAPLE PLAIN,MN 55359 TOTAL 303.50
(763)479-8700
Minnesota State License#: 20631575
OWNER
DUGAN,BARBARA
2295 LONGVIEW CIR
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 goveming 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 aze
reque d in orman with the State Building Code.This permit may be
revok ` at any for cause.
� � � ���y'�-�-'K l l
Applicant Permi ee Signature Date Issued By nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
�'
City of Orono �
. - � Building Permit Application for Internal Work �{
(windows, doors, siding, re-roof, etc.) �
Mailing Address: Permit number:
��,�. PO Box 66
Q �� O Crystal Bay, MN 55323-0066 Date received:
,� ��,�-���`, �, Street Address: Received by: ��
,� ����
'�' �'� �ti 2750 Kelley Parkway Plan review fee:
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��kESH 4'� 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: ZZ�1�5 �'iH%Cr�/lL'Y� ��� �`ti �
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.
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CONTRACTOR/ PLICANT INFOF�AAT�QN:
Name: ��N��YIJ�'�,� c�h-�
State License# "j Expiration Date:
Phone: �(j -- - �� (office cell
Mailing Address: S J (i.!�S � . �3 Cit : ' � ;�=ZIP: S`;,..i
Contact Person: , Applicant is: ont actor , Homeowner (Circle One)
Email and/or Fax: '
PROPERTY OWN INFORM TION:
Name: �
;� Phone (daY)� f�12. ZD.S'— �� � \ S ��
Address: Z2► �c.�r�CT��C�,J (�'�1�. City: � NU ZIP: �
Email and/or Fax
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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.minnehahacreek.orq
Overall Project Description: -s`�'L�,'
Estimated Construction Valuation of Project(excluding land) $ �� Z! �'�
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 �
z�
re uired b law. If ou refuse to su I the �nformation,the a lication ma not be issued. �
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anYs Signature: �_ Date: �C� ` `/ � ! ,� ��
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=d: 05-04-2009 ;�
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`���L� TE TIME
CITY OF ORONO CALLED IN '�
INSPECTION NOT}�E SCHEDULED /
PERMIT NO�/�'"���� COMPL TED
ADDRESS �
OWNER TELEP E NO.�a �T— '`��
CONTRACTOR — o��%G�
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j DESCRIPTION +�� �
� ❑ FOOTING ❑ PLUMBING FIN EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
c�., COMMENTS:
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��RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑ST�P ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cat1 for the next inspection 24 hours in advance. (952) 249-46��
Owner/Contractor on sit :
Inspector. � �J .
White Copylinspector's File Canary CopylSite Notice
P �
�� `� ATE TIME
CITY OF ORONO CALLED IN ���_l���D
INSPECTION NOTICE HEDULED �� --1'�`
PERMIT NO. C �MPLETED_,
ADDRESS �� ��� ��� �'�� '
OWNER TE PHO 0���(��a�1 � 7��n�ij
CONTRACTOR T✓/��"�Qth_ �C3YY� ,� -
� DESCRIPTION ! /�/_'�C-'7'
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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 FIN� ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. �<' T� �
White Copyllnspector's File Canary CopylSite Notice