HomeMy WebLinkAbout2010-00701 - roofing CITY OF ORONO PERMIT NO.: 2010-00701
2750 KELLEY PARKWAY
. ORONO, MN 55356- DATE ISSUED: 08/12/2010
� 952 249-4600 FAX: 952 249-4616
ADDRESS : 2325 LONGVIEW CIR
PIN : 03-117-23-22-0024
LEGAL DESC : LONGVIEW 2ND ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 10,000.00
NOTE: TEAR OFF AND REROOF
APPLICANT pERMIT FEE SCHEDULE 191.75
TURCO CONSTRUCTION,INC. STATE SURCHARGE(VALUATION) 5.00
709 S FRONT STREET
SUITE#5 MAIL-IN FEE 2.00
MANKATO,MN 56001- TOTA 198.75
(50'n 720-6110 PAID WITH CC# 475
Minnesota State License#:20287552
OWNER
BENNETT,WILLIAM
2325 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. 1'his permit is for only the work described and dces
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.'I'his 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
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Si ture ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED AB .
�k. ' . . , ' 1 • . .
. City of'Orono
6uilding Permit';Ap►p�ication f�r Internal Wo�k
. (Wi17dQWs� d�o1"Si siding;y re-roof, etc.)
Mailing A�Jdress- ' ' Permit number. /
�g o� ,Po�as . .�
0 Crystgl Bay,MN 5532�OQ66 Date rec�ived: � a!O
� � SlhaetAddress: Received by:
2750 Kelley Parkway Plsn r+eview f�e: �
'�g �4' Oror�, MN 55356
Total Fee: � ��(J, ��
Main: 952 2434600 Fax: 95Z-249-4616 www.ci.orQno_mn.us
This applica�on fonn must be completed in full and all required information must be submitted.
Ineomplete applications wlll b�retumed. �(Please print)
GENERAL INFORMATION: .�� , v i �� . ^ , rG��
Job Site Address: �
Will thf� be a Parade of Homes, Remodel�rs Showca orri�or other�isplay Home? Yes No
N yes,a speCJal event perrnit is raquired w�t Pofia�Oeparhnenf end Ci y'Cou�CJ/9pprova160 days prior bo the event Shutile bus servke wil!be
requfied uNess app/icant demansLrates�ulficient on-�!e pe(ki►rg is avallaWe. Nan-permilted evsrrta wi11 rtot be a/lowed,
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CONTRACTOR I ApPLICANT INFORMA710N:.: ` '"
Name: '�' 1rGa t�►V+r1 �1r1 �
State License# ,.:�, , , ! � ,< , , Expiratian Date: �1
Phone: —""'1 '�— ` office cell
Mailing Address: '-10G1 C' : ZIP:
Contact Person: ` �, Applicant is: Contractor / Homeowne� �c�rcro a,o►
Email andlor Fax; $O� --1 a(�—�e 1�10�
PROPERTY OWNE�t INFORMATION:
Name: JG ' i
Phone(day): — — �
Address: �='j ` Ci :� �,Gt� ZIP: Gj
Email and/or Fax
PROJECT IN�ORINA'170N:
Type of Project: ' , Arnr�arth movemerrt may requlrie
❑ Door(s) ❑Remodel MCYVD review S permils
�Water Damage �.�;
�` ' Minnehaha Craek Watershed Distriet(MGWD}
[I Window(s) ❑Repeir ��]Storm Demage � i 18202 Minnetcnka Blvd
' � � � � � Deephaven,MN 55391
❑Siding ❑Restoration °;a��`J Other-(speafjr) y ' �, ;" Phone: 962-471-0590
• I ', , ' Fax: 852-471-0682
Re-roof ❑ Fire Damage w_ww,minnehahacr�l4.org
Overall Project Qescription: v �
Estimated Construction Valuslion of Pro ect excluding land) $
APPLICANT ACKNOVYLEDC3EMENT:
• Agrees to provid�al)infortnation required or requested by 1he Building Department;
• Certi6es that the infarmation supplied is true and cflRed to the best of hislher krmwledge. The spplic�nt recog�izes that ihey
are solely responsible far submltting a compl�te applicadon being aware that upon failure to do so, the staf�has no altemative
but to rejeet k until it is cnmplete; '
• Some or all of the information that you are �sked to pravide on this applic�tion is dassifled by State 18w es either p�ivate a
cor�iderdlal. Private data is lnfonnstion which ger�aly cannot be given to the publtc but can be given tc the subjed of�e
data. Confidentiel clate is inforn�atian which generally canhot be given to either the public or the subjeCt of the data. Ou�
purpose and intended use of this informat'ion,is to annually update our tBlcords and reoords of ofher govemmental agendes
uired law. If u refuse to su ' the' ony s lic�tion not be issued.
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Applicant's Signature: , pa�:
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Last Uodated: 05-04-2009 � ' '