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Home My WebLink About2010-01082 - roofing �e _ CITY OF ORONO PERMIT NO.: 2oiaoios2 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuED: 1 UO3/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1650 NORTH FARM RD PIN : 27-118-23-44-0009 LEGAL DESC : THE FARM AT LONG LAKE : LOT 008 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LTNDEFINED VALUATION : $ 16,000.00 APPLICANT pERMIT FEE SCHEDULE 280.25 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 8.00 5145 INDUSTRIAL ST SUITE 103 MISC FEE 0.00 MAPLE PLAIN,MN 55359 TOTAL 288.25 (763)479-8700 Minnesota State License#:20631575 OWNER MACK,ROBERT&ARDELL 1650 NORTH FARM RD 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 sha(1 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 requeste in con rmance with the State Building Code.This permit may be revoked ti e or d e ause. l i 3 i � � f/l-- //i C�� l C� Applic t Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �,�,�. PO Box 66 � � O Crystal Bay, MN 55323-0066 Date received: �� ,� ' ;�4�' �, Street Address: Received by: '�'�c, `� "%� �ti� 2750 Kelley Parkway Plan review fee: ��xESHOg'� 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. (P/ease print) GENERAL INFORMATION: Job Site Address: � �S� �o� (�� (�_ Will this be a Parade of'Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �-- 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/APPLICANT INFORMATION• Name: �3�� State License# 2p 63i$"1 Expiration Date: Phone: (,3- �- X'7�� office cell) Mailing Address: ' � '� D��''�-� S�� -�(� Cit . ZIP: � � ' Contact Person: Applicant is: ontract . / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �o'� �Vl'}'� L Phone (day): S� � `1 � � 6� Address: ,S'� r� Cit : ��"� � ZIP: � Email and/or Fax 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 e-roof ❑ Fire Damage www.minnehahacreek.orp Overall Project Description: �-�� Estimated Construction Vatuation of Project(excluding land) $ c�� 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. C � � j�- � � � ApplicanYs Signature: Date: Last Updated: 05-04-2009 DATE TIME V CITY OF ORONO CALLED IN �_� INSPECTION NO CE SCHEDULED G 1 � ( D � PERMIT NO. —D I� �COMPLETED ADDRESS t�or"�'D �UU rT� r GLC.r►2 I2� OWNER TELEPHONE NO. 7�3 ��9 �7� CONTRACTOR �p sta�- �; DESCRIPTION �C`� " 1� � lU ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � GW 1�V(VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on ite: � Inspector. �'� � � � White Copyllnspector's File Canary CopylSite Notice , p TE TIME � CITY OF ORONO CALLED IN �I ( � � INSPECTION NOTICE SCHEDULED / D PERMIT NO. o ��I O�a COMPLETED ADDRESS �� /rt.— ,��/j��/1 OWNER TELEPHONE NO. l — � CONTRACTOR � DESCRIPTION / � � ❑ 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 FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � � �� ✓ l � l� f 0 � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ iNSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on si� r-'! � Inspector. � ' - White Copy/lnspector's File Canary CopylSite Notice