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Home My WebLink About2012-00940 - roofing CITY OF ORONO * 2 pJ 1 Z - ID PJ 9 4 P1 * 2750 KELLEY PARKWAY �ATE �SSUE�: 09/19/2012 • ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 AGDRESS : 1940 SIXTH AVE N , PIN : 27-118-23-42-0003 LEGAL DESC : UNPLATTED 27 1 18 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILDING-UNDEF[NED VALUATION : $ 30,000.00 NOTE: VALUAT[ON OF PERMIT:$30,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE RGQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPGRTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERM[T FEE SCHEDULE 466.75 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 15.00 5145 INDUSTRIAL ST TOTAL 481.75 SU[TE ]03 MAPLE PLAIN, MN 55359 (763)479-8700 Minnesota State License#: BC631574 OWNER MARCELLA, TOM 1940 SIXTH AVE N LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according ro the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for addi[ional or rela[ed 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 applic s responsiblc for assuring all required inspec[ions are requeste m co formance widi the State Bu ing Code.This permit may be revoked ny ime for due cau�e. `� -/�f� i l 9 �� r��-y�,<p ,-; �� 9 - �'j� /.;� Applicant Permitee Signature at Issued By Signat� Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ��y �� C��a�� c��-��o �o � ��`Ic�gr�g Pe�r�it App6i�a�iQn �or IV�ain�er�a�ce l �e�Q�ea�ia� �' �, . (winaov�rs, dvors, siding, �e-ro�f, e�c.} "` ,�� 'f Maiiing Address: �. n - ��.,d� PO Box 66 ��Permit��numbsr. � � � �� . /(� � Crystal Bay, MN 55323-0066 Date received: x�s �'.� / �" �� >�; I , , � , : �� .�. �� .�,.� ,� � 5freef Address: �Received by�: � � � �'� '��' �'�' � 2750 Kelle Parkwa o „o �� ;�'��±h��o Y Y Planrrevi..wf,,,;: � � `�kEsxo4`' Orono, MN 55356 �� Total ree: �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � ��: This appfication iorm must be completed in full and all required inTormation must be submitted. fncompfete appficaiions will be returnecl. (Please prrnt) °� GcNERA� INFORMATIOf�: �; Job Site Address: �j/ �Q/ � � / %' �'D � Will this be a Parade of Nomes, Remodefers Sh wc sa e Home or other Display Home? ❑ Yes ❑ No If yes, a spec�a/event permif is required with Police Depar[ment and City Council approval 6D days prior to the event. Shutfle bus service will be required unless applicant demonstrafes sufficient on-site parking is available. Non-permitted events wil/not be allowea. CONTRACfOR/APPE.ICANT WrORMAT101�: f� Name: _ �G�G- -l�'tf�.2 G�.v57�.� c �i-e^� State License # a G - - `xpiraiion Qate: � ��j� Lead Certification Number: ��f�� Expiration Date: ��`.g- � (for work on homes that were constructed prior to 1978 Phone: � �✓' '- � - CJd (of�ice) (cell) Maifing Address � �,�� S City: 7it` ,�'/ �y• IP: — �s� �'`' Contact Person: � �, ��,� Appiicant is: ntract / Homeowner (CircfeOne� � '�,;: - Email and/or Fax: F'g. PROPERTY OWNER INFORMATION: �• Name: _�!i�i�i'�G/-��/� � R,; Phone(day): ��'"-��lo� --lv�.�� . .�; Address: T7�'�/p /'�� City:�G��J� ZIP:j j�� ` ' G �.' Email and/or Fax ��,.. PROJc�T INFOr?Me�aT101�E: Type of Project: Any earth movement may require ❑ Door s MCWD review& ermits: ( ) ❑ Remodel ❑ Fire Qamage P �-�' Minnehaha Creek Watershed Disirict(MCWD) � ❑ Re-roof, asphalt ❑ Repair ❑ Storm Qamage I! 1 E202 MinnetonKa Bivd � �Re-roof, cedar ❑ Restoration � Deephaven, MN 55391 � ❑Water Gamage � j�� ❑ Re-roof, other s eci Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 � ❑Window(s) � www.minnehahacreek.orq �� o,a �r< Overall Project DescriptioR: ��o �,_�� 4 Estimated Construcfion Vafua'tion of Project (exciucfing Eand) y `7� �� d � _ �� APPLI�AI�fT ACKNOWLE�GEMcNT: • Agrees to provide all informaiion required or reques'ted by the Building Department; •' I • Certir'ies that the information suppfied is true and correct to the best of his/her knowledge. The applicant recognizes tha± they � � are sofely responsibie for submitting a compfete appiication being aware tnat upon failure to do so, the staff has no al'ternaiive � � but to rejeci it unfif it is compfete; r;` �; :_� • Some or all of tne information that you are asked to provide on tnis appfication is classified by Sta"te law as eitner priva"te or I � confideniial. Private da,a is information wnich generaliy cannot be given to the pubfic but can be given to the subject of the i � da.a. Confidentia! data is information which generalfy cannot be given to eitner the public or the subject of tne data. Our ,�. purpose and intended use of this information is to annually update our records and records of other govemmental agencies I "=' re uired b law. If vou refusA �rp Iv the information, tne aopfication mav not be issued. " 4� i ._... " �,: ApplicanYs Signature: /�7� Da'te: �. � :.ast Updated: OH-09-2D11 DATE TIME / ✓ CITY OF ORONO �N �� Z INSPECTION NOTICE SCHEDULED �/ �� PERMIT NO. / — D �MPLEf�D _ A�DRES.S OWNER T LEPHONE NO. CONTRACTOR � �� a DESCRIPTION % � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/G G/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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W 0. � J O � -��Ue � � � � e 0 � W � Q � 2 . W � W � � ��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on e: ! Inspector. � White Copyllnspector's Flle Canary Copy/Site Notice �I� DA�` TIME � CITY OF ORONO CALLED IN �p INSPECTION NOTICE Q(� SCHEDULED " � PERMIT NOo20/d��7 / �COMPLETED � ADDRESS �` T� ��')`"' " '" � OWNER TELEPHONE N01- �>-a�D /�.� CONTRACTOR Gl`'�'`G�' � DESCRIPTION l � � ❑ FOOTING ❑ PLUMBING FINAL � 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a J O >. � O � W � Q � 2 W � W � � W ❑WORKSATISFACTORY:PROCEED �BOJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on sit Inspector. White Copylinspector's File Canary CopylSite Notice