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HomeMy WebLinkAbout2017-01215 - roofing � "4 CITY OF ORONO * z 0 1 7 - 0 1 z 1 5 * 2750 KELLEY PARKWAY DATE ISSUED: 09/28/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1980 SIXTH AVE N PIN : 27-118-23-42-0004 LEGAL DESC : LJNPLATTED 27 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT VALUATION : $ 8,600.00 NOTE: VALUATION OF PERMIT:$8600.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROV[DE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 185.83 STATE SURCHARGE(VALUATION) 4.30 ALLSTAR CONST RESIDENTIAL, LLC 5145 [NDUSTRIAL ST TOTAL 190.13 SUITE 103 Payment(s) MAPLE PLAIN,MN 55359- CREDIT CARD 2278 190.13 (763)479-8700 Minnesota State License#: BUIL-BC690352 OWNER KASHKARI,NEEL 1980 SIXTH AVE N LONG LAKE,MN 55356- AGREEMEIYT 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 rype 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��r' -� �r� �l 0 8 / Applic Pe 'tee Signature Date Iss ed y ignature Date ` �+ City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) ��A, Mailing Address: / f VO PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: 9 $' �, � Street Address: Received by: y�, G� 2750 Kelley Parkway Plan review fee: Cqk�SHOA�, Orono, MN 55356 Total Fee: l �O� �� 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: '� �D � Job Site Address: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No /iyes, a specia/event permit is required with Po/ice Department and City Counci/approval 60 days prior to the event. Shutt/e bus service wil/be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: („L„1,C,5fln.Y�- a� frc�c�ionl l��'�;��cleNfrwC._ State License# �G (��O .��a Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were consfrucfed prior to 1978 Phone: (cell) (office) Mailing Address: c��,� y �, ,�cocN ,�r City: £ ,�;w ZIP: 5 5 c-�,j� Contact Person: LU��, [n,y��.�� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: Cc�,((� p �(,�s-}Q�, ta�Q,y� Cnrt�.. PROPERTY OWNER INFO MATION: / Name: /Ve2L f�r;s fiiv�- �a-� � j�'c�r ,' Phone (day): Address: �g g 0 (� Gt-t.�2 City: (�r/UD ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: �Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,cedar 15320 Minnetonka Blvd ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora Estimated Construction Valuation of Project(excluding land) $ 4 �b 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 required by law. If ou refuse to su I the information,the a lication ma not be issued. Applicant's Signature: Date: -Z � � / Owner's Signature: Date: Last Updated:January 2016 �` � / 1 DATE TIME CITY OF ORONO CALLED IN INSPECTIO O IC �n (�� SCHEDULED � � PERMIT N . ��� COMPLETED ADDRESS ��O LJL`�'l� l�t, GV� OWNER L- TELEPHONE NO. `'���' "��� � CONTRACT�R �l�-'' �S� � DESCRIPTION � ��" l ��`'�"�"'`y'J���d� �� _� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET Y�OU:_YES_NO y COMMENTS: � W � � .rr�'��G rb d'F /"ie��. — � - ,O�cs �� rc� .� �:sct�� r�ecre��� - ° — I��'� d'cm`L7�.,l.�lQiv p�'OUc� W . , / ' � �tC���/!Gt ��/js�� l�.SGJi ��' �ill G1ML� Q . � Z w �)a('6L <.,�s��.�s 1����e.�-� � iN�� ��� � W O WORKSATISFACTORY:PROCEED �P$QJECT COMPLETE � ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call rorthe next inspection 24 hours in advance. (952) 249-4600 OMrnerlContractor on site: Inspect . � �'^' White CopYAnapector's File Cenary CopylSka Notk:e