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HomeMy WebLinkAbout2003-P05973 - roofing CITY OF ORONO PERMIT NO.: 2011-01393 J - 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 11/03/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4605 WATERTOWN RD PIN : 31-118-23-22-0009 LEGAL DESC : MCCULLEY FARM : LOT 000 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 55,000.00 NOTE: VALUATION OF PERMIT:$55000.00 HOUSE&POOL HOUSE ARE CEDAR SHAKES (2)BARNS&(2)GARAGES-ASPHALT TOTAL OF(6)BUILDINGS ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 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 PROPERTY DI.JRING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 719.25 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 27.50 5145 INDUSTRIAL ST SUITE 103 TOTAL 746.75 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#:20631574 OWNER SERENA,JOHN&JOAN 4605 WATERTOWN RD MAPLE PLAIN,MN 55359 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 governing 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 are requeste. ' conformance with the State Building Code.This permit may be revokes at: y time for due ause. 4anpermeers // 7 a Issu4 B Signature Da By g to SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono F - Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: .4 /(- h j� 0PO Box 66 � 0 • O Crystal Bay, MN 55323-0066 Date received: /(_3 —/ I A I i\ a, Street Address: Received by: , tin I O i, �, o~ 2750 Kelley Parkway Plan review fee: ty Orono, MN 55356 Total Fee: .-7//J 7 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us /t`+O This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) /j1/;6 GENERAL INFORMATION: Com(✓ 22� Job Site Address: -;/6"o� e��i/j% 4)4Jl�/7© 1� �� C/1 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes Al-No 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. CONTRACTOR/APPLICANT INFORMATION: Name: . id'e2,. Dpi State License # Z>z.,,. j� Expiration Date: 3j/ 7,Z. Lead Certification Number: ,f//1- jp217,79 Expiration Date: /'• /-4_� (for work on homes that were constructed prior to 1978 / Phone: 3 —5/7, ..g 79 (office) (cell) Mailing Address: — , Contact Person: 6 Applicant is: Contrgctor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: / Name: 5,�=,/'/_ �9 3 'h/// Phone (day): / Address: -G, 7 ��/ �'--� ALJ / 4.- Cit J4/�/6/ 7ZIP:�' � _97 Email and/or Fax 6 ' "'a/,iL>P s /7/c,‘,5-e_-_-,--,// 7/ (4-24., ----�© ' 56 - /f. ,.. .- .7-- ---- PROJECT INFORMATION: 2. GATstiry.�5• y-a,*3,��,q � � yy��� ��„� /�� Type of Project: Any earth movemen may require CIDoor(s) CIRemodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) U Re-roof, asphalt ❑ Repair ❑ Storm Damige 18202 Minnetonka Blvd ® Re-roof, cedar ❑ Restoration CIWater Damage Deephaven, MN 55391 GIRe roof, other(specify) Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ b'/ e9D APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by thQ 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 you refuse to supply the information,the application may not be issued. c7 Applicant's Signature: / i - //` ��,v��2-rte �.+� _ 'iceDate: //`A-- Last Updated: 08-09-2011 CITY OF ORONO II I 11111 I I II 111111111 II I II I I DI1 I * 20 1 2 - 00803 * 2750 KELLEY PARKWAY DATE ISSUED: 08/16/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4605 WATERTOWN RD PIN : 31-118-23-22-0009 LEGAL DESC : MCCULLEY FARM : LOT 000 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS VALUATION : $ 12,000.00 NOTE: REPLACE EXISTING WINDOWS APPLICANT PERMIT FEE SCHEDULE 221.25 ALLSTAR CONSTRUCTION ST TE SURCHARGE(VALUATION) 6.00 5145 INDUSTRIAL ST TOTAL 227.25 SUITE 103 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#: BC631574 OWNER SERENA,JOHN&JOAN 4605 WATERTOWN RD MAPLE PLAIN,MN 55359 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 governing 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / cyof / , (9atztfrt, Applicant Permitee Signature Date e, Issues .y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: •"Perrriitinumber /2-©4.t© �3 ©� C Box 66 �g • \ Crystal Bay, MN 55323 0066 '`Dateteceived. U�� Received b a i''-'. a, Street Address: y 1� I)• ,.,1x,it,�� GDZ titi 2750 Kelley Parkway Plan :reviewfee: r�ESH04� Orono, MN 55356 Total Fee �� Main: 952-249-4600 Fax: 952-249-4616 .ci.orono.mn.us This application form must be completed in full nd all required information must be submitted. Incomplete applications wiI be returned. (Please print) GENERAL INFORMATION: Job Site Address: 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. CONTRACTOR/APPLICANT INFORMATION: Name: ,.../72-, :/_-, 47/ �z.,,-Af vGfi�.c� State License # �c•- �/'5%74/ Expiration Date: 73,7.•_ .<,/./ .z- Lead 1 /_�jam` Lead Certification Number:, / ,:c55- J,x 9___y • Expiration Date: ziz y'/3 (for work on homes that were constructed prior to 1978 Phone: r76.3 .-- 27 f l� (office) f... - (cell) Mailing Address: / / City: ZIP: Contact Person: /j L/, 0A, Applicant is: ontrac or7 / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Jam_/7L-;/Z/s9 c/ e>-/.7;t/ • Phone(day): ;e3 - - //,,,ti/57c7 a>1,2`9/d y7,5' Address: Cit 1P; Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: E Re roof, asphalt E Repair Minnehaha Creek Watershed District(MCWD) p ❑ Storm Damage 18202 Minnetonka Blvd I:: Re-roof, cedar IIIRestoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re roof, other(specify) ❑ Siding E Other: (specify) Fax: 952-471-0682 XIWindow(s) www.minnehahacreek.orq Overall Project Description: ,,/rzC �.r7,�.(� , �//'7 e.2.,,--"" 012--) 7.e) CJS S- Estimated Construction Valuation of/Project (excluding land) $ /,._ e, v- 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 you refuse toisuppiy he information,the.pplication may not be issued. Applicant's PP ' Signature: t �%%'�� ---- /�� Date: /4.--; /..K..- /-e-/Z— Last Updated: 08-09-2011