Loading...
HomeMy WebLinkAbout2011-00801 - roofing CITY OF ORO O PERMIT NO.: 2011-00801 , 2750 KELLEY PAR WAY ORONO, MN 553 6- �ATE ISSUEn: 08/04/2011 952 249-4600 FAX: 95 249-4616 ADDRESS : 4185 BAYSIDE RD PIN : 06-117-23-14-0012 LEGAL DESC : NORTH ARM ESTATES 3RD ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 14,000.00 NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR FF 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 DURING T E TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT F E SCHEDULE 250.75 ALLSTAR CONSTRUCTION STATE SU CHARGE(VALUATION) 7.00 5145INDUSTRIAL ST SUITE 103 MISC FEE 0.00 MAPLE PLAIN, MN 55359 TOTAL 257.75 (763)479-8700 Minnesota State License#:20631575 OWNER REZABEK, ALLAN& SH[RLEY 4185 BAYSIDE 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 no[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.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 i mance with the State Building Code.This permit may be revoked at any time d ause. �i � i ��r i i App itee Signature Date Issued y Si a ure Date SEPARATE PERMITS REQUIRED FOR WORK OTH R T AN DESCR[BED ABOV . � City of Or no • Building Permit Appiicatio for internal Work (windows, doors, sidin , re-roof, etc.) Mailing Address: Permit number: Og,D,jv.O PO Box 66 Crystal Bay, MN 55323-0066 Date received: 9 ,� �� �, Street Address: Received by: �'.�, "� �ti�' 2750 Kelley Parkway Plan review fee: L�ESH04'� Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.o no.mn.us This app(ication form must be compfeted in full and all equired information must be submitted. Incompfete applications will be re urned. (Please print) GENERAL INFORMATION: . , Job Site Address: �(�� � 5�pC �l� Will this be a Parade of Homes, Remodelers Showcase Home o other Display Home? ❑ Yes � No lf yes,a special event permit is required with Police Department and City Counci approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is ailable. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMAT�ON: , Name: L.�;�-(Z �r���c' � State License# p 3�,�'7SC Expiration Date: ,3 3� �zo�zr Lead Certification Number. �4 _ C, ���j�j_ j Expiration Date: 7 �p��� (for work on homes that were constructed prior to 1978 Phone: -7(03� y��_ ��D;:, (office) (ce�l) Mai(ing Address: ��c�� ��.�,�5�,;� �, S-�- City:/Ut � �-�l-��1 ZIP: ��r9 Contact Person: r� �s���-�.y, Appl cant is: � antra or / Homeowner (Circle One) Email and/or Fax: �-- PROPERTY OWNER INFORMATI N: Name: L l�L 2 r'}-gC.��— Phone (day): Address: �g ��jEs r2f� City:�2 (,� ��A-�� ZIP: �3 j�j Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage � 18202 Minnetonka Blvd ❑ Siding ❑ Restorafion ❑ Other. (specify) � Deephaven, MN 55391 Phone: 952-471-0590 �Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Ovecall Project Description: Estimated Construction Valuation of Project (excfuding fand) $ ( �7�� �— APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Buil ing Department; • Certifies that the information supp(ied is true and correct to the b st of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete appfication 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 his application is classified by State law as either private or confidential. Private data is informafion which generally cannot e given to the pubfic but can be given to the subject of the data. Confidential data is information which generally cannot b given to either the public or the subject of the data. Our purpose and intended use of this information is to annually upd te our records and records of other governmental agencies re uired b law. If ou refuse I the information,the a (ic tion ma not be issued. Appficant's Signature: Date: � G`f Z¢,( Last Updated: 03-01-2011 DATE ' TIME V CITY OF ORONO CALLED W INSPECTIORO NOTIC� SCHEDULED PERMIT NO.OZGLI� DO Q'�L COMPLEfED �aZ J`-1 ADDRE� l�S �G OWNER TEL.EPH06VE NO. CC?I�iTR/4CTOR l � r lo'rc�, �: DESCRIPTION 2c- rc��' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCA /GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKE HORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE EMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE I SPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PRO ESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COM LAINT a� ❑ DEMO-SITE ❑ SEPTIC PvIAINT. ,��OLL W-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAR COVER REMOVAI. � ❑ PLUMBING RI ❑ SEPTIC�INAL ❑ FpU DATION/REMOVAL � OWNER/CONTRACYOR TO AAEE'i YOl7:_yES_PJp� � COMIVIEfVTS: o C r •D n ec�io•t. /`ec0 cQe�Q � *OLD PERMIT - NO FINAL INSPECTIO REQUESTEL � a O a. , c� tG �'e�l¢�re.�. /^v eQ - O � � Q D r K 4 4i l' �n �{ � � � �r�� �i�t�/eaP � j a � ❑WORKSATISFACTORY:PROCEED �OJECTCO PLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTI iCATE OF OCCUPANCY o ❑CORRECT 1NORK,CALL FOR REINSPECTIOM T MPORARY V BEFORE COVERING P RMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAK INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CA�L INSPECTOR �CITATIOtd IS UED ❑ INSPECTION REQUIRED.Ct�LL TO ARRANGE ACCESS. Call for the next ir��pection 24 hours In advance. ( 52� 249-4600 OwraerlContractor ore site: Inspector. � Whife Copyllnspector's F'ste Canary Cop fSite Notice