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
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� ❑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