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Home My WebLink About2011-01394 - roofing CITY OF ORONO PERMIT NO.: 2011-01394 ' 2750 KELLEY PARKWAY - ORONO, MN 55356- �ATE IssuEv: 1 UO3/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1629 BOHNS POINT RD PIN : 17-117-23-11-0005 LEGAL DESC : REG. LAND SURVEY NO. 0565 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING- LJNDEFINED VALUATION : $ 52,000.00 NOTE: VALUATION OP PERMIT: $52000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLGTE 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 COMYLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 696.75 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 26.00 5145 [NDUSTR[AL ST TOTAL 722.75 SUITE 103 MAPLE PLAIN, MN 55359 (763)479-8700 Minnesota State License#: 20631574 OWNER GREEN, RANDALL 1629 BOHNS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to thc approved plans and specifications,applicable City approvals,and the S[ate Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied 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 revok time for due c se. ��_ ,�_ �� i � r�� rmitee Signature Date Issued By S' ature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. City of Orono ' � Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) �� Mailing Address: //'�.,v,� PO Box 66 Permit number: /�4�� 0 Crystal Bay, MN 55323-0066 Date received: ��' Received b �� '� �, � Street Address: Y� �:=;._ �,nL� '� ''�' �ti 2750 Kelle Parkwa � Y Y Plan review fee: kESH�4 Orono, MN 55356 _- Total Fee: 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: ,� n Job Site Address: /��j G�E�(�/.c1 �r��N'T �C� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a specral event permit is required with Police Department and City Council approva/60 days prior to the event. Shu(t!e bus service will be required unless applicant demonstrates sufficrent on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION�: Name: �c.S�/!/� C"�MJ Si/utC rl�t State License# �o h 3 �S 7yL Expiration Date: � ;�; �y- Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �G,3_ c�7�_ �70` (office) (cell) Mailing Address: �r y,j- .X�,t;pc; �-�.,;�-c� �j- City: 7 �i� G�-,N ZIP: S�"3 gL Contact Person: .�o f{ Applicant is: Contrac or / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��2E�� Phone (day): Address: ! ��i v�'-�.v `T- �, City: G(.{„��n j� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review& permits: ❑ Re-roof, asphalt ❑ Re air Minnehaha Creek Watershed District(MCWD) p ❑ Storm Damage 18202 Minnetonka Blvd �Re-roof, cedar � g Deephaven, MN 55391 ❑ Restoration Water Dama e ❑ Re-roof, other s eci Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: ` ��.= �.�7"cp� ' Estimated Construction Valuation of Project(excluding land) $ �� q�� — 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 re uired b law. If ou refu�e-to,su I the inform tion, the a lication ma not be issued. ApplicanYs Signature: /'�� _ . Date: �� 3 �( Last Updated: 08-09-2011 / � � � ��/ p� TIME Y CITY OF ORONO CALLED IN � �'�� INSPECTION NOTICE SCHEDULED PERMIT NO. ��//—d /3 S S� COMPLETED ADDRESS 1�Z9 ��"�`S � � 3 �7�i' �'�d`� I OWNER TELEPHONE N0.7� CONTRACTOR �ll`S��J %oa-� D�' G�� ' � DESCRIPTION -- � ty� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLIN � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ �NATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W � L � l � �,�/ o — — � � a � w � Q � Z w � w � j d ❑ PROJECT COMPLETE W W RK SATISFACTORY:PROCEED � ❑CO RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W TEMPORARY 0 ❑CORRECT WORK,CALL FOR REINSPECTION � BEFORECOVERING PERMANENT V CORRECT UNSAFE CONDITION WITHIN HOURS. �, pH0T0 TAKEN INSPECTOR WlLL RETURN � CITATION ISSUED '� STOP ORDER POSTED.CALLINSPECTOR INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-460� OwnerlContractor on site: Inspector. �` � �' ` White Copyllnspector's File Canary CopylSite Notice / �