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Home My WebLink About2011-01158 - roofing CITY OF ORO O PERMIT NO.: 2011-01158 ' 2750 KELLEY PARK AY ORONO, MN 553 6- DATE ISSUED: 09/30/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4461 BAYSIDE RD PIN : 06-117-23-21-0007 LEGAL DESC : JOHNSON WHEELER 1 ST ADDN � : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -LINDEFINED VALUATION : $ 9,500.00 NOTE: VALUATION OF PERM[T: $9500.00 ROOPING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INS ECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURE�OR FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTIS[NG SIGNS MAY ONLY BE ON THE PROPERTY DURII�(G T E TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED TI-[E SIGNS MUST BE REMOVED. I APPLICANT PERMIT F E SCHEDULE 191.75 ALLSTAR CONSTRUCTION STATE SU CHARGE(VALUATION) 4J5 5145 INDUSTRIAL ST SUITE 103 MISC FEE 0.00 MAPLE PLAIN, MN 55359 TOTAL 196.50 (763)479-8700 Minnesota State License#: 20631574 OWNER YELICH, THOMAS& MICHELLE 4461 BAYSIDE RD MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT i 'Ihe 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 whidi requires separate permits. All provisions of laws and ordinances governing this type of work shall be compicd 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 appl ant is responsible for assuring all required inspec[ions are requcstCd conformance with the ate Building Code.This permit may be revokeb a any time f�a � ; � � � / �� Applicant Permitee Signature Da e ISsued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. � ��3 C ity of O ro o ��`��' �,..�'� ,� � 1 ,,� � Building Permit Application for M intenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ��/�� ,�,�. � PO Box 66 /O �; O � Crystal Bay, MN 55323-0066 Date received: ��(� � ' Received by: � a � ' ��,�� s, Streef Address: �,�,t &'�� ti 2750 Kelley Parkway ' Plan review fee: 9kESHo�`� Orono, MN 55356 Total Fee: / (�/ Main: 952-249-4600 Fax: 952-249-4616 www.c.oro o.mn.us ( /lo� � This application form must be completed in full and II r quired information must be submitted. Incomplete applications will be,retu ned. (Please print) GENERAL INFORMATION: Job Site Address: Will this be a Parade of Homes, Remodelers Showcase Home or ther Display Home? ❑ Yes ❑ No !f yes, a special event permit rs required with Polrce Deparfinent and City Council a prova/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is av "fable. Non-permitted events will not be allowed. � CONTRACTOR/APPLICANT W FORMATION: Name: /� ^/� C o�v < < 6� it1 State License# �,d 3 �j Expiration Date: � � Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �� , . g�a�� (office) (cell) Mailing Address: � � �,,pU ,t r^ City: �� ,�r � ��,,r,1U ZIP: ��,'°"'� ,d-;.,� Contact Person: ,�-� Applic nt is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: G� � � �� Phone (day): Address: 1 '� � � Cit�� ,�, � ZIP: �o, Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) [� Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Buildin Department; • Certifies that the information supplied is true and correct to the bes of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being a are 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 thi application is classified by State law as either private or confidential. Private data is information which generally cannqt be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be iven 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 refuse t su I the information,the a licati n ma not be issued. � � ApplicanYs Signature: � � � �� f ' :� Date: -�''J��,��/`� •T=—� • Last Updated: 08-09-2011 r � I �� .� �, �� I = 1 `� � Dq� TIME � CITY OF ORONO � ca��Eo�i � �'� ( INSPECTION N TI � SCHEDULED C � '7 PERMIT NO. �� J�-'�'�� COMPLETED ADDRESS � �- , I I�C ��- '�l C �� C'I OWNER �"� `� � ' �. ��V��'ELEPHO NO. � �'� -.S�tcf ��15'3� CONTRACTOR ( �� : DESCRIPTION �� CX-1 ��'� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ E�CCAV RADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LMKES REM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ T�,iEE R MOVAI Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SI'�E W ECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGR S � ❑ FINAL ❑ SEWER HOOK-UP ❑ CQMPLA�NT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FO�LOW UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAFiD C ER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOWNDA ON/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ��C�G'1C� CC�cP"-cI c-�= '� �i'C�tl--ll2.f� � a � ti j --�� Ct r-�� l � 0 � 0 W � Q � Z W � W � � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED � I SUE CERTIFICATff OF O CUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMAMENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN :�CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49- 6�� OwnerlContractor on ite: Inspector. '" �� White Copyllnspector's File Canary CopylSite Noticel G� T TIME � CITY OF ORONO CALLED IN /�� INSPECTION NOTICE SCHEDULED � i PERMIT NO. oZO/�U�IJ��C MPLETED � ADDRESS S�� c� !� � OWNER T LEPHONE NO? � �-�7� CONTRACTOR � >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING F L ❑ EXCAV'GRA ING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKES ORE ETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE EMO L Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE I PEC ION _ ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGFjESS j � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLiAINT I Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOY'J-UP I _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD C�OVERIREMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUND�ITION REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO i � COMMENTS: � I � W C � � O � �I � � I W � Q � Z W � W � � W�� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � RECT WORK&PROCEED G ISSUE CERTIFICATE�OF O CUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORWRY I V BEFORE COVERING PERMANIENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN � INSPECTOR WILL RETURN ❑CITATION ISSUED I ❑STOP ORDER POSTED.CALL INSPECTOR ❑ tNSPECTION REOUtRED.CALL TO ARRANGE ACCESS. I Call for the next inspection 24 hours irt advance. �952� Q49 Q6QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Noti�e