HomeMy WebLinkAbout2014-00447 - roofing . CITY OF ORONO * z 0 1 4 - 0 0 4 4 7 *
2750 KELLEY PARKWAY DATE ISSUED: OS/14/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3490 BIRCH LA
PIN : 08-117-23-43-0002
LEGAL DESC : BALDUR PARK
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING- UNDEFINED
VALUATION : $ 8,500.00
NOTE: VALUATION OF PERMIT: $8500.00
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-ADVF,RTISING SIGNS MAY ONLY B�ON THE PROPERTY DURING TH�TIME THE ROOF[S F3F,ING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE RGMOVED.
APPLICANT PERMIT FEE SCHEDULE 177.00
STATE SURCHARGE(VALUATION) 425
ALLSTAR CONSTRUCTION, LLC TOTAL 181.25
5145 INDUSTRIAL ST
SUITE 103 Payment(s)
MAPLE PLAIN, MN 55359 CHECK 12610 181.25
(763)479-8700
Minnesota State License#: BUIL-BC663667
OWNER
STICKNEY&JUDITH OLIVERIUS, GEORGE
3490 BIRCH LA
WAYZATA, MN 5539]-
AGREEMENT AND SWORN STATEMEIVT
"Che work for which this permi[is issued shall be performed accordine to
the approved plans and specitications,applicable City approvals,and the
Slate Building Code. This permit is Tbr only the work described and does
not grant permission for additional or related work which requires separate
permi[s. All provisions of laws and ordinances goveming[his 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 oY 180 days at any time afrer work has commenced.
The applicant is responsiblc fbr assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any ti for ue c use.
� / /
Applicant Pe g ature Date Issued By � nature Date
, .
` City of Orono �2� � �
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
,---
/ O�A, MaiJing Address:
� � 'v� PO Box 66 Permit number:
r� � Crystal Bay, MN 55323-0066 Date received:
� a ,,� StreetAddress: Received by:
yF ` G:. 2750 Kelley Parkway Plan review fee:
�7�rsNo�� Orono, MN 55356
Main: 952-249-4600 Fax: 952-249-4616 Total Fee:
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 tNFORMATION: ,
Job Site Address: ? " �, � 'r ' � ' �' `��
� d,�—�.,f- �.,.�-T1'-�'
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes
lfyes,a special event permit is required with Police Department and Cit Council a �
required unless applicant demonstrates su�cient on-site parking is availableal No�permitted events willtnot be allowed.ervice will be
CONTRACTOR/APPLICANT INFORMATION:
Name: -��-�-� ���
State License# � � (� Expiration Date:
Lead Certification Number: � �s �_._. Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (office) 6 — �'� � ����
Mailing Address _ ��f5� �e1��; c - � _ 3S
Contact Person: ��� � C�ty� � � Z�P� -
� �-- ►JN Applicant is: Conr t�rac_tor / Homeowner (Clrcle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:,., '
Name: (J"�'.��� `��T-IC�LP-��--j
Phone (day): �-j_>,�? `f 7b ��,5�y
Address: ��qt�j ���?-�•-L/ C�1�'� � City� (��j'�-J Z�p
Email and/or Fax:
PROJECT INFORMATION: Overall ro'ect descri tion:
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8,permits:
�e-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
❑ Re-roof, cedar ❑ Restoration 18202 Minnetonka Blvd
❑ Water Damage Deephaven, MN 55391
❑Re-roof, other(specify) ❑Siding ❑ Other: (specify) Phone: 952-471-0590
❑Window(s) Fax: 952-471-0682
www.minnehahacreek ora
Estimated Construction Valuation of Project(excluding land) $ , - -----
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 �ner ly cannot be given to either the public or the subject of the data. Our purpose and
intended use of this infor tion i;�to arinuall update our records and records of other govemmental agencies required by law. If
ou refuse to s I the i rmatton,th�a 'cation ma not be issued.
ApplicanYs Signature��-- ��_ ,� ..,,,��'��,� Date: ��' � `f�— (
Owner's Signature: Date:
Last Updated:D3/0612013
� DATE TIME �
� CITY OF ORONO CALLED IN
/INSPECTIO Q�TIC �n\�� SCHEDULED ��L� �
PERMIT NO�d� � � COMPLETED
ADDRESS ��'aU ��� �G'�
OWNER �• S� TELEPHONE NO. �f2 �� ��
CONTRACTOR �� �� �''� ���
� DESCRIPTION ���� �^c�1z-
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Q ❑ POURED WALL ❑ MECHANICAL RI p LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
� OWNERfCONTRACTOR TO MEET YOU:_YES_NO , �
� COMMENTS: � '� `'"
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advan�`(J�2� 249-46�0
OwnedContractor on site:
Inspector. �'�" � '
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White Copylinspector's File Canary CopylSite Notice
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r D�T� TIME
CITY OF ORONO CALLED IN �,�,�
INSPECTION OTI E SCHEDULED o�'���
PERMIT NO. Dl D COMPLETED
ADDRESS �J�D � UL�'�L��
OWNER TELEPHONE NO.7b3 �7g �7�Z�
CONTRACTOR Q'���a-'�J
� DESCRIPTION ��� `" /
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� ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETIANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
= O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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Cail for the next inspection 24 ho in adva ? -495�� 249-46��
OwnerfContractor on site: � �
Inspector. � � �' � �
White Copyllnspector's File � Canary CopylSite Notice