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Home My WebLink About2012-00216 - roofing � CITY OF ORONO * z 0 1 z - 0 0 z 1 6 * 2750 KELLEY PARKWAY DATE ISSUED: 03/23/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2695 COUNTRYSIDE DR W PIN : 04-117-23-13-0005 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 005 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-OTHER ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 10,000.00 NOTG: VALUAT[ON OF JOB:$10,000.00-OK'D&VERIFIEU BY WILLIE GIBBS REMOVE&REPLACE COPPER ROOF, SOFFIT&FAC1A&REPAIR STUCCO APPLICANT PERMIT FEE SCHEDULE 191.75 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 5145 INDUSTRIAL ST TOTAL 196.75 SUITE 103 MAPLE PLAIN, MN 55359 �it��p or uranu 2750 Kellev ParkNay (763)479-8700 Orono �Pl 55356 95�-�49-4Gui� Minnesota State License#: 20631574 Aeceipt No: 3.00657b Mar 23, �Uic OWNER BICKETT, SCOTT& HOLLY Allstar Construction 2695 COUNTRYSIDE DR W LONG LAKE, MN 55356- Previaus Balance: �� (�ermits 2012-00216 2595 191.?5 Countryside Dr N ACREEMENT AND SWORN STATEMENT 1�1-32510 building Per�its "fhc work for��hich this permit is issued shall bc performed according to �'�t^�1t5 the approved plans and specifications,applicable City approvals,and the �1�—��ib �c'69� �•��% State Building Code. This permit is Yor only the work described and does Countr side Dr W not grant permission for additional or related work which requires separate 1�1-24�4� permits. All provisions of laws and ordinances governing this type of work DUE t� gavts-5tate -------------- shall be compied with whether or not specified herein.This permit will ��b.�� expire and become null and void if construction authorized is not Tatal: commenced within 180 days of the date of issuance,or if construction is ��k --_�-�--��— suspended for a period of 180 days at any time afrer work has commenced. ��k �� g�5 196.�5 The a ieant is responsible for assuring all required inspections are p� �r: req�ed in c formance with the State E3uilding Code.This permit may be pj�star Construet irr, re o d at y time for due cause. 1 at,j� Total �lpplied: 3,Z-.3 ,/ � � �;—:-�,�,c � ,�� -� ' -�-�--� � �=� � �. j Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono �Building Permit Application for Maintenance / Renovation � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 4v 0,� PO Box 66 �� Crystal Bay, MN 55323-0066 Date received: �i '� Received b a ��,;�:� �, Street Address: y� �'� � � s'�s� ti 2750 Kelle Parkwa � Y Y Plan review fee: t9�sxo�'`� 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. (P/ease print) GENERAL INFORMATION: Job Site Address: "�_- �-(S C p�;,,,�r S;��c� �r'. Will this be a Parade of Homes, Remodele�s'Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events wil!not be allowed. CONTRACTOR/AP LICANT INFORMATION: Name: ( �r ��„�s�-/L't- �a.� State License# � " j 5�� Expiration Date: �-3 (-� l,' Lead Certification Number: R_� �' 7Z��L _ 1Z'�>173 Expiration Date: �-2,�- � "'� (for work on homes that were constructed prior to 1978 Phone: '��- y'�Lf- � ?GC:- (office) �; �2-"�� C% — �,�, (cell) Mailing Address: S � S ,,�� ;�1 � Lr City: �`�t c- lc ��,,;,� ZIP:�>�3 �� Contact Person: ��(,� C(^�„� .��„ Applicant is: ontractor / Homeowner (CircleOne) Email and/or Fax: ��,��; ��(��-� � ,�..e�� . �;,,�,.� PROPERTY OWNE INFORM TIQ N: Name: ��,. ti�..�� }��7r:��v^�� j � � � � Phone (day): ��-y_� —Gjt��y �� Address: �`�S'Ca,,,.�f� �,� - �`. City:�..`,� LK� ZIP: S�j�� • 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 �Re-roof,other s eci Phone: 952-471-0590 ( p fy) ❑ Siding �Other: (specify) Fax: 952-471-0682 �-� l� ❑Window(s) R�.�.�"��'rfti;r..,S'� ~ �.minnehahacreek.orq Overall Project Description:�=,�fjL�,,�,r,- �;„�-, �., `�.}�;��t;� ��^� 5.��.`� tstimateci Gonstruction Valuation ofi'Project(excluding land) $ 1c� b�U 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 this information is to annually update our records and records of other governmental agencies re uired b law. If ou ref s to u I the information,the a lication ma not be issued. ApplicanYs Signature: Date: �Z�" � Z Last Updated: 08-09-2011 �^ DATE TIME � / CITY OF ORONO CALLED IN � I INSPEC ION NOTICE scHEou�E� PERMIT NO. �� d��02�� COMPLETED ADDRESS �` � OWNER TEL N NO. �a`—�`�D^� J�� CONTRACTOR - �_ >; DESCRIPTION � ` _____ _ __ � � ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION,'REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J � � ��r� � �c�� 0 � W � Q � Z W � W � � d ��`-_ W ❑WORK SATISFACTORY:PROCEED /�PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR ':� CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: Inspector. ___ White Copyllnspector's File Canary CopylSite Notice