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Home My WebLink About2011-01064 - roofing 1 CITY OF ORONO PERMIT NO.: 2011-01064 - 27�0 KELLEY PARKWAY ' � ORONO, MN 55356- DATE ISSUED: 09/15/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 320 CRESTVIEW AVE PIN : OS-117-23-14-0056 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 000 BLOCK 006 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 2,200.00 NOTE: VALUATION OF PERMIT:$2,200.00(PER CONTRACTOR ONLY 2 SQUARE) 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-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF 1S BEING DONE. ONCE WORlt IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 88.50 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 1.]0 5145 INDUSTRIAL ST SUITE 103 _ TOTAL 89.60 MAPLE PLAIN, MN 55359 (763)479-8700 Minnesota State License#: 20631574 OWNER LEHMEYER,JOHN 320 CRESTVIEW AVE LONG LAKE, MN 55356- 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 Buiiding Code. This permit is for onty the work�escribed and does not grant permission for additiona]or related work which requires separate permits. All provisions of laws and ordinances governin�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 a11 required inspections aze requeste m conformance with the State Building Code.This permit may be /��„� revoked�any time for e cause. v� %��1�--�� i/ �i// �?�� C C�� 7 lJ�._�� Applicant�ermitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRTRF.n AR�vF.. � City of Orono �� .7� _ -�Suilding Permit Application for Maintenance / Renovation � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �,�,�. PO Box 66 � y 0 Crystal Bay, MN 55323-0066 Date received: , ,a ��;� �, � StreetAddress: Received by: � / �'��c,t '� ''� �ti 2750 Kelley Parkway Plan review fee: qkESHo4"� 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 . Incomplete applications will be returned. (Please print) GENERAL INFORMATION: �/' Job Site Address: �.j �,O C��=6.�f!/;�= GU �vr ��yY��/'��y ��'�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display ome? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approva!60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��`G �� G % �/�U��/�FJ�CJ �� State License# ��j��y Expiration Date: •�j�"�j�j/ Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: office ,��7i,�-�/7y' , �G"l> ( ) =�f�/-'� (cell) Mailing Address City: ZIP: Contact Person: ��,¢fj= Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax:� PROPERTY OWNER INFORMATION: Name: ��`il��/=Vi� Phone (day): 7- Address: ��O GfQ,�� //1'c.L� ,��Lr City,;��,s1/G,,l�/�'�- ZIP��,� ��h� 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) f Re-roof, asphalt � ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ,E2e-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 �� Phone: 952-471-0590 e-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) $ �, � co o , �-C7 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 comp�ete; • 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 refuse t �u I the information,the a lication ma not be issued. ! — ApplicanYs Signature: � � -� .-�1��-�" Date: y ' � l Last Updated: 08-09-2011 �� / DATE TIME `� ��F�RON� CALLED IN _ �_ �I�S�E�:�I�IV nl�� SCHEDULED ��B�I�N�o�OII' OIaL►y COMPLEfED � AD�RE� 3 o�a C'r�s� v��J 1�� . �VdNER TELEPFiONE FVO. Cot�T��°�ot� All.Si`�r �'a�-s� . �: ��sc�i�°�io� -- � l.� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLiNG � ❑ POURED WALL ❑ MECHAPJICAL RI ❑ LAKESHORENVETLANDS � � ❑ FRAMING ❑ �ECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION � ❑ RADON SLAB ❑ UVATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP � ❑ DEP/10-FIMAL ❑ SEPTIC iNSTALL ❑ HARD COVER REiWOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REPAOVAL � QMIPIERICOMYRAC'�OR TO RAEET YOII:_YES_�O � ��: � � *OLD PERMIT - NO FINAL INSPECTION REQUESTED O ,rla ��r -af-� �rts�Jec.tio.., rc�o�� /s.�� 6�f' .1a4.5� � — 0 � W � f.�/o r K L e4�S l`o-wt.D�e�e — � � � ,D��..z` J�'•��le� � � � � d ' W ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEIE � ❑CORRECT WORK 8�PRQCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W o ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMAfVENT ❑CORRECT UPISAFE CONDITION WITHIfV HOURS. ❑ PHOTO TAKEN INSPECTOR W1LL RETURN �STOP ORDER POSTED.CALL IPdSPECTOR �CITATION ISSUED ❑IfJSPECTiON RE(2UIRED.CALL TO ARRAMGE ACCESS. ��66��4�a��ae��`s�s��fl��s��O��e�b�ad�a�� ut'�e�l�a�n4ra��a�v�a��: �r�s�� -�� — l/ V✓hi4e Copyllnspec4or's File Canary CopylSi4e Pdo4ice