HomeMy WebLinkAbout2012-01114 - roofing CITY OF ORONO * z 0 1 z - 0 1 1 1 4 *
.� - 2750 KELLEY PARKWAY DATE ISSUED: 1U0U2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
REPRIN"I'ED ON 11/1/2012
ADDRES:i : 3464 EASTLAKE ST
PIN : OS-117-23-13-0042
LEGAL DESC : BAYSIDE BEACH
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 13,000.00
NOTE: VALUATION OF PERMIT:$13000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOT[CE FOR TEAR OFF INSPECTIONS. (Vb'E 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 IS BEING DONG.
ONCE WORK IS COMPLETED THF,SIGNS MUST BE REMOVF,D.
APPLICANT pERMIT FEE SCHEDULE 236.00
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) .50
5145 INDUSTRIAL ST
SUITE 103 TOTAL 242.5
MAPLE PLAIN, MN 55359
(763)479-8700
Minnesota State License#: BC631574
OWNER
HUNSLEY, MR. & MRS. MARK
3464 EASTLAKE ST
LONG LAKE, MN 55356-
AGREEMENT AND SWORIV STATEMENT
"I�he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State E3uilding Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
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
reques � conformance wi[h the State Building Code.This permit may be
revok at a y time for due cause,
�' ���%�`4�� /��j� ��',��y�,t� /l �� � � l �---_
Applicant Permitee Signature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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ti �������� E������ �,��������c�� ���- f�a�€����a��� / �ec�cr������
' ��I�1ClOV1.��, �C�aCS, Sl�irl�, �'�-CEa�f, �cC.}
, Narirng Adaress: ' Permit number. �..Dl 2-D �/�
��-�v ��- PO Bo>:oo i
%� � ��� Crys;ai Bay, MN 55323-OOo6 ' Cate receive�: //- O �-/ ��
' ��y-,t� Received b}�:
�a �14 � �;� ;,, ,� Streer Address:
'�'��n � '� 4��'�' �4/ 2750 Keliey Parkway Pfanrreviewfee:
`t��Hho4'� Orono, MN 55�56
To:al:Fee:
Main: ��2-249-4nOD Fax: �52-249-4610 wwvt�.ci.orono.mn.us
Tn�s appfication rorm must be comqleteo in Tull and all required information must be submitted.
incompfefe appfica"tions wii! be returned. (Please print)
u�1��RA! INr=ORIUATiOt�: � `,
Job Site Address: i ���5/' �i�'��/�-�`. ]f
Will tnis be a Parade of Homes, Remodef6CS jf10WC8S9 Home or other Display Home? ❑ Yes J �fo
!f yes, a spec;al even!permit is required wifh Pofice Deparrmenf and Cify Council approval 6G davs prior to the event. Snuttle bus servrce wiU be
required unless applicant demonstrates sufiicient on-site parking rs available. Non-permrtred events will not be allowed.
CONTRAC�OR!APPLICANT INrOP,MAT101�:
hame: /�l%✓l�/�% �n.t�Sfj�uc_�� ��.r�
S;ate License # � , �� � �/� /�!f �xpiraiion Cate: � �` 1�
� �
Lead Certificafion Number. ��� �xpiration Cate: �'� �,��s
(ror work on homes that were construcfed prior ro 1978
Phone: �' - � QD (ofrice) (c�ll)
Maifing Address: / s _fj �� �,� � Ciiy�]j � �,,��,� ZIP: �����
Contact Person: �s ��� �,�i Appficant is: on / Homeowner (CirGe One)
cmail and/or Fax: �� " � , :J�
PROP�R r Y OWN�R INFORM,4TIOt�:
Name: f7�/A/5��.=Y S�t�/��iJ
Phone(day}: ���� �. — •
Address: �, - �� � Cii
�.�- ZIP:��� _-'
�mail andior �ar,
PRC)JcCT IN�ORM�;,TIOI�':
Type of Project: ! � Any eartn movement rr,a�r require
r A � i MCWD review&permits:
❑ Door�s) I ❑ Remod..l , ❑ Fire Qamage �
j � Ninnehana Creek V1.'aiersned District(MCW D)
� ' Re-rooi, asphalt i ❑ Repair ❑ Storm Gamage i 1�202 Ninneioni:a Blvo
i
❑ Re-roof, cecar ; ❑ Restoration ❑VUaier Damage Deeohaven, MN 55391
I i Pnone: 952-471-0590
❑ Re-roof, other(speci"ry) ! ❑ Siding ❑ Other. (specify) ; =ar 952-47�-Oo82
I wwvv.minnehahacreek.or
�I ❑Window(s) �; Q
�
Overall Project �escripiiar,: �j��� , (-� � —r p��
=siirr,ated Cor.struc�ion �,'aivaiion o� ?roject (exciucfing �and) � ��? ��� ���,
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AppLI��9I�T r�CF�IVOVI�LC�;s����i:
; • Agrees to provide all informa'cion reauired or reouested by the Building Department; ',
i • �eriir'ies tnat the informafion suppiied is irue and corre�t to tne besf or' nis/ner knowledge. Tne appfi�ant recognizes tna: they I�
I
are sofefy responsible for submitfing a compfete appiicaiion beinq aware that upon failure to do so, tne s�aff rzs nc afternaiive I
ibut to reje�:it unfil it is complete;
� � Som� or al! of the inTormation tr�at you are askec i� provide on tnis appiication is classified by State iaw as eitner privaie or ';
confideniia;. ?rivate data is inrormation wnicn qenerali�� cannot be given to the pubiic but car be given to the subiect of the '�
, da:a. Conridential data is information which gene;ali}� cannot be given to eitner the pubiic or the subiect o` tn� caia. Our i
purpos� and intended use of this information is tc annualfy update our recores and records oi otner governmen;al apencies ',
reauired bv taw. If vou retuse to suppfv the informatior,. the aoqiicaiion mav not be issued. '
f
�pPIICan`.'s Sigrature: `�������.���ll�—� Date: 1� /�-
Last Up�ated: 0�-C9-201^.
DATE TIME ✓
CITY OF ORONO CALLED IN //–�—�2
INSPECTION N C � SCHEDULED /� - l3-I Z
PERMIT NO. ������� co ED
ADDRESS �
OWNER TELEPHONE NO. `Z- g6�-u
CONTRACTOR
>; DESCRIPTION j���
�
ll� ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARO COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED �JECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL tNSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
Owner/Contractor on site:
Inspector. ����i �
White Copyllnspector's File Canary CopylSite Notice