HomeMy WebLinkAbout2016-00872 - roofing CITY OF ORONO * 2 PJ 1 6 - 0 0 8 7 Z *
2750 KELLEY PARKWAY DATE ISSUED: 07/25/2016
' ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1385 FOX ST
PIN : 02-117-23-34-0016
LEGAL DESC : BLUE HILL
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILD[NG-UNDEFINED
VALUATION : $ 14,150.00
NOTE: VALUATION OF PERMIT:$ 14,150.00
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-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 278.77
STATE SURCHARGE(VALUATION) 7.08
ALLSTAR CONST COMMERCIAL, LLC TOTAL 285.85
5145 INDUSTRIAL ST Payment(s)
SUITE 103 CREDIT CARD 9070 285.85
MAPLE PLAIN,MN 55359
(763)479-8700
Minnesota State License#: BUIL-BC706473
OWNER
BERGENSTAL&MARILYN GEHRMAN,CAROL
1385 FOX ST
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shal►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 which requires separate
permits. All provisions of laws and ordinances governing 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 I80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring aIl required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Si ature Date
From: 07/2�/20�6 �0:17 #057 P.00�/002
• City of Orono �
Bui(ding Permit Application for Maintenance/ Replacement/ Remode! — Residential ONLY
{i.�. v�indc�ws, c�oors, sic#i€�g, re-ro�f, etc. — t�0 �S�'�dt�C�U�.,�L EXPl�NSIS��t)
A' Mailing Address: . ,-.� y
��r VO PO Box 6fi Permit number 1�; �(%�
Crystal Bay, MN 55323-0066 Date received: �-�
�, Street Address: Received by:
yF � 2750 Kelley Parkway _
` Plan review fee: -�
��kESHOa�`` Orono, MN 55356
Total Fee: v� �j � ��
y Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono mn.us
This application form must be completed in fuli and alt required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: 1385 FOX STREET-ORONO, MN
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
!f yes,a specral event permit is required with Police Department and City Counci!approval 60 days prior to the event. Shuttle bus service will 6e
required unless applicant demonstrates su�cient on-site parking is available. Non-permrtled events wi!!not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name� ALLSTAR CONSTRUCTION COMMERCIAL
State License# BC706473 Expiration Date: 3-31-2018
Lead Certification Number: NAT-F152851-1 Expiration Date: 4-30-2020
(for work on homes that were consirucied prior to 1978
Phone: (cel!) 612-865-8262 (office} �63-479-870�
Maiiing Address: 5145 INDUSTRfAL STREET, SUITE 103 City: MAPLE PLAIN Z�p: 55359
Contact Person: BRADEN LAR50N Applicant is: Contractor / Nomeowner �crroie o�,u�
Emai1 and/or Fax: gRqDEN@ALLS7ARTODAY.GOM
PROPERTY OWNER INFORMATION:
Name: Carol Bergenstal and Marilyn Gehrman
Phone(day}: UNKNOWN
Address: 1385 FOX STREET City: ORONO Z�p: 55356
Email and/or Fax: UNKNdWN
PROJECT INFORMATION: OveraA pro ect description:
Type of Project: Any earth movement may also require
❑Door(s) ❑Remodef ❑Fire Damage MCWD review 8 permits:
�Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD)
❑Re-roof,cedar ❑Restoration 15320 Minnetonka 81vd
❑Water Damage Minnetonka,MN 55345
❑Re-roof,other(specify) ❑Siding ❑Other: (specify) Phone: 952-471-0590
Fax: 952-471-Q682
❑Window(s) www.minnehahacreek orq
Estimated Construction Valuation of Project(exctuding land) $ 14,150,00
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 tailure 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 cfassified by State law as either private or
confidential. Private data is information which generally cannot be given to the public but can be given ta 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 fnformation is to annually update our records and records of other governmental agencies required by law. If
ou refuse to su I the i fo ation the a lication ma noi be issued.
ApplicanYs Signature: � � � -�"" Date: �'"�-�'`� �
Owner's Signature: Date:
�ast Updated:January 2016
'��� �� �
� DATE TIME
CITY OF ORONO CALLED IN � �,
INSPECTION NOTICE SCHEDULED ���--��-`s` ____����"�'
PERMIT NO. ����CC. �� COMPLEfED
ADDRESS � "J ��
OWNER TELEPHONE N . ���r����
CONTRACTOR � S f a�Z.>
� DESCRIPTION �`��� / ���
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
J�FIAIAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J
❑ DEMO-SITE ❑ SEPTIC I S ALL
Q OWNERICONTRACTOR TO MEET YOU:_YES O
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� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on site:
Inspector_ ��
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White Copylinspector's File Canary CopylSfte Notice