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Home My WebLink About2013-01174 - roofing � � CITY OF ORONO * z 0 1 3 - 0 1 1 7 4 * 2750 KELLEY PARKWAY DATE ISSUED: 1 U04/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 980 FERNDALE RD W PIN : 02-117-23-44-0019 LEGAL DESC : COUNTRY CLUB ESTATES : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-OTHER ACTIVITY : O/S BU[LDING -LJNDEFINED VALUATION : $ 185,000.00 NO I E: TI:nR OFF RF,ROOF-SLA"I'E APPLICANT PERMIT FEE SCHEDULE 1,566.75 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 92.50 5145 INDUSTRIAL ST SUITE 103 TOTAL 1,659.25 MAPLE PLAIN, MN 55359 PAID WITri CC# 1861 (763)479-8700 Minnesota State License#: BC663668 OWNER SAFAR, JACK& PAMELn 980 FERNDALF RD W WAYZATA, MN �5391- 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 Building Code. This permit is for only the work described and does no[grant permission for additional or related wark which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or no[specified herein."Chis permit will expire and become null and void�f cons[ruction authorized is not commenced wit n 180 da �f the date of issuance,or if construction is suspende a p rio 1$0 days at any time after work has commenced. The appl r�is res n �ble��or assuring all required inspections are reques�e�}�'conPor ic 'ith the State Building Code.This permit may be ,revok�_��any� �or due ause. � � / "� ' �� , , ,, � � y' � /�;� r� , J3 � Ap ��an� er i e Signa ure Date Issued y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , 4 City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O� MailingAddress: Permitnumber: p�� -'�/�7 O PO Box 66 _ Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: y ` 2750 Kelley Parkway Plan review fee: F G t �, Orono, MN 55356 �f �'�ESHO4 I/�� / ' 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. (Please print) GENERAL INFORMATION: , (_ , . �- . � . , Job Site Address: ;� ;; � f"�`'� ��l�l��' ��C� ��' s�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a specia/event permif is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: j1//�f k,� �� s l d,. ;.��( ,�,-, State License# �;� ,�,�,,_;�, �,-, Expiration Date: �� - �/ _ j c Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (,, ; � -- �} y �; �-�� r`i (office) (� j—� �f �� ,ti � Mailing Address: c/c/� Z cr, sf.c;;-/ �-C . �_ ��-� >v-� City: %�;��' �i'�,�„,- ZIP: S'�.j 5 � r� �z Contact Person: S�i-, ., C�,n n_e� Applicant is: �C-#or / Homeowner (Cirde One) Email and/or Fax: '��s - y � j-��vv PROPERTY OWNER INFORMATION: Name: �`',t. r.,, - -�' %z J��' � Phone (day): 7�,3_�� -�Z c� �-..� � AddreSS: � k v i'c'r_n.�i iL� ✓'(.�'l Clty: Lt/f ,. �r f�_. ZIP: J _� � `�/ Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ,�te-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 J l�,�Y, Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq 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 whicF�generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this inforrr�tio is,ta annually update our records and records of other governmental agencies required by law. If ou refuse to su I th `rifor f n„th a lication ma not be issued. Applicant's Signature: �I,Z�-_ ��'�"�� Date: �J � y •� �S Owner's Signature: Date: Last Updated: 03/06/2013 �V � �,; DATE � TIME V ` �CI�Y OF ORONO CALLED IN � � 7- 7 INSPECTION NOTICE scHe�u�E� i I�� j `�' PERMIT NO.;��t �� 'I � 7� coMP��eo ADDRESS �I �C-' �� -�-�� J"'�� (�.� , OWNER TELE�H� b, �� -�,��`� CONTRACTOR i ` .��C=�V_ � 1�15�' : � DESCRIPTION f— I ��1�� Gt-�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAD�NG/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q p 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTAL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO�ET YOU:_YES NO � COMMENTS: t IC�-F-rr �� - r'1 �i �� W a � J O �. � O � W � Q � 2 W � W � � J d W� ❑WORKSATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PEfiMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52 j 249-4600 OwnerlContractor on site: Inspector_ White Copyllnspector's File Canary CopylSite Notice DATE TIME J CIYY OF ORONO CALLED IN INSPECTION N IC SCHEDULED PERAAIT NO. / COMPLEfED � /BDDRESS � ��'�� /l! i OVVIONEFi �T EP O E NO. _ COPITRACTOR ' a DESCRIPTION � - � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAD�NG/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/EfLANDS O 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ IN LATION ❑ WOOD BURNEfl/FIREPLACE ❑ SITE INSPECTION ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT _J ❑ EMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OFMNE6d/CONT OR TO MEET YOU:_YES_NO � S� -- a C r rKrLi D iZ L vl �.c r� �� J O _ � O �- � W -- � Q ,� --- W ._ � 4+ -- � j _ d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE w ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANG`� � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL HEfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIOM REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. -46Q� �r- OuorneclContractor on site: Inspector. Whita Copyllnspector's File Cenary CopylSite Notice