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Home My WebLink About2012-00613 - roofing CITY OF ORONO * 2 0 1 2 — fd 0 6 1 3 * ..� - ,. 2750 KELLEY PARKWAY DATE ISSUED: 06/28/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : l]Ol FERNDALE RD W PIN : 02-117-23-43-0020 LEGAL DESC : REG. LAND SURVEY NO. 0902 : LOT 000 BLOCK 000 PERMIT TYPE : M1NOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 12,000.00 NOTE: VALUATION OF PERMI"1': $12000.00 ROOFING PERMITS ISSUED WI"I'l 10UT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STAR"I'ED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERT[SING S►GNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THG SIGNS MUST BE REMOVED. APPL[CANT PERMIT FEE SCHEDULE 221.25 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 6.00 5145 INDUSTRIAL ST SUITE 103 TOTAL 227.25 MAPLE PLAIN, MN 55359 (763)479-8700 Minnesota State License#: BC631574 OWNER LEBEDOFF,JOHNATHAN & SARAH 1101 FERNDALE RD W WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfonncd according to the approved plans and specifications,applicable City approvals,and [he State Building Code. This permit is for only the work described and does not grant pemiission 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 daqs at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with[he State Building Code.This permit may be revol�at an ' r due c se. ��---- �/ �'�� / (2�- / � ermitee Signature Date � Iss e y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ��y Qf �ro�o Buifding Permif Application for Maintenance / Ren�vation - (windows, cioors, siding, re-roof, etc.) MailingAddress: �j 1 , ��( �0,� PO Box oo Permitnumber. � ��\ Crystal Bay, MN 55323-0066 Qate received: '�D � ' �� ' �-� ,� Streef Address: Received.by: �;. ��n �'��Gti� 2750 Kelley Parkway Pfan review fee: t`�kEsxo4' Orono, MN 55356 Total Fee: �a�o��, a� 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. incompfete appfications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: ��t3/ �,(�� ;�; �� _ �v z.�;-�- 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 Departmenf and City Counci/approval 60 days prior to the event. Shutt/e bus service wil!be required unless applicant demonstrates sufficrent on-site parking is available. Non-permitted events wil/not be allowed. �C N RA�20f�/APPLICANT INFORM ION: / Name: . CC$7�� .,p�S'r(LctcT+e�-� State License # �L �j�,3 j3�� y� Expiration Qate: 3i � Lead Certificafion Number: (D g�j�cr _ � Expiration Date: � 7� /�' (for work on homes that were constructed prior to 1978 Phone: 3�- �r7�- ��v� (office) cell � ) Mailing Address: �'/c�s- ,f',v �: �,,rL 5T- City� � ��r � ��,� ZIP: S�`�� Contact Person: �-�L�� Applicant is: Contrac or / Homeowner (Circfe One) Email and/or Fax: PROPERTY OWNER INFORMATIOf�: Name: -�1ONA•'�t��r-�J LC�=Oa�-'�1= Phone(day): • Address: ��O/ (,�JQS'i' ��C-�2,Jc�I-C�' /�/� City. ('�f� -.�n�-y{ ZIP: �j' Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review&permits: ❑ Fire Qamage Minnehaha Creek Watershed District(MCWD) �Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Bfvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-Q590 ( p fy) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 ❑ Window(s) www.minnehahacreek.orq Overall Project Description: • (�-� Br�' � ��,�' Esfimated Construction Valuation of Project (excfuding fand) $ �a ��' APPLICANT ACKNOWl.EDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the informafion suppfied is true and correct to the best of his/her knowledge. The applicant recognizes that they are sofely responsible for submitfing a complete app(icafion 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 informafion that you are asked to provide on this application is classified by State law as either private or confideniia(. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidenfial data is informafion 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 to su 'nformafion,the a iication ma not be issued. . __ 1 . ApplicanYs Signature: Date: �' �`��z— Last Updated: 08-Q9-2011 7 DAT Y_ TIME V CITY OF ORONO CALIED IN INSPECTION�NO)TICE / SCHEDULED PERMIT N0. VJ�� D�IU/� COMPLETED ADDRESS �� `.�� / - � lit/ OWNER TELEPHONE NO. �� ^�10-5�a�oa CONTRACTOR � DESCRIPTION �� — ` � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ 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 r ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � cJ-E-�./ �.� � �'r� l��{�,/� a � 0 � W � Q � Z W � W � � � d W� ❑WORKSATISFACTORY:PROCEED �eROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WIIL RETUFN ❑CITATION ISSUED �STOP OFDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. l�-�/ ,��/�� White Copy/lnspector's File Canary CopylSite Notice �� ✓ DATE TIME (,°'�� CALLED IN , �(!�$p��°,�'�� SChiEDULED ��WII�T RI�e�� oh" aG(f COMPLETED '--� �DDRESS_�/d/ /Ce�Nl��iCe �IQ. ��• �iP�IdER TELEPFiORIE IV�. �ON'f�i�aCl'�� //�S�s• �'o•tisY- _ �: DESCRIPTI06� � l� ❑ FOOTING ❑ PLUMBIMG FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � � ❑ FRAMING ❑ �ECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION � ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPtAINT � ❑ DEMO-SITE ❑ SEPTIC MAIfVT. �FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � 01AItdERICO1dYRACTOR TO{b1EET�lOtJ:`YES_Bd0 � ��: � *OLD PERMIT — NO FINAL INSPECTION REQUESTED j iva'-��'-�t9-�f� ,t ' n (� O T �- � O � ' �L ��G vC�✓lL��/Etia... ,Q/O Gi,pCX� ' W � � � L�J 6 rK 4�P�eQ•s �'o"-r�l��e � � � � �? ,�r►+,�Z' 7'`�Pla,� j d �ed ❑WORK SATISFACTORY:PROCEED ,�EtaJECT COMPIEfE � ❑ CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � Q ❑CORRECT WORK,CALL FOR REIPdSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION V111THIiV HOURS. ❑ pHOTO TAt(EN INSPECTOR VIIFLL RETURPJ ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑IPdSPECTION REQUIRED.CALL TO ARRAi�dGE�,CCESS. �aBE��a�:xG`a��A�r,o��ac�a�e�fi�a��-a�� n�� sn�a�&C�n�o��-�¢o��: ��s�� /ti-�— — MJhiY�Capyflnspecfor's File C�rnary CopylSi4e V�oBice