HomeMy WebLinkAbout2016-01351 - roofing • CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: 10/24/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 985 EDGEWOOD HILLS RD
PIN : 02-117-23-41-0002
LEGAL DESC : REG. LAND SURVEY NO. 1098
: LOT 000 BLOCK 000
PERM[T TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTTVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 30,200.00
NOTE: VALUATION OF PERMIT:$30200.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTGD) MUST PROV[DE 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 BLING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERM[T FEE SCHEDULE 501.41
STATE SURCHARGE(VALUATION) 15.10
ALLSTAR CONST&MAINTENANCE, LLC TOTAL 516.51
5145 INDUSTRIAL ST Payment(s)
SUITE 103 CHECK 2061 516.51
MAPLE PLAIN, MN 55359-
(763)479-8700
Minnesota State License#: BUIL-BC690350
OWNER
BOWEN, MARY
985 EDGEWOOD HILLS RD
WAYZATA,MN 55391-
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 E3uilding Code. This permit is for only the work dcscribed and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances gov�rning this type of work
shall be compied widi whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commcnced 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
requested in confo mance with the State Building Code.This permit may bc
revoked�t�Any�e for due ca e.
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ppliCant Permitee �gnature Date Issued By ' nature Date
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� City of Orono
Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
�O w l Mailing Address: Permit number: ZQ/(�' � S
�yO PO Box 66
Crystal Bay, MN 55323-0066 Date received: I C� - Z-L{—
IStreet Address: Received by:
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ti� � 2750 Kelley Parkway Plan review fee:
tq �L Orono, MN 55356
k�s��� 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. (P/ease print)
GENERAL INFORMATION:
Job Site Address: 985 EDGEWOOD HILLS ROAD-ORONO MN
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
If yes,a special event permit is required with Police Department and City Council approval 60 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/APPLICANT INFORMATION:
Name: ALLSTAR CONSTRUCTION COMMERCIAL
State License# BC706473 Expiration Date: 3-31-18
Lead Certification Number: NAT-F152851-1 Expiration Date: 4-30-2020
(for work on homes that were constructed prior to 1978
Phone: (cell) 612-865-8262 (office) 763�79-8700
Mailing Address: 5145 INDUSTRIAL STREET, SUITE 103 Cit •MAPLE PLAIN ZIP:
Contact Person: BRADEN LARSON Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: BRADEN@ALLSTARTODAY.COM -763-479-6600
PROPERTY OWNER INFORMATION:
Name: MARY JEANNE V BOWEN, TRSTEE
Phone(day): UNKNOWN
Address: PO BOX 201 City: BENSON ZIP: 56215
Email and/or Fax: UNKNOWN
PROJECT INFORMATION: Overal► project description: 52 SQ ASPHALT REROOF&6 SQ FLAT ROOF REROOF
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
[7�Re-roof, asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345
❑ Re-roof,other(specify) ❑Siding ❑Other:(specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ 30,200.00
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 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 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 required by law. If
ou refuse to su I the information the a lication ma not be issued.
ApplicanYs Signature: � � Date: , , � _ ,
Owner's Signature: Date:
Last Updated:January 2016
OATS
TIME
CITY OF ORONO CALLED IN
bN SCHEDULED
Pyr NO.srre)/3S"../ COMPLETED 3 a i -l
ADDRESS /gS 4.17 cwood }Ai/c .
OWNER TELEPHONE NO.
CONTRACTOR Crp et s e.
DESCRIPTION f.c-- roof'
I 0 FOOTING 0 DEMO-FINAL 0 SEPTIC MAL
0 POURED WALL 0 PLUMBING RI 0 EXCAVIGRADINGIFILLING
I0 FOUNDATION WATERPROOF 0 PLUMBING MAL 0 TREE REMOVAL
0 0 RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
0 FRAMING O MECHANICAL FINAL 0 RATED WALLS
• 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
i 0 FINAL 0 WATER HOOK-UP LOW-UP
0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
; 0 DEMO-SITE 0 SEPTIC INSTALL
4 IYNNIIIVCONTRACTOR TO MEET WU:_YES_NO •
iCOMMENT&��AP�//�•44.t1/4.00 [ ,4./t0 C•�/t `
a foree. /.0942._c /O r[
i Permit has expired per MN Building Code Sec. 1300.120 subp. 11
• Expiration, no record of a Final inspection.
•
i
a 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
▪ 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
3 BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
o INSPECTION REQUIRE&CALL TO ARRANGE ACCESS.
Call for the next Inspection 24 noun In advance.(952) 249-4600
OvanatContractor on sits
Inspector.
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