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Home My WebLink About2011-01252 - roofing 1 �r CITY OF ORONO PERMIT 1v0.: 2011-01252 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �SSUEn: 10/17/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2905 FOX ST PIN : 04-117-23-34-0007 LEGAL DESC : AUDITOR'S SUBD.NO. 230 : LOT 035 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILD[NG-UNDEFINED VALUATION : $ 75,000.00 NOTE: VALUATION OF PERMIT: $75000.00 ROOFINC PERMI"rS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFP INSPECTIONS. (WG RF,QUIRE 24-48 NOTICE,PRIOR TO WORK I3EING STARTL-'D) MUS"l�PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BG ISSUED. SIGNS-ADVERTIS[NG SIGNS MAY ONLY[3E ON THG PROPERTY DURING THE TIME THE ROOP IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 869.25 ALLSTAR CONSTRUCTION S l45 INDUSTRIAL ST STATE SURCHARGE(VALUATION) 37.50 SUITE 103 TOTAL 906.75 MAPLE PLAIN, MN 55359 (763)479-8700 Minnesota State License#: 20631574 OWNER FRANCIS, MICHAEL&BERIT 2905 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMEIVT The work for which this permit is issued shall be performed according to die approvcd plans and specifications,applicable City approvals,and the State[3uilding 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 wmpied with whcther 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be re e a y time for due cause. __-- "a i r 7 i � ( i i Applic ermitee Signature Date Issued[3y � ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . l � City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: �� PO Box 66 Permit number. /� �\` O\ Crystal Bay, MN 55323-0066 Date received: I,a ��. I i� � �� , I Street Address: Received by: ,� ��;_ �n ` � ti� 2750 Kelley Parkway Plan review fee: r9kEs�g�/ Orono, MN 55356 \--� 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: o��US O � 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 Counci/approval 60 days prior to the event. Shuttle bus service wil!be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. .� �CONTRACTO&/APPLICANT INFORMATION: , a m e:V �L c:S%✓1-rZ C'c�q,S�/C u c f r c�-� State License # �U�,� i J�-7 c�t Expiration Date: 3 3 ; �� Lead Certification Number: ��cr_ � Expiration Date: �� Zo;� (for work on homes that were constructed prior to 1978 Phone: 7�3_ �y�_ �-��;, (office) (cell) Mailing Address: ��c�� 7�,;� City� '/� « �„� ZIP: �3 S � � Contact Person: �� Applicant is: C tra'tor / Homeowner (Circle One) ,, Email and/or Fax: � R PROPERTY OWNER INFORMATION: Name: ��^CZr G!,S Phone (day): < Address: �-r,'a� f-ax S¢ City: �r�a�JU ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s ecif Phone: 952-471-0590 ( p y) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ 7 t}�� ' 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 re uired b law. If ou refu su I the information, the a lication ma not be issued. ApplicanYs Signature: �_ - Date: �� 7 �/ Last Updated: 08-09-2011 �� J DATE TIME ✓ CITY OF ORONO CALLED IN ��—/ INSPECTION NOTICE SCHEDULED !D�� -1 l PERMIT NO.��— D/`'�S�COMPLETED � ADDRESS a 90�5 ��C. S7�' OWNER TELEPHONE NO.7�3 "��4 `�� CONTRACTOR �l/ S�C`�'`� �� >; DESCRIPTION C��.-5�� '" ��CC.0 D�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE�NSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � Y\ iNl� � � �. � O � W � Q � 2 w � W � j d W� WORK SATISFACTORY:PROCEED �l PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED �, ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN INSPECTOR WILL RETURN u CITATION ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on sit : Inspector. � ��—S White Copyllnspector's File Canary CopylSite Notice tJ /r,, TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE �F i SCHEDULED �L� —�� PERMIT NO�.E�UI /-L`��✓� C PLETED ADDRESS � � OWNER '` TELEPHONE NO. — � � CONTRACTOR � �; DESCRIPTION � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � ti � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �Wt�T COMPLETE � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W � ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on sit�:� Inspector. White Copyllnspector's File Canary CopylSite Notice