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Home My WebLink About2011-01535 - roofing CITY OF ORONO PERMIT NO.: 2011-01535 2750 KELLEY PARKWAY � _ * ORONO,MN 55356- DATE ISSUED: 12/09/2011 952 249-4600 FAX: 952 249-4616 REPRINTED ON 12/9/2011 ADDRESS : 375 LEAF ST PIN : OS-117-23-14-0059 LEGAL DESC : BAYSIDE WOODS : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 17,000.00 NOTE: VALUATION OF PERMIT:$17,000.00 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 295.00 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 8.50 5145 INDUSTRIAL ST SUITE 103 MISC FEE 0.00 MAPLE PLAIN,MN 55359 TOTAL 303.50 (763)479-8700 Minnesota State License#:20631574 OWNER GILBERTSON ET AL,MICHAEL R 375 LEAF ST LONG LAKE,MN 55356- 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 not grant permission for additional or related work which requires sepazate pertnits. All provisions of laws and ordinances goveming 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 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 conformance with the State Building Code.This permit may be rev e time for ue cause. JZr 9 � r ( � 2� / � ' an Permitee Signature Date Issu By ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i � $ � . . .+�.�� . ��" �,fi.�a �i�� f}� �i"4�'10 ..�.��..��: �. �uii�iing Permit �ppiica�io� for IV�ain�e�a�ce / f�enQ�a�ion = � ;. (windows, doors, siding, re-roof, etc.) F a ' M,ailing Address: � ` ' �0,� PO Box 66 Pecmit number: �/ J_ / -rj,�j � �_ 12 , /� Q Crystal Bay, MN 55323-0066 Date received: / 3 I ��a � ��:,�,� a, � Street Address: Received by: `� ��c, `,,,s',�„'�, G/ 2750 Kelley Parkway Plan review fee: �' \L�.rrESHro�� Orono, MN 55356 �; { Total:Fee: �U�j S� '� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ' ` $� This appfication 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: �7� �� j Will this be a Parade of Homes, Remodelers Showcase Home or other Disp�ay Home? ❑ Yes ❑ No � �� If yes,a special event permit is required wifh Police Department and City Council approval 60 days prior to the evenf. Shuttle bus service will be ��-� required unless applicant demonstrates suffcient on-site parking is available. Non-permitted events wil/not be allowed. "� NTRACTOR/APPLICANT INFORMATION: f=•; Name: (��/al� �G��]S't-(Lc�c�'tc�„ � State License# C� �3 l,r7 �! Expiration Date: ? �i r-y "�^� Lead Certification Number: � �'��„��_. � Expiration Date: -� �,�" _ � (for work on homes fhaf were constructed prior to 1978 � Phone: 7�c.�- �7`�- �'�'/c-o (office) ' (cell) :� Maifing Address: ��-� c�l� ��L �-t— City: c�� 114ZIP: �-?� ��` � Contact Person: ��i2�� Applicant is: Contract ! Homeowner (Circle One) � Email and/or Fax: �;: PROPERTY OWNER INFORMATION: � Name: f�']1(��. �-«- T3C:12TS�� r� Phone (day): 4 { Address: �'7 5' C.:r�r � Cit : �n � - ZIP: � ' y �_/�.c��c., t� � ;I Email and/or Fax � �� PROJECT INFORMATIDN: Type of Project: Any earth movement may require � � � ❑ Door(s) ❑ Remodel MCWD review& permits: �� ❑ Fire Damage �;; 1 Minnehaha Creek Watershed District(MCWD) � : I �Re-roof, as halt ? p ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �� ❑Re-roof, cedar ❑ Restorafion Deephaven, MN 55391 �� i ❑Water Damage Phone: 952-471-Q590 �' a � ❑ Re-roof, other(specify) ❑ Siding ❑ Other: s eci �`� < �. � P fi') Fax: 952-471-0652 ;� www.minnehahacreek.orq �� t ❑Window(s) �� r�� Overall Project Description: ��y}� �i�' ` ��.�a� �, �} Esfimated Construction Valuation of Project(exciuding landj $ ��spp i '�� s r � APPLICANT ACKNOWLEDGEM�NT: � � �� .I • Agrees to provide all information required or requested by fhe Building Department; �� • Certifies that the information supplied is true and correct to the best of his/her knowfedge. The applicant recognizes that they are solely responsible for submitting a complete app(ication being aware that upon failure to do so, the staff has no altemafive � but to reject it until it is complete; • Some or all of the informafion that you are asked to provide on this appfication 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 to the subject of the data. Confidential data is information which generally cannot be given to either the pub(ic or the subject of the data. Our A`� purpose and intended use of this information is to annually updaie our records and records of other governmental agencies �� re uired b law. If vou refu su I e information,the ap ficafion mav not be issued. � � � � Y.S AppficanYs Signature: �, Qate: �' � i � �� N � ,� Last Updated: OS-Q9-2011 �; � . _, :, . ._ _.. ... ,,k°iil DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NO�ICeEf�,.�!� SCHEDULED , _ PERMIT NO.a '�� COMPLEfED �� ADDRESS 375 L �a f �- OWNER TELEPHONE NO. CONTRACTOR f��S��' ��'� � DESCRIPTION �. - � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS �y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB O WATER HOOK-UP � PROGRESS � /�� ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP = O DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FpUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YpU:_YES_NO � COMMENTS: � �� d�r.��' - rto �',�L_�rtsaecz`ie;c r��►tt4z� j o _ � - J2Q f�a�- o��" i�a��ctc�,. t ccp�� o - W - � LI/GII�� Q/1��6'✓ f ��L�,o� � � - W - � �u - � j , a W� ❑WORK SATISFACTORY:PROCEED �` PRW ECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY' 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN � INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED I O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContraator on site• Inspector: ��C� Whife CopyAnspector'a Fils Canary CopylSite Notiee