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Home My WebLink About2011-01083 - roofing CITY OF ORONO PERMIT NO.: 2011-o1os3 2750 KELLEY PARKWAY . ORONO, MN 55356- DATE IssvEn: 09/19/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 398 LEAF ST PIN : 04-117-23-23-0007 LEGAL DESC : AUDITOR'S SUBD.NO. 230 : LOT 027 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,500.00 NOTE: VALUATION OF PERMIT:$2,500.00(13 SQUARES) 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 88.50 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 1.25 5145 INDUSTRIAL ST SUITE 103 TOTAL 89.75 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#: 20631574 OWNER ANDERSON, KATHRYN 398 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 specifica[ions,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 separate permits. All provisions of laws and ordinances governing 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 reques in conformance with the State Building Code.This permit may be revo e at any time for e cause. �2�.-� ' �,� �-��..� �yb1.�_E��-1 � �-��`-(�1 '� ( App icant Permitee ignature at Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. v I� .iS City of Orono �' 0 � Building Permit Application for Maintenance / Renovation . �� ' (windows, doors, siding, re-roof, etc.) a; — t� Mailing Address: Permit number: � '" O�,D,�.O PO Box 66 Crystal Bay, MN 55323-0066 Date received: � �r y i Received by: � ,� �;-�; �, Street Address: �',�, t ""� �ti�' 2750 Kelley Parkway Plan review fee: t9kESH�4� 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. (Please print) '�`` GENERAL INFORMATION: , � Job Site Address: __ �� ,��'� �j 7`- 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 demonsfrates sufficient on-site parking is available. Non-permitted events will not be allowed. �� CONTRACTOR/APPLICANT INFORMATION: � Name: 1�'��'?`�/,� �c'•�Sf/l'l/G�i l�/� State License# �o lA 3,�� Expiration Date: 3i_�j�j � `. Lead Certification Number: Expiration Date: �T� '' (for work on homes fhat were constructed prior to 1978 °%' Phone: (office) (cell) �� '-� Mailing Address: ,��)�� y� City��j�'��,�. ��, .S_ � � j, Contact Person: �� Applicant is: Contr ctS or / Homeowner (CircleOne�Z►� � Email and/or Fax: PROPERTY OWNER INFORMATION: '� Name: ��/,�l�,�jl �-'� SC�.C� � Phone (day): ' �� ,� Address: �� J City��,�� ZIF': � 5 �j� � '� Email and/or Fax � � PROJECT INFORMATION: a� �� Type of Project: �" Any earth movement may require >" ❑ Door(s) �f�� ❑ Remodel ❑ Fire Damage MCWD review&permits: � �� Minnehaha Creek Watershed C)istrict(MCWD) �: �'Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka 131vd ' ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 5�391 G`� Phone: 952-471-O:i90 ��` ❑ Re-roof, other(speciry) ❑ Sidin � g ❑ Other: (specify) Fax: 952-471-06£�2 ❑Window(s) www.minnehahacree<.orq �" :<;� Overall Project Description: � Estimated Construction Valuation of Project(excluding land) $ �� .�o '' g 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 re�;ognizes 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 ��f the data. Our � '::;'_E purpose and intended use of this ' formation is to annually update our records and records of other governmental agencies '� , � re uired b law. If ou refuse to I the information,the a lication ma not be issued. �� ': , _ �y ._.____._ {. ApplicanYs Signature: � � Date: �' � ' ;:� Last Updated: 08-09-2011 ;'� .� .. � �. ._ -- - -� �v' v E TIME CITY OF ORONO c,n��ED IN ��-n�� INSPECTION NOTICE SCHEDULED —� �_'/ � PERMIT NO.aDI(- D/p8.3 COMPLETED ADDRESS �9rQ L�a-� ��. OWNER TELEPHONE NO. CONTRACTOR ��`S✓ Q� �: DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O 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 � o '� l � `��..��S `�-�i 1.�/'�� 0 � W � Q � a W � W � j a W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor on site: Inspector. / . /�� , White Copyllnspector's File Canary CopylSite Notice