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Home My WebLink About2012-00522 - roofing � CITY OF ORONO * Z 0 1 2 - P1 0 5 2 2 * 2750 KELLEY PARKWAY DATE ISSUED: 06/12/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 25 LUCE LINE RIDGE PIN : 31-118-23-34-0003 LEGAL DESC : PAINTERS CREEK : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 16,000.00 NOTE: VALUATION OF PERMIT:$16,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STAKTED) 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 S[GNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 280.25 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 8.00 51451NDUSTRIAL ST SUITE 103 TOTAL 288.25 MAPLE PLA[N, MN 55359 (763)479-8700 Minnesota State License#: BC631574 OWNER HENDRICKSON,JOHN 25 LUCE LINE RIDGE MAPLE PLAIN,MN 55359- AGREEMENT AND SWORN STATEMENT "I'he 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 gran[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 I 80 days 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 revoked any time for due cause. � � / Z., .�� ' -:-'li � � l l / Z_ / / Ap icant Permitee Signature Date Issued By gnature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . ? � � s. �I�y 4f O�-O�O {Q' �� a 5 �n . � _ tti.p A �4"�' �7{ �`� • Building Permit Appiication for Mainter�ance I Renc�vation � ��"{�� ' �,� (windows, doors, siding, re-roof, etc.) ` Mailing Address: Permitnnumber. ` ' /O�v O,�O PO Box 66 � ' Crystal Bay, MN 55323-0066 'Date received: �: � ` �� , I Street Address: Received by: ' ` �� .� j;u \L �',��„ �� 2750 Kelley Parkway j Plan review tee: a� '�gESKo�`'� Orono, MN 55356 j ' e� Total Fee: ��" Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us , F � This appfication form must be completed in full and all required information must be submitted. �� Incompfete appfications will be returned. (Please print) � GENERAL INFORMATION: Llh� �F Job Site Address: �; ; � � _ i_- %� �/.� ,�_ Will this be a Parade of Homes, Remodefers Showcas Home or other Display Home? ❑ Yes '' �'No ;,. !f yes, a speciaf 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 evenfs wil/not be allowed. � �� CONTRACTOR I APPUCANT INFORMATIOI�: ;�; ; Name: �// ��`�� L e��,fi��<=-�i�� 4� State License # �f, � � �� h, Expiration Date: 3 j 3/%ry ..� Lead Certification Number:/��f G lz�CQ y._j Expiration Qate: 7�,Gj�s- _ (for work on f�omes fhat were constructed prior to 1978 '' Phone: i� :�� —��'J' '- �''�`�, (office) ��,.-„� (cell} Maiiing Address: .rj j ys'�y�vs ��,;�/ l - City: ,�}��j?G�,�ZIP: �� _,,� ,::_; j Contact Person: /�f'f: �� y��,�, App(icant is: ContraEtor / Homeowner (Circle One) � Email and/or Fax: � �� 3 : � f°=�� PROPERTY OWNER INPORMATION: � Name: �-- � �� : ,�D . i�l �v ./,' � ;:: Phone(day): ��1.� •_ �y�; .-5�"� � � : � Address: �5 /� ��=� l��i= 1. ��i� City:,l��.�i�/,�`'/�,.rZIP�� > � S� Email and/or Fax `T—'— PROJECT INFORMATION: Type of Project: Any earth movement may require � ❑ Door(s) ❑ Remodel MCWD review&permits: ..� ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) k� �Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd *� � ❑ Re-roof, cedar ❑ Restoration Deephaven, MN 55391 �� - ❑Water Damage .�� ❑ Re-roof, other s eci Phone: 952-471-0590 ; ( p fy) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 �,: ❑Window(s) www.minnehahacreek.orq M� >,� " Overall Project Description: �; > d= Esfimated Construction Vafuation of Project (exciuding fand) � /(� DOD , c�O ':�; APPLICANT ACKNOWLEDGEMENT: �� '��"�e � � ;�Y • Agrees to provide all information required or requested by the Building Department; � "M; . Certifies that the information suppfied is true and correct to the besf of his/her knowledge. 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 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 ciassified by Stafe !aw as either private or I ;; confideniial. Private data is information which generally cannot be given to the public but can be given to the subject of the I � data. Confidential data is information which generalfy cannot be given to either the public or the subject of tne 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 I the information,the ao iication ma not be issued. �� I �--� d � __ � � �� A IicanYs Si nature: iJ � ,d PP 9 �-��—`�—�`l'l .T,�,�� Date: �_�/ Z._ Last Updated: 08-09-2011 / � F�� j. T � TIME � f� � 4 /° C ,Y OF ORONO CALLED IN / •-�� INSPECTION NOTICE �r �_ ��SCHEDULED `� � PERMIT NO. <-�1�'� L C=J� '� COMPLETED ADDRESS 7��1�1�� //�� C'� OWNER TELEPH, NE NO,I`�/�'�`�(!�� `rL' � ` CONTRACTOR � , , � . C C'��' F �; DESCRIPTION �l��t / � � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTA L ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES NO ` � COMMENTS:��,LL�'_��1�1.! ��z� 1 �� .; '� W ��. . a � � 0 a � 0 � W � Q � Z W � w � � GW ❑WORK SATISFACTORY:PROCEED (,�RFiOJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN G CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice