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Home My WebLink About2011-01398 - roofing / � ` ' CITY OF ORONO PERMIT NO.: 2011-01398 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: i U04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1100 MILLSTON RD PIN : 10-117-23-14-0015 LEGAL DESC : MILLSTON : LOT 000 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR VALUATION : $ 78,000.00 NOTE: VALUATION OF PERMIT:$ 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 891.75 ALLSTAR CONSTRUCTION 5145 INDUSTRIAL ST STATE SURCHARGE(VALUATION) 39.00 SUITE 103 MISC FEE 0.00 MAPLE PLAIN,MN 55359 TOTAL 930.75 (763)479-8700 Minnesota State License#:20631574 OWNER BURWELL,MR.&MRS.RODNEY P 7901 XERXES AVE S BLOOMINGTON,MN 55431- 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 permiu. All provisions of laws and ordinances goveming this type of work shall be compied wi[h whether or not specified herein.This permit will expire and become null and void if consVuction 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 aze requested in conformance with the State Building Code.This permit may be revoked t e c e. !� i 4� i � /i i// A licant Pe ' e Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. _ � - � ' City of Orono ' � �� Building Permit Applicafivn for IV�aintenance / Renovafion A� 3 F d (windows, doors, siding, re-roof, etc.) �xy Mailing Address: Permit number: p� �-� � t g,0,� PO Box 66 / �; ; � �a � Crystal Bay, MN 55323-0066 Date received: �! '� �a ;�i;, �, I Street Address: Received by: .�, �� Gti 2750 Kelley Parkway Plan review fee: �'" t'�.kEs� Orono, MN 55356 f � Total Fee: 9�Q, ��J" �' 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: ��DU � /LCS�Z� /� f� v �'. v Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No !' If yes,a specia/event permit is required with Police Department and City Council approva/60 days prior to the evenf. Shuttle bus service will be � a.i: required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. ``"� i`;� ' CONTRACTOR/APPLICANT INFORMATIQN: • �'` Name: A L�S; �'�on,5=T o c � State License# ��,3j�� Expiration Date: ,� 3 i iv �" i Lead Cerfification Number: Expiration Date: �1 (for work on homes thaf were construcfed prior fo 1978 Phone: '7(3.- 7y �'-�a u (office) �" ,� (cell) � Maiiing Address: �i5l� �,i/p��;,�� j-�— City:�L4�CG �i�,R/ ZIP: ��3 �?� � Contact Person: �,_ S6 t-{N Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: �� PROPERTY OWNER IN ORMATION: ; Name: �j �t��..J�L(_.. '` ,� Phone (day): �� j g ` Address: � ; lr�e� . ��ST�.� (`1D City: U`Le��Ja ZIP: � i� Email and/or Fax 'i ';°; � �. PROJECT INFORMATION: � � T e of Pro'ect: r '( YP 1 Any earth movement may require � � � ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ; "f ❑ Re-roof, asphalt ❑ Re air Minnehah a Cr e e k W a t e r s h e d D i s t r i c t(M C W D) �� p ❑ Storm Damage 18202 Minnetonka Blvd _''; �Re-roof, cedar ❑ Restorafion ❑Water Damage Deephaven, MN 55391 `� ❑ Re-roof, other s eci Phone: 952-471-0590 � , ( p fy) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 rt`,i ❑Window(s) www.minnehahacreek.orq ; ,i Overall Project Description: (E��-�_ �c� � ��,= ': 7 y'' :,; Estimated Construction Valuation of Project(excluding land) $ "7g�p.� :i � �;i APPLICANT ACKNOWLEDGEMENT: £k ,G • Agrees to provide all information required or requested by the Building Department; � i 4 • 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 submitfing a complete appfication being aware that upon failure to do so, the staff has no alternative �' � but to reject it until it is complete; ; r :; • 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 " ° 1 data. Confidential data is information which generally cannot be given to either the pubfic 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 refuse t u I the information,the a lication ma not be issued. "i ApplicanYs Signature: Date: l� � // ;; I ` Last Updated: OS-09-2011 �� DAT TIME ✓ CITY OF ORO O LLED IN /' �� INSPECTION aNO�TICE /� HEDULED J/-��/� PERMIT NO.�/�I—v�� COMPLETED , ADDRESS '/�. OWNER LEPHONE N �'a r! `3/� CONTRACTOR �: DESCRIPTION "��- C� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL F ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAI Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERIE�NTRACTOR TO MEET YOU:_YES_NO � COMNfENTS: W `"i a ' � � O � � � O � W � Q � Z W � W � � W�Yl�!(�iKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspe ' n 24 hours in advance. (J52� 249-4600 OwnerlConUactor on ite: Inspector. White Copyllnspector's File Canary CopylSite Notice CI�� 1 �� /P � OF ORONO CALLED IN �(/�-� /l� TIME INSPECTION NOTICE SCHEDULED -7� _��/`1� PERMIT NO. L�I��OMPLETED ADDRESS_��n �� Ill�.S� � OWNER TELEPHONE NO. �'��j CONTRACTOR l( ��C.L2. � DESCRIPTION f�""/� ��Y� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMO/VA/L � OWNER/CONTRACTOR TO MEET YOU:_YES NO �C.i l( !� � COMMENTS:��;`� f ��''Cac/"7� 1��7l�= a � J O � � O � W k Q � Z W � W � � d / � Q WORKSATISFACTORY:PROCEED '�j ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice . DATE TIME �/ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDU�ED PERMIT NO. cOMPLETED L v�� ADDRESS��'l�- J �`� OWNER TELEPHONE NO. CONTRACTOR �; DESCRIPTION � �� !� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o t C� � �s �� 3 -�-�r � � a � W � Q ti Z W � W � � � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor on site: Inspector_ � G �. � White Copyllnspector's File Canary CopylSite Notice