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Home My WebLink About2012-00769 - roofing � � CITY OF ORONO * z 0 1 2 - 0 0 7 6 9 * 2750 KELLEY PARKWAY DATE ISSUED: 08/08/2012 ORONO, MN 55356- (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-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 15,000.00 NOTE: VALUATION OF PERMIT:$15000.00 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 265.50 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 7.50 5145 INDUSTRIAL ST TOTAL 273.00 SUITE 103 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#: BC631574 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 permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not speci£ed 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 aze _ requested in conformance with the State Building Code.This permit may be revoke t for due cause. � O � O � t`Zif � l U l/� t Permitee Signature Date ssue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. e,�^t ,^S_�` — � �.:.. 'u. _ , . . . ��y Of C��O�� Buiiding Permit Appiication for Maintenanc� / Renovatio� � _ � + (windows, cfoors, siding, re-roof, etc.) � �;, Mailing Address: ��Permit number. C�(� _ �.; /�v 0,� PO Box 66 � �`- � � Crystal Bay, MN 55323-0066 Date received: �� Z �� ,, i � � . �a �� a, Street A ress: Received by: �\t r ,��,ti 2 a0 Kelley Parkway Plan review f 9.rr�SHog Orono, MN 55356 � � ��'C� 7�� , Total Fee: � q s Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ,, '�'� This applicafion form must be completed in full and all required information must be submitted. � �,_,. - � `- fncomplete applications will be returned. (Please print) � °�` GENCRAL WFORMATION: ,// �� > Job Site Address: /l�� (I CCS'/i�,c1 /�Q '�:. Wil! this be a Parade of Homes, Remodefers Showcase Home or other Display Home? ❑ Yes ❑ No !f yes, a specral event permif rs required wi�h Po(ice Departmenf and City Counci/approval 60 days prior to the evenf. Shuttle bus service wil!be �' required unless applicant demorstrates sufficient on-site parking is available. Non-permitted events wi!!not be allowed. S� 4 5 � "' �Q.N_TRA��/APPLICANT INFORM�101�: . �� Name: �-LCSi/}� «>NS'f`(I.s�/c'�z�-, ,, :: State License # � �� - � , �� v(v 3 /J 7 S! Expiration Date: 3� � LL Lead Certificafion Number. Expiration Date: � (for work on homes that were constructed prior to 1978 � � Phone: 7��j— L�7�-�'_ �7� (ofFice) cell ` Maifing Address: �'i c%� 1,�,�.�j S7�2< <a c.. S-� City: , („��ra ZIP: �'` � ) � Contact Person: � � C_-�(Le� Applicant is: ontrac o / Homeowner (Circfe One) � '' Email and/or Fax: � PROPERTY OWNER IN RMATIO1�: :� Name: /,�jv,�zw� GI Phone(day): . Address: /'16� �CC$�3� 2n City: �� o ZIP: Email and/or Fax PROJcCT INFORMATION: Type of Project: Any earth movement may require � MCWD review&permits: �'� ❑ Door(s) ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD} � �Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ��: � ''� ❑ Restoration Deephaven, MN 55391 � ❑ Re-roof, cedar ❑Water Damage j ;� Phone: 952-471-0590 3 ' ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 � tt ❑Window(s) www.minnehahacreek.orq I E..: � �: Overall Project Description: ��' (�� .: Esfimated Construction Vafuation of Project (excluding fand) $ /�:��,'` �,; ��:: APPLICANT ACKNOWLEDGEMENT: � �' �,s • Agrees to provide all information required or requested by the Building Department; � ;. . � Certifies that the informafion supp(ied is true and correct to the best of his/her knowledge. The applicant recognizes that they �.'� are soiely responsible for submitting a complete application being aware that upon failure to do so, tne staff has no alternative but to reject it until it is complete; � r,.�, . � r,� Some or all of the i�formation that you are asked to provide on this application is cfassified by State law 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 r �� data. Confidential data is information which generally 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 govemmental agencies � f reQuired b iaw. If ou refuse t i tne information,the a fication ma not be issued. �:;;� _ ;. a�; .�,..�_--_ , �. ; Applicant's Signature: i` � Date: � � �� Last Updated: 08-09-2011 '� . ; � E TIME v CITY OF ORONO CALLED IN �G�� INSPECTION NOTIC �s CHEDUIED '—C�.f� PERMIT NO.�4� - 7�-�c0 PLETED ADDRESS �� ` OWNER TE ONE . CONTRACTOR " � � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL ❑ LAKESHORE/WETLANDS y 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � 0 PLUMBING RI ❑ SEPTIC FINAL ❑ OUN ATIOWREMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: �- � �� W a � � O a � O � W � Q � Z W � W � � � O W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECANDITiONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice