HomeMy WebLinkAbout2013-01251 - roofing CITY OF ORONO * 2 0 1 3 - B 1 z' S 1 *
� 2750 KELLEY PARKWAY DATE ISSUED: 12/02/2013
� � � ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2435 NORTH SHORE DR
PIN : 09-117-23-44-OO10
LEGAL DESC : SCOTCH PINE ADDN
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 26,745.00
NOTE: VALUATION OF PERMIT:$26,745.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQU[RE 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 434.50�
ALLSTAR CONSTRUCTION,LLC STATE SURCHARGE(VALUATION) 13.3'T
5145 INDUSTRIAL ST TOTAL 447.87
SUITE 103
MAPLE PLAIN, MN 55359
(763)479-8700
Minnesota State License#: BC663667
OWNER
HOUDE, MR.
2435 NORTH SHORE DR
WAYZATA, MN 55391-
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 separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not speciYied herein.This permit will
expire and become null and void if construc[ion authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a pe�iod of 18Q�days at any time after work has commenced.
The applieal�t is;resp ible"for assurin�all required inspections are
requ e p co'nSo 'e:tGith the State Building Code.This permit may be
re ke �a�y time �d�ie cayse. �
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Applicant Permitee Signature Date 1
Issued B� Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
t .�- City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
�O�O Mailing Address: Permit number:
PO Box 66
Crystal Bay, MN 55323-0066 Date received:
� � Street Address: Received by:
ti � 2750 Kelley Parkway Plan review fee:
`�tq s �� Orono, MN 55356
KfSHI�R
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: � 1
Job Site Address: 2��5 NO��-�. �-�0'Z.� �L.1��- - d2�3�� M.�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
/f yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service wi/l be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �}l�i-l�rtL. G01�1Sf'�-+�C3'"��� C-�-L
State License# ������7 Expiration Date: z�_ 3�_ z,a� 3
Lead Certification Number: - �,Q. Expiration Date: _ ,�/q_
(for work on homes that were constructed prior to 1978
Phone: (cell) (PI 2 _ �6S _ g2.�., (office) ?L3- 479- `�700
Mailing Address: �- S� lo Ci : �� ZIP: $53S�j
Contact Person: '�yz,q�,�� �fyp� Applicant is: Contractor Homeowner (Circle One)
Email and/or Fax: ����� o� prLyS�,�,R,�4A.•-( �p,n.1
PROPERTY OWNER INFORMATION:
Name: �AJD� R-t`so����
Phone(day): g5Z- 404- a731
Address: 2,ef�s �Jpn.tc{ S�.bcrs� D�„w� City: O�^�a ZIP: $�� �
Email and/or Fax:
PROJECT INFORMATION: Overall ro�ect descri tion: �4� ��n�
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
�Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ Re-roof, other(specify) ❑Siding ❑ Other:(specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ 2 �7
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 recognizes 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 of the data. Our purpose and
intended use of this infor io is to nnually update our records and records of other governmental agencies required by law. If
ou refuse to su I the� o n he a lication ma not be issued.
ApplicanYs Signature: � � • Date: ���Z?'�3
Owner's Signature: � �S� Date: —
Last Updated:03/O6/2013
DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. aal3 -0l.ZS/ COMPLETED �/�
ADDRESS ��/�3 S N- S�a�e Q� .
� OWNER TELEPHONE NO.
CONTRACTOR A//-S�i G',,���_
� DESCRIPTION �e-rGa.�'
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
e ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
❑ RADON SLAB ❑ WATEH HOOK-UP ❑ PROGRESS
� ��N� ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. J�FOLLOW-UP
I = ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEH REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
I � OWNERICpNTRAC'TOR TO MEET YpU:_YES_NO
� COMMENTS:
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W� O VI�RKSATISFACTORY:PROCEED �OJECT COMPLETE
W ❑CORRECT WORK�PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOFI REINSPECTION TEMPORARY
V BEFORECONERING f PERMANENT
❑CORRECT UNSAFE CON ITION WRHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL URN
❑STOP ORDER POSTE CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUI ED.CALL TO ARRANGE ACCESS.
Ca11 for the ext inspection 24 hours in advance. (g52) 249-4600
OwneNContracto� 'n site:
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Inspector. Q�...� �
White Copylinspector's File Cenary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NOv'�013 -a�a.5� COMPLEfED ,/,_�-/-G
ADDRESS �S'35 ✓��th S�o� Q 17r' .
OWNER TELEPHONE NO�
CONTRACTOR ��lb��✓' �K Szrc 'Lcro n.
� DESCRIPTION l�f Q�+✓���Ks'
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q � ❑ WATER HOOK-UP ❑ FOLLOW-UP
�4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTtUCTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W� ❑WORK SATISFACTORIh PROCEED ❑PROJECT COMPLEfE
W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 ror the next inspection 24 hours in advance. (g52) 249-4600
ONrnerlContractor on site:
Inspector: �°�� �
White CopyAnspector's FIN Cenary CopylSite Notke