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Home My WebLink About2017-01193 - roofing � eWk CITY OF ORONO * 2 0 1 7 - 0 1 1 9 3 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2017 ORONO,MN 55356— (952)249-4600 FAX: (952)249-4616 ADDRESS 4535 NORTH SHORE DR PIN 07-117-23-31-0007 LEGAL DESC BERGQUISTS ADDN TO SAGA HILL LOT 009 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,585.00 NOTE: VALUATION OF PERMIT:$6585.00 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 154.85 ALLSTAR CONST COMMERCIAL,LLC STATE SURCHARGE(VALUATION) 3.29 5145 INDUSTRIAL ST MAIL-IN FEE 2.00 SUITE 103 TOTAL 160.14 MAPLE PLAIN,MN 55359 Payment(s) (763)479-8700 CREDIT CARD 9070 160.14 Minnesota State License#:BUIL-BC706473 OWNER HAYDOCK,ROGER&ELAINE 4535 NORTH SHORE DR MOUND,MN 55364- 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 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 requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. i wQ-C Applicant Permitee Signature Date Issued y ignature Date y F.rL,cn: 09/25/2017 10:15 4321 P.002/002 City of Orono Building Permit Application for Maintenance / Replacement/ Remodel —Residential ONLY (i.e. windows, doors, siding, re-roof, etc. —NO STRUCTURAL EXPANSION) Mailing Address: PO Box 66 Permit number: d — Crystal Bay,MN 55323-0066 Date received: a � Street Address: Received by: ti C� 2750 Kelley Parkway Orono,MN 55356 Plan review fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us I Total Fee: 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: 4535 NORTH SHORE DRIVE-ORONO,MN Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No !f 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 demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ALLSTAR CONSTRUCTION COMMERCIAL State License# BC706473 Expiration Date: 03/31/2018 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) 612-865-8262 (office) 763-479-8700 Mailing Address: 5145 INDUSTRIAL STREET,SUITE 103 CiLAIN ZIP:55359 Contact Person: BRADEN(ARSON Applicant is: ( Contractor)/ Homeowner (Circle One) Email and/or Fax: BR4DEN ALLSTARTODAY.COM PROPERTY OWNER INFORMATION: Name: ROGER AND ELAINE HAYDOCK Phone(day): 952484-2499 Address: 4535 NORTH SHORE DRIVE City: ORONO ZIP: 55364 Email and/or Fax: ELAINEHAYDOCK@HOTMAIL.COM PROJECT INFORMATION: Overall project description: PARTIAL ROOF REPLACEMENT 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) 15320 Minnetonka Blvd Re-roof,cedar ❑Restoration ❑Water Damage Minnetonka,MN 55345 ❑Re-roof,other(specify) ❑Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahaereek.org Estimated Construction Valuation of Project(excluding land) $ 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 information is to annually update our records and records of other governmental agencies required by law, If you refuse to supply the inf Oion,t application may not be issued. Applicant's Signature: AI' T Date: 9 -Z_ ' Za Owner's Signature: Date: Last Updated:January 2016