HomeMy WebLinkAbout2011-01304 - roofing � �" CITY OF ORONO PERMIT NO.: 2011-01304
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE IssuEn: 10/24/2011
952 249-4600 FAX: 952 249-4616
ADDRES5 : 1336 REST POINT CIR
PIN : 07-117-23-31-0020
LEGAL DESC : REST POINT PARK LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 8,000.00
NOTE: VALUATION OF PERMIT:$8000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 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 162.25
TONKA ROOFING STATE SURCHARGE(VALUATION) 4.00
4573 SADDLEWOOD DR. TOTAL 166.25
MINNETONKA,MN 55345-
(612)598-3116 PAID WITH CC# 7811
Minnesota State License#:20586668
OWNER
DEMATT,JANICE
1336 REST POINT CIR
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requites sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified hereia 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 consWction 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
revo t ny � e for due cause.
� � o �2 � / �. l o,a� ,�
plicant Perm tee Signature Dat Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. �;��I� . . � � ?': +t r 0. '�� 4 " 3
§
�. ,T '
a �
- ` City of Orono
Building Permit Application for Maintenance / Renovation ��
(windows, doors, siding, re-roof, etc.) �
� Mailing Address: �
� �.,�,� PO Box 66 Permit number: l —('� ��
�
0 Q Crystal Bay, MN 55323-0066 Date received: /� // a;
I r� f�;�,r� Received b �`�
1� � ., s, StreetAddress: Y� �
��'�n ; �'�� Gti�' 2750 Kelley Parkway �'
�t9rf 4� Orono, MN 55356 Plan review fee: ;�:
SH� �
Total Fee: ���,p� �
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: L
Job Site Address: ��,� �S f �/ �1>-�- �.
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No "
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus sekvice will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. �,'
CONTRACTOR/APPLICANT INFO ATION: �
; Name: �,.'t - ) yL..
State License# 2 e r��,Q" Expiration Date: � 3� � L. �
y Lead Certification Number: Expiration Date: �
�.. �(for work on homes thaf were constructed prior to 1978
������ Phone: �' � 23 7 303 (office) (cell) �
, Mailing Address: � 3 S . u,�, af Di City: dVt, � ZIP: �.�y °�
�� �
Contact Person: �,L Applicant is: Contractor / Homeowner (Cirde One) .�
Email and/or Fax: "�
�
;:.
PROPERTY OWNER INFORMATION: ;�
Name: ✓G�t c� �P 1�,�%:, � �
Phone (day): �j'S'oZ `�7.Z .�370 ;�
Address: �7� �cs� �f <i�'� Cit
- Y� D��J ZIP•
Email and/or Fax
�
PROJECT INFORMATION: �
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel MCWD review& ermits: }�
❑ Fire Damage p �
Minnehaha Creek Watershed District(MCWD) „,�
Re-roof, as halt g 18202 Minnetonka Blvd 4�
p ❑ Repair ❑ Storm Dama e
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 �
( p fy) ❑ Sidin Phone: 952-471-0590
, ❑ Re-roof, other s eci �
} g ❑ Other. (specify) Fax: 952-471-0682
`_' ❑Window(s) www.minnehahacreek.orq ''�
.�
��' Overafl Project Description: F '
Estimated Construction Valuation of Project(excluding land) $ ���(f, �
�;.
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; :x
;�
• 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 �:
re uired b law. If ou refuse t u I the information,the a lication ma not be issued.
�,°- ,
ApplicanYs Signature: / Date: ��� Z-`f /�
Last Updated: 08-09-2011 ( �
�,..
E;,�:. _ _ _ __ _ _
� �� ��J"" ' __ AT,EL TIME �
CITY OF ORONO CALLED IN �7 ��
INSPECTION NO ICE SCHEDULED � 6� ��:CSZ�
PERMIT NO. ������� co LETED '
ADDRESS 3 3 �
OWNER TELEPHONE NO. J� 37��r�"
CONTRACTOR
>; DESCRIPTION � �� W�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING � MECHANICAL FINAL
O ❑ 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
� OW ONTRACTOR T ET YOU:�,.YES_NO
� COMMENTS: "
�
W
a
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
�
a
� ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE
W ❑CORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
OwnedContractor on site:
Inspector.
`-� ��
White Copyllnspector's File Canary CopylSite Notice