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Home My WebLink About2011-00939 - roofing , CITY OF ORONO PERMIT NO.: 2011-00939 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 08/26/2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 1350 REST POINT CTR PIN : 07-117-23-31-0024 LEGAL DESC : REST POINT PARK LAKE MTKA : LOT 012 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 10,000.00 NO"fG: VALUATION OF PERMIT: $10,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECI'IONS. (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 191.75 SKYLINE EXTERIORS STATE SURCHARGE(VALUATION) 5.00 17201 90TH PL N MAPLE GROVE, MN 55311- MISC FEE 0.00 (763)5741531 TOTAL 196.75 Minnesota State License#: 20215480 OWNER JORDAN, CLAUDE&DEBORAH 1350 REST POINTT CIR MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he approved plans and specitications,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 r due cause. �� / J c� / / / / Applicant Per itee Signature Date Issued B Sig re e SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABO . . . . ��. � ' �� ' � . � � � y� City of Orono �� . � � Building Permit Application for Maintenance / Renovation �' „�`� � (windows, doors, siding, re-roof, etc.) `�� :�: Mailing Address: �; �,0,�. PO Box 66 Permit number: � � �, 0 Crystal Bay, MN 55323-0066 Date received: � s; a � �� , Street Address: Received by: � >` �',�c, t 6,�p„ �� 2750 Kelley Parkway Plan review fee: � L9g o4� Orono, MN 55356 �..:, ESH 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: ~. Job Site Address: / 3� O j�CJ f �j�� ' � �.� � 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 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/APPLICA T INFORMATION: , � Name: � �..5/�y /� n� � �f�i�,�� r � State License# �}v,� �j-y$c7 Expiration Date: �o/� �<, Lead Certification Number: Expiration Date: '�` �; (for work on homes that were constructed prior to 1978 �; Phone: '�Co�-S7 y�f�,3 j (office) (cell) �° Mailin Address: i! Cit % � 9 / 7dv / `3c7 ,0/ � Y� /'')Z¢t G+�-� ZIP: .S��3�`/ ;� �� Contact Person: �� Q.�y„'��j C 21�'/>:j.,-� Applicant is: Contractor / Homeowner (Circle One) �� Email and/or Fax: 7(,3- yy�_��0 3� i � �� PROPERTY OWNER INFORMATION: Name: 1��:�� T�� Phone (day): ��C-r/�.� (Q k 3� " �° Address: (3 � -e✓� ,�/o,,1t C ,.,/' City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& ermits: ❑ Door(s) ❑ Remodel ❑ Fire Damage P Minnehaha Creek Watershed District(MCWD) �Re-roof, asphalt ❑ Repair [p�Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 � Phone: 952-471-0590 ;� ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 �:� ❑Window(s) www.minnehahacreek.orq �" �,� �Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �O, o�� ;�; APPLICANT ACKNOWLEDGEMENT: �� ,� • Agrees to provide all information required or requested by the Building Department; F�j • 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 sub�ect 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 to su I the information,the a lication ma not be issued. �f� � �_� s� � ApplicanYs Signature: � Date: �` <�G i�� 1 Last Updated: 08-09-2011 � �i� ..�u �� _ _ _ . _ __ . ��/ D Ep TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTIC,E ��39 SCHEDULED '�O -b � PERMIT NO. � COMPLETED ADDRESS ��SD �� • OWNER TELEPHONE NO.?�O� 577' �J�3 � CONTRACTOR _S�� >; DESCRIPTION ��'�' �� O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS y ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � t ` � \ J `"�� r�-�-�-e 0 � � Q � W � Q � Z W � W � � d W� ❑WORK SAT4SFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOfi REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site:t �/ 17 n „ Inspector. White Copyllnspector's File Canary CopylSite Notice