HomeMy WebLinkAbout2011-01265 - roofing " � CITY OF ORONO PERMIT NO.: 2011-01265
2750 KELLEY PARKWAY .
ORONO,MN 55356- DATE IssuEn: 10/19/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1360 REST POINT CIR
PIN : 07-117-23-32-0031
LEGAL DESC : REST POINT PARK LAKE MTKA
: LOT 003 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 5,000.00
NOTE: VALUATION OF PERMIT:$5000.00 TEAR OFF REROOF HOUSE AND GARAGE
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 118.00
MIDWEST ROOFING STATE SURCHARGE(VALUATION) 2.50
6541 SYCAMORE CT N TOTAL 120.50
MAPLE GROVE,MN 55369-
(763)427-9696
Minnesota State License#:20637010
OWNER
BOIS,DAVID&JENNIFER BOIES
1360 REST POINT CIR
MOLJND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work de�cribed and does
not grant permission for additional or related work which�requires separate
permiu. All provisions of laws and ordinances govemin this type of work
shall be compied with whether or not specified herein.Th�s permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if�onstruction is
suspended for a period of 180 days at any time after work Ihas commenced.
The applicant is responsible for assuring all required insp$ctions are
requested in conformance with the State Building Code.This permit may be
revoked at 8ny time f due cause.
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pplic t itee ature D te Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono i4 .���ry,
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� Building Permit Application for Maintenance / Renovation '` ���� �.�
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��.- (windows, doors, siding, re-roof, etc.) ��
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��; Mailrng Address: Permit number: 02-�! i�(�/�4� ��
�'` �,L,0,� PO Box 66 �'
� 0 �, Q Crystal Bay, MN 55323-0066 Date received: �v —��l—� ��
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� - ,a ��� �.': �, i Street Address: Received by: �
; �'.�c�L a`�� Gti� 2750 Kelley Parkway Plan review fee: ��
x � `�gEs��`'� Orono, MN 55356 � �
�: —� Total Fee: �p�d,�� �'
�� 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: �n
.-" Job Site Address: � - ,v
�m` Will this be a Parade of Homes, emodelers Showcase ome or other Display Home? ❑ Yes No #
If yes, a special event permit is required with Police Department and City Counci/approval 60 days prior to the event. Shuttle bus ice will be �
""�" required unless applicant demonstrafes sufficient on-site parking is available. Non-permitted events will not be allowed. �
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�:; CONTRACTOR/APPLICANT INFORMATION:
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Name: �S�� ;r
� � State License # �(, ��-]� Expiration Date: /S�j� �
�}: Lead Certification Number: ��,� ��5=l Expiration Date: � � �
�,; (for work on homes that were constructed prior to 1978
4�"� Phone: `7C� 3-=L(�'7—� (office) (cell
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.�� Mailing Address: ����-� 5������ � �i City: �fJ��� �y����� ZIP: ��—�� �
� Contact Person: A licant is: ��T�r / Homeowner
�> ���//v ��t'�_��,.� pp (Circle One)
,���, Email and/or Fax: —�
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� PROPERTY OWNER ORMATI N: ��
�`". Name: �G�•,� l�d, < S
��; Phone (day): ��,— 7� I--(��� � �
� ; Address: �'j G6 �� � f C�>�.,� �.� City: dc','� ZIP: �
.�< Email and/or Fax '`
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PROJECT INFORMATION: �
Type of Project: Any earth movement may require ��
�
�' ❑ Door(s) ❑ Remodel MCWD review &permits: �
❑ Fire Damage �
�� Minnehaha Creek Watershed District(MCWD)
� �2e-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ,�
�„� ❑ Re-roof, cedar Deephaven, MN 55391 ,�
❑ Restoration ❑Water Damage �
��� ❑ Re-roof, other s ecif Phone: 952-471-0590 ��
_ ( p y) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
,
❑Window(s) www.minnehahacreek.orq �''
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Overall Project Description: ��� �g - � — � �� � � 1- �_ , � ���.�� - �
Estimated Construction Valuation of Project(excluding land) $ `-� �
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� APPLICANT ACKNOWLEDGEMENT: �
<m • Agrees to provide all information required or requested by the Building Department; k
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
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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 cfassified 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 to su I the information, the a lication ma not be issued. ,
_,_ �� ___.---
Applicant's Signature: ' Date: �•— �— .
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Last Updated: 08-09-2011 �'�
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CITY OF ORONO � CALLED IN �U �
INSPECTION OTICE SCHEDULED � //
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on si :
Inspector. _ d1 �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME v
CITY OF ORONO CALLED IN ( �_
INSPECTION OTI E ���SCHEDULED ��r%�(
PERMIT NO. " COMPLETED J� � �(
ADDRESS I cS� �/�4—C F�C�e
OWNER TELEPHONE NO.
CONTRACTOR �I ����T ��� ��
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSUTATION ❑ 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 INSTALI ❑ HARD COVER REMOVAL
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46�0
OwnerlContractor on ite:
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
I DATE TIME �
CITY OF ORONO CALLED IN
I INSPECTION NOTICE SCHEDULED
PERMIT NO. �bJ/ 'Oy?Gs� COMPLETED S B/rf
ADDRESS 1360 1pcs� /�- C•r .
OWNER TELEPHONE NO.
CONTRACTOR �v�.��� �i �
� DESCRIPTION ���af
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I O ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORFJWETLANDS
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� � ❑ INSULATION ❑ WOOD BURNERIFIREPLACE O SITE INSPECTION
, ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� � � FINAL ❑ SEWER HOOK-UP � COMPLAINT
Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNbATiON/REMOVAL
2 OWNERfCONTMCTOR TO MEET Y�OU:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CAL,L FOR REINSPECTION TEMPORARY
V BEFORE COYERING
PERMANENT
❑CORRECT UNSAFE CCINDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILLRETURN
❑STOP ORDEH POSTED.CALL INSPECTOR ❑CRATION ISSUED
❑INSPECTION REQUIR�D.CALL TO ARRANGE ACCESS.
Cae for the�ext inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector: •µ
White Copyflnspector's File Canary CopylSite Notia