HomeMy WebLinkAbout2011-00676 - roofing r �
CITY OF ORONO PERMIT NO.: 2011-00676
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/19/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1315 REST POINT LA
PIN : 07-117-23-32-0052
LEGAL DESC : TONKAVIEW GARDENS
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 8,663.90
NOTE: 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 177.00
GRUSSIN ROOFING,INC. STATE SURCHARGE(VALUATION) 4.33
4305 SHADY OAK RD TOTAL 181.33
HOPKINS,MN 55343
(952)935-0557 PAID WITH CC# 6799
Minnesota State License#: 9212
OWNER
GROVER,KEVIN&SUSAN
1315 REST POINT LA
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performbd 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�equires sepazate
permits. All provisions of laws and ordinances governing this rype 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 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for d cause.
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Applicant Permitee gnature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
20�1-0�=18 01 :49 GRUSSING 9529356514 » +9522494616 P 2/3
City of O�ono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.) ,
��.� Mailing Address: Permit number:
O.g„j O,�O Po Box gs
Crystal 9ay, MN 55323-0066 Da�te reoeived: `
1 Str+eet Address: Reoeived by:
� � �� 2750 Kelley Parkway P�an review fee:
� _—�,�.�j Orono, MN SS3�
'� Total Fee: � �'/ � �
Main: 952-249-4600 Fax: 952-249-4616 www.u.orono.mn.us
This application form must be completed in full and all required information must be submitEed.
Incomplete applications wil{be retumed. (Please printj
GEPIEI�AL INFORMATION: �
Job Site Address: �� ��S-f� ��,���'7� ���'�
Will this b�a Parade of Homes, Remodeler�Showcase Home or other Display Home? ❑ Yes ❑ No
If yes,a spedal s►bnt pe►'mlt!s roqulrsd wrth Pofice Depertrne�and Cily Counal epprovel 80 deys pdor to die event. Shuttle bus service will be
requireal unkss sppJleant demonabatas suPlicbnt on-site paAclnq is evalla6ls. Non-permltted events w/p not be aBowed.
CONTRACTOR/APPR.ICANT INFORNAATION:
Name: _- �s. �G, ,.�Z- �
State License# ��f�,.� ,� � T—� Expiration Oate:
Phone: G '_ �.r'�,�c:c^ office cell
Mailing Address: �.�,-- C' : • ZIP: �
Contact Person�« " ;' , !�,� Applicant is: Contra o�► / Homeowner �c�ra.oe•�
Email a�d/or Fax: '-�13 �
PROPEI�TY OWNER INFORMATION:
Name: /'�i///i► �/%J%"�/
Phone(day): ��-�3"7- �- � .
Address: !3!S �5f l�iv;f�e-ac_�-- Ciry: (�/rGh� ZIP: 5��'3���
Email andlor Fax
PROJE T INFORMATION:
Type of Project: Any earth movemtrrt may require
❑Door(� []Remodal MCWD review S permits
❑Water Damage
Minnehaha Creek Watershed Disfiot(MCWD)
p wnaow(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd
❑5idin Deephaven,MN 55391
g ❑Restoration ❑Other.(speafy) Phone: 952-471-0590
Fax: 952�71-0882
Re-roof ❑Fire Damage ` www.mirtnehahacrroek.qrq
Overall pro ect Descrlptlon:
EstimAteld Construction Valuation of P ect(excludin land) S (�,�, , 9 ��
APPLICANT ACKNOWLEDGEMENT:
� l4orees to provids all irrformation required or requested by the Building Department;
• Cenifles th�th@ information supplied is true end corre� to the best of his/her k�owledge. The applicant recognizes that they
a�solely responsible for submitting a oomplete application being aware that upon failure to do so,the staff has no altemsUve
bult to reject R until it is complote;
• S�me or all of the information that you are asked to provide on this appliption is dassified by Staie law as either private or
cdnfiderrtial. Private data is informabon which generally cannot be given to the public but can be given to the subject of ihe
data. Corrfidential data is infomiation which generally cannot be glven to either the public or the aubject of the data. Our
purpose and intended use of ihis ir�formatio� is to �nnually update our records and reowds of other govemmental egencies
_ reguired by law. If ou refuse to su I the information the� lication ma not be Issued.
Applicant's Signatur@; oate: 1 !
� � • �
last uodatect os-w-�nnq y
i
DATE TIME
CITY OF ORONO CALLED IN
; INSPECTION NOTICE SCHEDULED
PERMIT NO. ao//+brSG7� COMPLETED
ADDRESS �3[S ���st�- �h.
OWNER TELEPHONE NO.
CONTRACTOR Gr�sSi�i IQa�Fc���.y-
� DESCRIPTION �—r�b �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI � UIKESHORE/WETLANDS
, y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOpD BURNER/FIREPLACE O SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP
❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP COMP
❑ LAINT
Q ❑ DEMO-SITE � SEPTIC MAINT. �OLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATiON/REMOVAL
2 01NNERICONTRACTOR TO MEEi YOU:_YES_NO
� COMMENTS:
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� ❑VIIORK SATISFACTORY:PROCEED �q9dECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WOpK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITiONWITHIN HOURS. p pHOTOTAKEN
lNSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION iSSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call br the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector:�h�
Whits CapyllnspectoPs File Canary CopyfSite Notice
__
TIME �
OF ORONO CALLED IN
�ECTIO. � I E �/�/�j' SCHEDULED
. ,�MIT N ��v�r�� C PLETED
ADDRESS ` '
OWNER TELEP ONE NO. — �� /
CONTRACTOR
�; DESCRIPTION �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
❑ 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. ❑ FOLIOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL�NSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on sit •
Inspector. �- --�
White Copyllnspector's File Canary CopylSite Notice