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Home My WebLink About2011-00185 - roofing ; `� ' CITY OF ORONO PERMIT NO.: 2oii-ooiss 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 04/05/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1373 REST POINT RD PIN : 07-117-23-32-0038 LEGAL DESC : SUBD REST POINT PARK LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTNITY : O/S BUILDING-LINDEFINED VALUATION : $ 3,500.00 NOTE: TEAR OFF REROOF-ASPHALT SHINGLES APPLICANT pERMIT FEE SCHEDULE 103.25 WEATHERGUARD CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 5641 MEMORIAL AVE N STILLWATER,MN 55082- MISC FEE 0.00 (651)439-4320 TOTAL 108.25 Minnesota State License#: 20282484 OWNER HOUTMAN, JAMES&KRISTINE 1373 REST POINT RD MOLIND,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 aze requested in conformance with the State Building Code.This permit may be revoked at any time due ca �,, �� . / � � 5 � Applicant Permitee Signature Date Issued y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �_ l��S�� a�o�� City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number. , �� —�/ ..� O.¢,�,�0 PO Box 66 , Crystal Bay,MN 55323-0066 Date received: ,� �. Street Address: Received'by: '�,� ��' 2750 Kelley Parkway Plan re�iew fee: jy�.�Ho�,�n Orono, MN 55356 : 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 retumed. (Please print) GENERAL INFORMATION: , n � Job Site Address: 1��-3 �� -� �p�(1�" t�L� � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o If yes,a special event permit is iequired with Police Department and City Council approval 60 days prior to the event. Shuttle 6us service will be required uNess applicant demonstrates sufficient on-site parking is avai/ab/e. Non-permitted events wil!not be allowed. CONTRACTOR/APPLICANT INFORMATION: � Name: �1 �t'uC,�'i D .0• �-i State License# ��$ Expiration Date: Phone: -Lf 9 r �l �O office cell Mailing Address: ' Ci : ZIP: p Contact Person: cv Applicant is: ontractor / Homeowner �c��e o�e� Email and/o Fax: �Sf— 351 - �O �P PROPERTY OWNER,INFORMA I N; ,� Name: fVl �- f 0 1. Phone(day): ol - � Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of ProJect: Any earth movement may require MCWD review&permits ❑Door(s) ❑Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) epair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑Siding ❑Restoration ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof ❑Fire Damage www.minnehahacreek.orm Overall Project Description: �}— 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 altemative but to reject it until it is complete; • Some or all of the informa6on 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 r uired b law. If ou refuse to su I the information the a lication ma not be issued. ApplicanYs Signature: . Date: �� I �C� I � ( Last Updated: 05-04-2009 /��l� r�TE TIME � CITY OF ORONO CALLED IN �"/ '� �� INSPECTION NOTICE SCHEDULED � PERMIT NO. �i/�� COMPLETED ADDRESS �� cQ.��' ��r'� OWNER TELEPHONE NO. ��'��v CONTRACTOR — �: DESCRIPTION + ' ��, `^ � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBIN ❑ SEP�T[IC' FINAL ❑ FOUNDATION/REMOVAL � OW ONTRACTOR TO ET YOU:�1 YES_NO � COMMENTS: I � W C � J O >. � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED Q�PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. � � White Copyllnspector's File Canary Copy/Site Notice