HomeMy WebLinkAbout2011-00567 - roofing CITY OF ORONO PERMIT NO.: 2011-00567
.«� 2750 KELLEY PARKWAY
; ORONO, MN 55356- DATE ISSUED: 07/OU2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1380 REST POINT RD
PIN : 07-117-23-33-0007
LEGAL DESC : SUBD REST POINT PARK LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 6,500.00
NOTE: PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. WE REQUIRE 24-48 NOTICE. 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 147.50
ALLSTAR CONSTRUCT[ON
5145 INDUSTRIAL ST STATE SURCHARGE(VALUATION) 3.25
SUITE 103 TOTAL 150.75
MAPLE PLAIN, MN 55359
(763)479-8700
Minnesota State License#:2063]575
OWNER
ROGERS& PETER LANPHER,PENNY
1380 REST POINT RD
MOUND, 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 wi[hin 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any[ime after work has commenced.
The applicant is responsible for assuring all required inspections are ��`'�
requested in confoml ce with the State Building Code.This permit may be
revoked at anx-�im r due caus .
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plic er itee S� n e Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
" Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
Og,D,�O PO Box 66
Crystal Bay, MN 55323-0066 Date received:
,� ��A,-� �, Street Address: Received by:
�'�, "�� �titi 2750 Kelley Parkway Plan review fee:
r�ESHOg'� 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 returned. (Please print)
GENERAL INFORMATION:
Job Site Address: I ��� ��,�,¢- � .��� ����
Will this be a Parade of H eom s, Remodelers Showcase Home or other Display Home? ❑ Yes �No
If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service wil!be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLIC T INFORMATI N:
Name: c, �,/
State License# piration Date:
Lead Certification Number. Expiration Date:
(for work on homes th t were constructed rior to 1978
Phone: -- (office) y ��-[3 ' (cell)
Mailing Address: � ' ,� City: ZIP:
Contact Person: U�� � Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: ���-C,�- � GL✓l,�1/��'— �
Phone (day): ��_ ��P� Z
Address: ( �jp �:,;r ��,��-- � City:Q„�,�� ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) � Remodel ❑Water Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391
Phone: 952-471-0590
�Re-roof ❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.orq
Overall Project Description: �i L
Estimated Construction Valuation of Project(exclu ing land) $ �n�j� ��
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;
• 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 e informatio the a ' tion ma not be issued.
ApplicanYs Signature: Date: �J � ���j
Last Updated: 03-01-2011
P� GE�/�- ' D T TIME V
CITY OF ORONO CALLED IN ��
INSPECTION TIC SCHEDULED .�- �.
PERMIT N0. � �� COMPLETED
ADDRESS �
OWNER TELEPHONE NO. � �����G
CONTRACTOR `!�� ��
.
�; DESCRIPTION � �
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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� �J'WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W��CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 0 CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor site:
Inspector. �
White Copyllnspecto�'s Ffle Canary CopylSite Notice