HomeMy WebLinkAbout2011-00794 - roofing CITY OF ORONO PERMIT NO.: 2011-00794
^ 2750 KELLEY PARKWAY
� ORONO, MN 55356- �ATE IssuEv: 08/03/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1385 REST PO[NT RD
PIN : 07-117-23-33-0011
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-LJNDEFINED
VALUATION : $ 7,000.00
NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOK
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 147.50
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 3.50
5145 INDUSTRIAL ST
SUITE 103 MISC FEE 0.00
MAPLE PLAIN, MN 55359 TOTAL 151.00
(763)479-8700
Minnesota State License#: 20631575
OWNER
RAHN, DAVID&JODI
1385 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 E3uilding 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 nui and void if construction authorized is not
commenced within I 80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring alI required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at ue cause. 1
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/ /
Applicant Per ' Date Issued By S' ature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB
, City of Orono
• Building Permit Appfication for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
O�v Q,�O PO Box 66
Crystal Bay, MN 55323-0066 Date received:
R ,
a , y, s. Street Address.� Received by:
�'�n �� ti�' 2750 Kelle Parkwa
� Y Y Plan review fee:
t`�Esxo4"� 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.
tncomplete appfications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: f �S ..c -� {� , r�,
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o
!f yes,a specral event permit is required with Police Department and City Counci/approva160 days prior to the event. Shuttle bus seivice will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wilf not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: 5 �•�
State License# � -� � �c'�� Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: �7F, �_ c 7 - - t J v (office) (cell)
Mailing Address: ! � �'�� ,5;,� � � Cit : � r� IP:
Contact Person: ��� E�, �c_-- Applicant is: Contractor meowner (Circle One)
Email andlor Fax: //��..�,ti �, . ��_� �. �• -a � ' ,n
PROPERTY OWNER INFORMATION:
Name: ��� �� ��,� ��
Phone (day): -7��_ ��� . --�-� 7.�
Address: ���,,, ` �,L� S��-�-� City: 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:
Estimated Construction Valuation of Project (excfuding land) $ `7 p��, �
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all informafion required or requested by the Building Department;
• Certifies that the information suppfied is true and correct to the best of his/her knowledge. The appficant recognizes that they ;�
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternafive
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. Confidenfial data is information which generally cannot be given to either the pubfic 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 re us su inform ' ,the a fication ma not be issued.
Appficant's Signature: Date: � _ '
Last Updated: d3-01-2011
���f�- �^ /4JE ' TIME
CITY OF ORONO c �LED IN ��
INSPECTION NOTICE , / SCHEDULED ._B_�_.—�F
PERMIT NO.�DII -DD7q`T" COMPLETED
ADDRESS I 3 S 5 ��-( lT t �
OWNER TELEPHONE NO.
CONTRACTOR ��'st�
� DESCRIPTION ��� D�
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
h� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
Q ❑ 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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��RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site•
Inspector. / il� ���
White Copyllnspector's File Canary CopylSlte Notice
�� DAT TIME "
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ITY OF ORONO CALLE I���� '
INSPECTION NOTICE SCHEDULED ' �
PERMIT NO.d���"00 7q� COMPLETED
ADDRESS ����� ���-N" � C�:
OWNER TELEPHONE NO.�-3 ���0
CONTRACTOR /�` ��� �aam�
� DESCRIPTION �1��` ���
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y O 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. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEA REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED �SSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CQVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURId
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. i�i"� � �
White CopyllnspecloPs File Canary CopylSite Notice