HomeMy WebLinkAbout2011-00768 - roofing .- CITY OF ORONO PERMIT NO.: 2011-00768
, 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: 08/02/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1390 REST POINT RD
PIN : 07-117-23-33-0005
LEGAL DESC : SUBD REST POWT PARK LAKE MTKA
: LOT 004 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
VALUATION : $ 6,543.26
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 pERM1T FEE SCHEDULE 147.50
STIO ROOFING&CONSTRUCTION STATE SURCHARGE(VALUATION) 3.27
9100 BALTIMORE ST NE#114
BLAINE,MN 55449- MISC FEE 0.00
(763)412-4290 TOTAL 150.77
Minnesota State License#: 20626947
OWNER
WALSH,MR. &MRS. PATRICK
1390 REST POINT RD
MOUND, MN 55364
AGREEME1vT 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 goveming 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 consVuction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
'e-� �, i i ��- � � l
Applicant Pe ee Signatu e Date Iss 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: 0�0//—'OG'7�vg
Og,O,�.O PO Box 66
Crystal Bay, MN 55323-0066 Date received: a- //
a ;',�� a, Street Address: Received by:
�',�t � � �ti 2750 Kelley Parkway Plan review fee:
9k�Ho�,� 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. (P/ease print)
GENERAL INFORMATION: � �� /� �.{- �� i� � () � n� C� � � / �q ,� I C`�� , �
Job Site Address: (� I !1� (,i IVV►V
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If yes.a special event permit is required wrth Police Department and Ciry Council approval 60 days prior to the event. Shuttle bus s �vice will be
required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPL CANT INFORMATI
Name: � � � � �-
State License# Expiration Date: �j 7�- 2 ��
Lead Certification Number: - � 1 - � Expiration Date: 3 ' 3-Zpt(�
(for work on homes ihat were consfructed prior to 1978
Phone: "��?j-- Z- (office) (cell)
MailingAddress: (��j , ,�l'{jry��S � � 5 � City: �ui� ZIP: C"�jL(t,(°�
Contact Person: p Applicant is: o ractor / Homeowner (Circle One)
Email and/or Fax: '���7j-- '��L{ -�C�J Z(
PROPERTY OWNER INFORMATION: 1n
Name: pA�� �f!l �S Y �
Phone (day): C� �'}-'47�- 3 3
Address: � �j �S� b j�-�" �{_1�.. City: (?�,�y�p ZI P: G�e��j(,��
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑Water Damage MCWD review 8�permits:
Minnehaha Creek Watershed District(MCWD)
❑Window(s) Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391
P hone: 952-471-0590
�;e-roof ❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.orq
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ �j
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide atl 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. t s I the in r tion, the ication ma not be issued.
Applicant's Signature: Date: �� ' � � 1
Last Updated: 03-01-2011
f'T �� V
E � TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED
PERMIT NO���-�7�� C PLETED
ADDRESS � '
OWNER TEI,EPHONE N0.�3'�l�— ��
CONTRACTOR v �
>; DESCRIPTION �
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVEfI REMOVAI
J ❑ PLUMBING RI ❑ SEPTtC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL 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��
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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` DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE �--7/�� SCHEDULED - � � � -'j'1
PERMIT N0. r��I I `Ll, `�G� COMPLETED
ADDRESS /��'U � S � �-'' �w�1`� f�.
OWNER TELEPHONE NO.�' �� -�d � —���
CONTRACTOR C�t ( � i��=G�
j; DESCRIPTION rv"'-'' I"�c� 1 ��}�
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ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINA�/ ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTORTOMEETYOU:_YE���_No
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Caii for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on si e:
Inspector. �� � � -
White Copyllnspector's File Canary Copy/Site Notice