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Home My WebLink About2011-00820 - roofing CITY OF ORONO rE�iT rro.: 2011-00820 2750 KELLEY PARKWAY '' ORONO,MN 55356- DATE ISSUED: 08/08/2011 � � 952 249-4600 FAX: 952 249-4616 ADDRESS : 1400 REST POINT RD PIN : 07-117-23-33-0002 LEGAL DESC : SUBD REST POINT PARK LAKE MTKA : LOT 002 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,300.00 NOTE: WORK DONE WITHOUT A PERMIT-DOUBLE FEE ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 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 147.50 ROOF COMPANY NA INC. STATE SURCHARGE(VALUATION) 3.15 5565 QUAM AVE NE ST MICHAEL,MN 55376- MISC FEE 147.50 (763)550-0444 TOTAL 298.15 Minnesota State License#:20172153 OWNER ETAL,DAVID WILLIAMS 1400 REST POINT RD MOLJND,MN 55364 AGREEMENT AND SWORN STATEMENT 1'he 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 bec 1 and void if construction authorized is not commence ithin 18 days of the date of issuance,or if construction is suspende for a period f 180 days at any time after work has commenced. The app cant is respo sible for assuring all required inspections aze reques d in conformance with the State Building Code.This permit may be revok d at any time for due cau� \ / / / A licant ermitee S gnature ate Issued B 'gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . City of Orono Building Permit Application for internal Work ` (windows, doors, siding, re-roof, etc.) Mai(ing Address: Permit number: O4v�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: 0 ,� 4,, �, Street Address: Received by: �'�n y� �ti� 2750 Kelley Parkway P{an review fee: t9'kEsilOg'� Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This appfication form must be completed in full and ail required information must be submitted. incompfete applications will be returned. (Please print) GENERAL INFORMATION: � � Job Site Address: %'�pC) ��- } a� �l . Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No !f yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus serw will be required unless applicant demonstrates sufficient on-site parking rs avaifable. Non-permitted events will not be allowed. CONTRACTOR/�LICAfIT INFORMATIOt�: Name: � �� CC�. �,lc� "�'�.2� State License# �L� j -�L�s 3 Expiration Date: � � Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: 7�3 �� _��y� c (office) (cell) Mai(ing Address: 5"� � v�, ;,,- City: ,� ��( ZIP: - -� Contact Person: � ��-� 7�yU�� -� Applicant is: ontractor - / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATIOf�: Name: L�/i q�t C,v,`/(, c;6=1 � Phone (day): Address: I��Ur: -c`�/ f ��t� l'�' � City: ��,��.�-j (� 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 �Re-roof Phone: 952-471-0590 � ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project (excfuding fand) $ „ �� G�U _ � �'"" APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; �; • Certifies that the information suppiied 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 alternative but to reject it until it is complete; � • Some or all of the informafion that you are asked to provide on this application is classified by State law as either private or '� confidential. Private data is inform n whi n generally cannot be given to the public but can be given to the subject of the data. Confidential data is infor ion which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of t is informatio is to annual te our records and records of other governmental agencies re uired b faw. If ou refuse o su I the i formation e a ' �ation ma not be issued. Appiicant's Signature: / , Date: �,� `" � � �� Last Updated: 03-01-2011 '� i� AT TIME V CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED ' ' '✓�� PERMITNO.�I/—DUr�z-p COMPLETED ADDRESS �7�� T7` OWNER TELEPHONE NO. 6�Z 3Zr7 3077 CONTRACTOR � �� • >; DESCRIPTION ��n� !`"`'' ' � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GFiADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL Fil ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W �C'�zcJr1�4 �.►1. �j a � � 0 � ` c -�� .�.� w� o _1 �7�'�c 1�•.�' ,.,',v�.,q 1 W � Q � � W � W � � d W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETt}RN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnedConVactor on sit - Inspector. . � White Copyllnspector's File Canary Copy/Site Notke