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Home My WebLink About2011-00786 - roofing � CITY OF ORONO PERMIT NO.: 2011-00786 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/02/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1406 REST POINT RD PIN : 07-117-23-33-0003 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 : $ 5,000.00 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 PERMIT FEE SCHEDULE 118.00 CHRISTIANS INC. STATE SURCHARGE(VALUATION) 2.50 1480 PARK RD CHANHASSEN, MN 55317- TOTAL 120.50 (952)470-2001 Minnesota State License#: 3712 OWNER HORN, LESTER&MERYTLE 1406 REST PO[NT 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 o�dinances 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 constmction is " suspended for a period of l80 days at any time afrer work has commenced. The applican[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. G%� ��-___ � � a- �a�� Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) �=___-�, Mailing Address: �/�/ „� Q� � '� 0 \ PO Box 66 Permit number: �� j� � �\� Crystal Bay, MN 55323-0066 Date received: � � �•,;; (� '� ��"'� '�' Received by: a '�� :�_ �,ji Street Address: ti-; ��'�c,t . ' '�� G�� 2750 Kelley Parkway Plan reviewfee: ��xEs�og.�v/ 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: e ' �� ,1,,1� Job Site Address: /L(L(� �� ps�l f J�i !��'�'Rs� �wIN SS 36�/ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes ❑ No If yes,a special event permit is required with Police Department and City Council approval 60 days pnor to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: C�l lk�I�w..t s �n t State License# �7 /�, Expiration Date: 3 �3/ � 1 2 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �jj 2 Y �t'� 2c3u � (office) �� 2 �qCs 9 �3:� (cell) Mailing Address: �yRO �k City: �l�s� ZIP: S3 3�'� Contact Person: �,�,� Applicant is: erRf�c / Homeowner (Circle One) Email and/or Fax: �j�2 �lv 2�;Zc�, PROPERTY OWNER INFORMATION: Name: Les � �' � Phone (day): g5 2 7 2 76 l 1 Address �c.�,�v �.,e1 f �,,.t-� ��1 City: �`�.�.�to ZIP: �"S 3�t/ 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 e-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ ,�Q�a 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 to su I the information,the a lication ma not be issued. ApplicanYs Signature: '7 y� Date: ,�^��' �f'��i Last Updated: 03-01-2011 . t.�..�, , , . ., _ . ,; ., A_._._ ,: . - _._ _ _ _ St�ts c��M��nesota Cor��trt��tion�odes�nd Licensing Division �epartm�nt of Labor and Industry Tel��ih�r�e {651) ��4-5034 _: P.O. Bax.64217 ' >-- �-r�iail�d�iress: d��;license@state.mn.us ��s # � St. Paul, MN 55164-0217 Website address. www.dli.mn gov ,.��,,: , R�SIQ��{�'!AL BC�I�DING CONTRACTOR LI�_��5� l:e��l Nat�e �F#�#[ST1�1N�1NC ' �usr��5tructure: ��'�' CORR��iATION Address: 1480 PA.RK R�:: - CHANHASSE�,MN 5�31"� : License Identification Number: 3712 Qualifying Person: CHAD CHRISTIANS �i�ense�xpir�t�oh I3ate; 03/31/2012 Co��r�ulr�g Ed�c��3n �4 ht►t�rs;d�e�y 03/31/2012 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �� PERMIT NO. c PLEfED � ADDRESS '� ��-T ��`o��` OWNER TELEPHONE NO. CONTRACTOR � � S�`�'n� �; DESCRIPTION � �� r � ❑ FOOTING p PLUMBING FINAL ❑ EXCAV/GRADING/FILLtNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J r O t � O � W � Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE CQVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. White CopyllnspectoPs File Canary CopylSlte Notice DATE TINIE ' / �� CALLED IfV V 8�� 0 � / SCHEDULED ��. � ��v .COMPLETED �� _ a�� o� �-� ��►�� . ��R��T�� DESCRIP"TION JC��-C. , � ❑ FOOTING ❑ P U BING FINAL ❑ EXCAV/GRADING/FILLING ct � POURED WALL ❑ iNECHANICAL RI ❑ LAKESHOREMIETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL � ❑ INSULATION ❑ TREE REMOVAL 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION `� ❑ RADOM SLAB ❑ WATER HOOIC-UP ❑ PROGRESS p.a„ ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT `'� ❑ �EAflO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL „� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL , � OVdWER/COFVTRACTOR q0 PAEET YOU:_YES_Id0 � �e��$: , � *OLD PERMIT - NO FINAL INSPECTION REQUESTED. � � O � - � O I � � � � � ! I � � � �a � � � d J � � ❑WORK SATISFACTORY:PHOCEED ROJ ECT COMPLETE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPAIdCY � ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY � SEFORE COVERING pERMANENT ❑CORRECT UfVSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN IPdSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL IPdSPECTOR �CITATION 1SSUED 0 IPdSPECTION REQUIRED.C�LL TO ARRANGE ACCESS. C�16 for tlae ra�xt insp�tlon 24 taours in advanc�, (952 49-4600 O�arn�rlCon4ractor on si�e: @�spector. White Copyllnspec4or's File Conary CopyfSi4e Flotiee I