HomeMy WebLinkAbout2011 - 00531 - roofing CITY OF ORONO PERMIT NO.: 2011-00531
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 06/28/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1090 WILDHURST TR
PIN : 07-117-23-24-0041
LEGAL DESC : TONKAVIEW GARDENS
: LOT 007 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 10,000.00
APPLICANT PERMIT FEE SCHEDULE 191.75
MIKE DENOMME CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00
4350 TACOMA AVENUE
MAYER,MN 55360- TOTAL 196.75
(952)955-3008 PAID WITH CC# 8185
Minnesota State License#: 8479
OWNER
LARSEN,BRADLEY&JUDITH
1090 WILDHURST TR
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 within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after 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.
Applicant Per rte�ature Date Issued By Signature nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Jun 28 11 08:22a Mike DeNomme Constr. Inc. 952-955-3300 p.2
/ City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: c:›7-0l/— 6- j
C* PO Box 66 ez, c///
�/ :•4?‘ O` Crystal Bay,MN 55323-0066 Date received:
4, �s��', i,: t.!) Street Address: Received by: 7-7
�,� 4.1..1110.- • 2750 Kelley Parkway Plan review fee'.
\�Rc:';',.7 Orono, MN 55356 -7
\ o� Total Fee: 0 / � 7, 7,.$
Main: 952-249-4600 Fax: 952-249-4616 www.ci.ororto.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: /090 kikierr INFORMATION: ,,
�12)/7c / ,t)
Will this be a Parade of omes, Remodelers Showcase Home ofother Display Home? ❑Yes No
If yes, a special event permit is required with Police Department and City Council approval 60 days prior 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/APPPLLIC N INFORMATION: y�� _
Name: !/1 e _1)e /Amine �. i6 "` �it2 27C',
State License# 79 Expiration Date: 3/3/ ..—Zo
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1976 ,
Phone: 1-12- 9 ' ��-,1, (office) 2-— --327 4 (cell)
Mailing Address: Ta / ,,,ui i� City: /( ZIP: •
Contact Person: g4' e D_, p,��� Applicant is: ontracto Homeowner (Circle One)
Email and/or Fax: Gc-2_ 953--3300
PROPERTY OWNER FO MATION:
Name: fa ct- .2il4
. 2 7_4gn
Phone(day): Z-7,3 —77 a / its' P//
Address: /,0q0 ai, w'hdOt 7,^4;/ City: 757(./ ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑Door(s) ❑ Remodel 0 Water Damage MCWD review& permits:
Minnehaha Creek VVatershed District(MCWD)
❑Window(s) ❑ Repair 0 Storm Damage 18202 Minnetonka Blvd
❑Siding ❑ Restoration 0 Other: (specify) hone:
Pven, MN 55391
Phone: 952-471-0590
ie-roof ❑ Fire Damage Fax: 952-471-0682
/ www.minnehahacreek ore
Overall Project Description: re roe f L
Estimated Construction Valuation of Project(excluding land) $ /rvi QOO,Q O
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
required by law. If you refuse to supply the information,the application may not be issued
Applicant's Signature: "11,-y_, yr-4-6' Date: 1/,_;),S� //
1
Last Updated: 03-01-2011
Jun 28 11 Q8:22a Mike DeNomme Constr. Inc, 952-955-3300 p,1
4350 Tacoma Ave.
Mayer, MN 55360 Mike DeNomme
(952)955-3008 Office Construction, Inc.
(952) 955-3300 Fax
Licensed Building Contractor
FAX
To: City of Orono From: Mike DeNomme Const.
Fax: 952-249-4616 Pages: 1
Phone: Date: 6128/11
Re: reroof permit CC:
_Urgent _For Review _Please Comment _ Please reply
Mike DeNomme will pick this up.
Can you tell me the amount as soon as possible at 952-955-3008 so I can have a check ready.
Thanks,
Bonnie DeNomm
ATE TIME
CITY OF ORONO CALLED IN r I
INSPECTION NOTICE SCHEDULED -7� J/ 3 . CC)
PERMIT NO. -';;C,,)1 I C04)3! COMPLETED t(
ADDRESS t ct 4'l Lt S {
OWNER TELEPHONE NO. ts ID -)q I -3 qCZ
'tit (,
CONTRACTOR
- �' e t
DESCRIPTION I P 1Cl f LL
-C-
I-
tL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
ID FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
• ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
• ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL IDSEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEP FINAL ❑ FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU: I YES_NO
oy COMMENTS:
cc
W
CC
O
CC
U..O
w
CC
Q
W
W
CC
I ORK SATISFACTORY:PROCEED _ROJECT COMPLETE
CC
CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on • /
Inspector. Jr
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN '
INSPECTION NOTICE SCHEDULED - ' 8/(12-1'7
PERMIT NO.ad I -6053 I COMPLETED
ADDRESS / Q(i Lt) I c
OWNER TELEPHONE NO.c? a -�J_- JXt
CONTRACTOR i1Y I !< !9e Nct'i Coda.
DESCRIPTION C =
❑ FOOTING El PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
El TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL CISEPTIC INSTALL 0 HARD COVER REMOVAL
❑ PLUMBING RI 0 SEPTIC FINA 0 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES NO
yo COMMENTS:
cc
W
C
cc
O
C
O
W
CC
W
W
Cc
WCC WOR SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on sit . ,, ` c
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice