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Home My WebLink About2012-00173 - roofing . CITY OF ORONO * z 0 1 2 - 0 0 1 7 3 * 2750 KELLEY PARKWAY DATE ISSUED: 03/20/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4155 FOREST LAKE DR PIN : 07-117-23-11-0007 LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN : LOT 008 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCT[OI�I TYPE : ROOF(NG -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 14,000.00 NOTE: VAf,UATION OF PERMIT: $14000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TGAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLE'I�E SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERT[SING 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 250.75 LINDUS CONSTRUCTION INC STATE SURCHARGE(VALUATION) 7.00 879 HWY 63 BALDWIN, WI 54002- MAIL-IN FEE 2.00 (715)684-4647 TOTAL 259J5 Minnesota State License#: BC007644 OWNER HUDSON, SAMUEL 4155 FOREST LAKE DR 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 [he State i3uilding 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 permi[will expire and become null and void if construction authorized is no[ 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 revok d at any time for due cau . � � l � l /Z � � i ��i /� Applicant Permitee Signa ure Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. I 03/06/2012 TUE 12: 35 FAX 715 684 3859 Lindus Construction Inc � �001/001 . . � City of Orono -�, Building Permit Application for Maintenance / Renova ion (windows, doors, siding, re-roof, etc.) —, Mailing Address: Permit number: 0�0 l O�} -b U/� O�Q J�'O PO Box 66 �`V Crystal Bay, MN 55323-0066 Date received: a � ',g~� �, Street Address: Received by: � �; titi 2750 Kelley Parkway Plan review fee: `�l w� Orono, MN 55356 ` �l � q�EBH�g Total Fee: l C�j� 'f,. / � ' ` f Main: 952-249-4600 Fax: 952-249-4616 �rww.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: � �� Job Site Address: S 1� S 'e- Will this be a Parade of Homes, Remodelers Showcase Home or other D'spiay Home? Yes No If yes,a special event permlt is required with Police Department and City Counci!approval 60 days prior to the event. Shuttle bus service will be �equired unless applicant demonstrates su�cient on-site parking is available. Non-permitted events w111 not be allowed. I CON7RACTOR I APPLICA T INF MATION: � Name: �" ��- State License# C � Expiration Date; / �6/0�. Lead Certification Number: - Expiration Date: p (for work on homes fhat wer cons ucte ri r to 1978 (cell) Phone: - � (office) Mailing Address: City; ZIP: '— Contact Person: � Applican is: on ractor / Homeowner �ct��ie one� Email and/or Fax: �� PROPERTY OWNER INFORMATIO : Name: Phone(day): Address: City: ZIP: �� Email and/or Fax PROJECT 1NFORMATION: � Type of Project: Any earth movement may requi�e MCWD review&permits: ❑ Door(s) ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) �Re-roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd peephaven, MN 55391 ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Phone, 952-471-0590 ❑Re-roof,other(specify} ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 www minnehahacreek.or4 ' ❑Window(s) � Overall Project Description: � � Estimated Construction ValuaUon of Pr ct(ex ding land) $ 0 APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and co�rect to the best of his/her knowledge. The applicant recognizes that they are sofely 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 privafe or confidential. Private data is informat+on 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 nnually update our records and records of other governmental agencies re uired b law. If ou refu e su I the inf mati n th a lication ma not be issued. . 1 �, / 1 ,� _" � � /� . .__._u_ n:---a.,..... 1 �IM I /V I � Date: ... ,, ,�,_ � � � R � City of Orono -9X� �1�� Permit Application for Maintenance / Renov tio�q 0 � (windows, doors, siding, re-roof, etc.) R �s ?0� Mailing Address: Permit number: R�� PO Box 66 O ,AJ O 1 Crystal Bay, MN 55323-0066 Date received: I �.�-�� Received by: � � Street Address: � k'' ,�Y_�- �. ,�, ' ' �, .p_Gti 2750 Kelley Parkway Plan review fee: L W��v Orono, MN 55356 9kE3H0¢ 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: 5� � S -� I�, � �/\/1 ✓�� r Job Site Address: � � � Will this be a Parade of Homes, Remodelers Showcase Home or other D'splay Home? ❑ Yes No If yes, a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be requireu urness spplrcar,t demcr,�frutes suff�crer.t or.-srte parkrn�is available. Non-permitted events will not be allowed. CONTRACTOR I APPLIC�,Gt-!�F MATION: Name: �� State License# CDD Expiration Date: / �6/vZ Lead Certification Number: ,j�` — � Expiration Date: p (for work on homes that were cons ucted pri r to 1978 ' Phone: — (office) (cell) Mailing Address: � City: j ZIP: Contact Person: � Applican is: Contractor / Homeowner (Circle One) Email and/or Fax: �'1 PROPERTY OWNE�� INFORMATIO : �� L(� , _ Name: �Y� Phone (day): — -- /') Address: /.��j 11 � �/� City: (/j2,�I'j� ZIP: �� --- .. Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ( ) MCWD review&permits: ❑ Door s ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) �Re-reof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 www minnehahacreek.orq ❑ Window(s) Overall Project Description: Estimated Construction Valuation of Pr ct(ex ding land) $ 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 nnually update our records and records of other governmental agencies re uired b law. If ou refu e su I the inf mati n�th a lication ma not be issued. Applicant's Signature: � Date: � y �( � �� Last Updated: 08-09-2011 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. a6/2 •06�7.3 COMPLEfED ��-l�t ADDRESS �/��S�.S �a�c,st L,�_ Q r', ' OWNER TELEPHONE NO. , CONTRACTOR �r�ks C°��-S� - II a DESCRIPTION ��''✓aa� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ' � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS O � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL e ❑ INSULATION ❑ WppD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ' a dl r►�� -- D � � � ° � f�` � � � � O �,, _ - � r!s t�� 'a�•F t.�s�«t�e,., rcco ��oS2. i o - � � ;, Q �r/� �e.�t'- �t,�-�.,, ,��avc� �' � � z � �rlC d�/��. ��r�lr�.- _ ' j ��`t ��l.a� a � ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 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 ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cafi for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector_ � --� � � White Copyllnspector's File Canary CopylSite Notice - D � TIME v CITY OF ORONO CALLED IN INSPECTION NOTICE �2 SCHEDULED ��O�itJ PERMIT NO _ Ol� -��U COMPLETED � ADDRESS ��.J� , G�7-��L� �-��'`�—i OWNER TE �,ONE NO lS �� CONTRACTOR C��',��'l�� DESCRIPTION �� Q� � 11� ❑ FOOTING ❑ PLUMBING FIN XCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS h 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 v ❑ 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 O � �1 n � � IP �� ,� Q ��/� -�'/�c.:�t'T' � ,�r' C�- A��G-c W � Q � Z W � W � � GW�ORK SATISFACTORY:PROCEED f� PROJECT COMPLETE � ❑ CdF2RECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN 7 CITATION ISSUED ❑STOP ORDER POSTED.CALL{NSPECTOR D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail tor the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. � - � White Copyll�spector's File Canary CopylSite Notice