The URL can be used to link to this page

Home My WebLink About2011-01152 - roofing � CITY OF ORONO PERMIT NO.: 2011-01152 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE IssuEn: 09/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4175 FOREST LAKE DR PIN : 07-117-23-11-0006 LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN : LOT 007 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 7,000.00 NOTE: VALUA"I'ION OF PERMI"I': $7000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFP INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK L3EING S1'ARTED) MUST PROVIDE COMPLGTE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVER"CISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME'I'HE ROOF[S BEING DONE. ONCL-'WORK IS COMPLGTED THE SIGNS MUST BG REMOVED. APPLICANT PERMIT FEE SCHEDULE 147.50 MIDWEST SIDING ROOFING& WINDOWS STATE SURCHARGE(VALUATION) 3.50 6451 SYCAMORE CT N TOTAL 151.00 MAPLE GROVE, MN 55369- Minnesota State License#: 20010277 OWNER THEISEN, T& S 4175 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 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 permi[s. 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 construc[ion 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 wi[h the State Quilding Code.This pennit may be revoked at �me for due ause. c ,.�/ � � lt�"'t � // l App-Yc�nt Pe i ee Sig re Date Issued By S' ature e SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB , City of Orono Building Permit Application for Maintenance / Renovation � (windows, doors, siding, re-roof, etc.) Mailing Address: �,�. PO Box 66 Permit number: � � �„ � Crystal Bay, MN 55323-0066 Date received: , , , �,� � ,��:__ �, Streef Address: Received by: � .:,r,e `, �,�,t �'� �ti 2750 Kelley Parkway Plan review fee: y,kESHog'� 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 appfications will be returned. (Please print) GENERAL INFORMATION:; f ,-- Job Site Address: �� c�,�lg �i' r- Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a specral event permit is required with Po(ice Department and City Council approva/60 days prior to the event. Shuttfe bus service will be required unless appficant demonsfrates sufficient on-sife parking is avaifable. Non-permitted events wil!not be allowed. CONTRACTOR/APPLIC NT INFORM TION: Name: r/nr�2�C'Sf- .5�,,� State License# ��C��p�7 -7 Expiration Date: �=-3 l--� ,� Lead Certification Number: /�`�.�_ ��3�'S--_( Expiration Date: � �5--- /�— (for work on homes that were consfructed prior to 1978 Phone: ' ; (�3.-(.��. ��;�� (office) (cell) Mailing Address: �(j-/ S �., G . City: � `y-,�-�,,,� ZIP: ,s`�3�c Contact Person: �f`,�� ,,f�,�S�� Applicant is: ntra tor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �6yyl l(,,e�S�'�� Phone (day): ( �7 S` g:� �II Address: (��7 S�� c�rs,� ��--� L�,,_ City:�'/,��,,�,,��.?�� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) [�Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: � � _ �� Estimated Construction Valuation of Project (excluding iand) $ �O U 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 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 applicafion 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 fication ma not be issued. ApplicanYs Signature: � Date: ( �� Last Updated: 08-09-2011 - - �� D TE TIME � CITY OF ORONO CALLED IN �`� INSPECTION NOTICE SCHEDULED /D^ - � PERMIT NO.o�o�I "' � ��S�--eoMPLETED -�� ADDRESS �� 7 S ��Ll�-� �� v OWNER TELEPH NE N0.��3 -�a 7 -9�� CONTRACTOR � >; DESCRIPTION I Q� a� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OW NERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �d . �c� �- c�� 1� '' �� C�l ��o��r- ��k!--{ � 0 � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on sit . - Inspector. White Copyll�spector's File Canary CopylSite Notice 1/� D E TIME V CITY OF ORONO CALLED IN �/�� INSPECTION NOTICE c -�SCHEDULED ��—� — � PERMIT NO. Jo�COMPLETED ADDRESS l7 O�� -� OWNER TELEP ONE NO. �� Zc�� zZ CONTRACTOR � >; DESCRIPTION ��"""�'� � r V� lV ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O � � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. u PHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REDUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on site: Inspector. �,.r � White Copyllnspector's File Canary CopylSite Notice