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Home My WebLink About2011-00558 - roof �- CITY OF ORONO PERMIT NO.: 2011-00558 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/30/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4205 FOREST LAKE DR PIN : 07-117-23-12-0027 LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN : LOT 005 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 7,800.00 NOTE: TEAR OFF SHINGLES AND INSTALL NEW LAMINA"I'ED SHINGLES APPLICANT PERMIT FEE SCHEDULE 162.25 HUEPENBECKER CONSTRUCTION 205 W 3 1/2 ST STATE SURCHARGE(VALUATION) 3.90 WACONIA, MN 55387 TOTAL 166.]5 (612)232-9450 Minnesota State License#:2740 OWNER LEMIRE,JEROME 4205 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 specitications,applicable City approvals,and the State Building Code. 'I'his permit is for only the work described and does not grant pennission 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 permi[will expire and become null and void if construction authorized is not commenced H�ithin l80 days of the date of issuance,or if constmction 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 t any time for due cause. , � � �1��i� '� l �:; l � `FI �d l � � pplica t ermi e Signature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , _ City of Orono ' Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) �— Mailing Address: Permit number: p2� /�v�O PO Box 66 ' � Crystal Bay, MN 55323-0066 Date received: ' ��`��' ��- Received b � ,e�� s, � StreetAddress: Y� �'� '�� ti� 2750 Kelley Parkway Plan review fee: L`�.kESKo�`� Orono, MN 55356 —" Total Fee: � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �(P�.�J 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: _��c,� f on:;� �Q/�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o 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/APPLICANT INFORMATION: 3 � � Name: �u� ��s�,f'��r�� .��^. �L�l�� State License# ��;�C Expiration Date: ? �� ,2 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �+' �/;Z_�3�_ y�Jc (office) �S,? _ Sj�j�_y`j� (cell) Mailing Address: 7 �-.�y2�E ��;�, City: ZIP: Contact Person: Ll�y� Applicant is: o tracto�/ Homeowner (Circle One) Email and/or Fax: --�____ PROPERTY OWNER INFORMATION: Name: (/f'Vvy �4f�'c�i�' Phone (day): �jJ-' ��,_ �y�� Address: `�� o�e� �f/�c' �r`, CitY: /��fi�`/ 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 Phone: 952-471-0590 �e-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Pro'ect Descri tion: �.� � � �� i� ' ) P –��_ �.�i.�+ � ° �1Zlf� ; �r��%Gt� �t,� Estimated Construction Valuation of Project(excluding land) $ � �p % 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 I the inf rmation, the a lication ma not be issued. : . � . ApplicanYs Signature: � _ Date: >i��/ � Last Updated: 03-01-2011 � DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMITNO. a6!/�6o5S� COMPLEfED 6=a-!y� ADDRESS a�S ��'�sL L„�. �,.. OWNER TELEPHONE NO. CONTRACTOR �ueve.� h�Lic� �i-�-5'Z"- � DESCRIPTION /�e- /'�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. Q �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEF REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � CgJ� �r►'�tt '' ✓10 �{iKqL lvlSd �la.t ��XUQSI.ai� � J 0 � �ear- o��'_ L - 36 -`L ��'� O _ � W _ Q __ ��iG 1/��l la r. /.�/'o dGbe'�O Z _ l�fo r K a e �',4' �s .•ti/Jl��e — W _. W ' � jG�� '�/1�/�� ' a W� ❑WORK SATISFACTORY:PROCEED (��an iFrT COMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY I Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY i� V BEFORECOVERING PERMANENT � ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN II INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlConVactor on site: Inspector._�9�� White Copylinspector's Ffle Canary CopylSite Notice DA TIME � C OF ORONO CALLED w C7 /� INSPECTION NOTICE SCHEDULED � PERMIT NO.�� —DOSS� COMPLETED �� ADDRESS �S OWNER TELEPHO NO.��?7 '�,3�'S�� CONTRACTOR � �: DESCRIPTION -'��— � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 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 � ❑ 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 a o �� O � A (.�6 � .�-- `� 1�� 0 � �r C �-v(�S J� ) Q e �e W � � Q � z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site- Inspector. � � White Copyllnspector's File Canary CopylSite Notice � —� A TIME `� CITY OF ORONO C LED IN � � INSPECTION NO�CE �7 �j' SCHEDULED Z PERMIT NO. I � U �/ MPLETED ADDRESS ✓' �r L OWNER T EPHONE NO.�� - ��J�� CONTRACTOR L�� >; DESCRIPTION L�_`' � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W C � J O >. � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. _-' ___- White Copyllnspector's File Canary CopylSite Notice