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Home My WebLink About2011-00726 - roofing CITY OF ORONO PERMIT NO.: 2oii-oo�26 �� 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISsuEn: 07/26/2011 952 249-4600 FAX: 952 249-4616 �. ADDRESS : 4210 FOREST LAKE DR PIN : 07-117-23-12-0021 LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN : LOT 000 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 8,634.00 NO"I'E: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICF,FOR TEAR OFF INSPGCTIONS. (WE REQUIRE 24-48 NOTICE, PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF YICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY I3E ON THE PROPERTY DURING THE TIM�THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 177.00 COMMUNITY CONSTRUCTION STATE SURCHARGE(VALUATION) 4.32 11827 EAKEN AVE SE TOTAL 181.32 DELANO, MN 55328- (952)220-3786 Minnesota State License#: 20573411 OWNER MENZEL, GRETCHEN 4210 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. "Chis 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 iY construction authorized is not commenced within 180 days of the date of issuance,or if constrnction 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 reques[ed i con rmance with[he [ate Building Code.This permit may be revoked at ny ti e for due caus . � b � I � � � Applic ermrtee Signa re Date Issu y Signature Date EPARATE 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: � O�,D,�.O PO Box 66 Permit number. (� � � � Crystal Bay, MN 55323-0066 Date received: 'L a �` �� s, Street Address: Received by: �',�, `'%"� �ti`� 2750 Kelley Parkway Plan review fee: Ly,kEsxp4�' 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: Job Site Address: � � ��Q�� , �-� � (� ) c� �.- 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 approva160 days prior to the event. Shuttle bus service wrll be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil!not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: � G ��l/1,dv►,��.,. , '-�� C � ll��-�L�C,`r � G.�� State License# �C; �-7 'j� 1� Expiration Date: a� (a Lead Certification Number: Expiration Date: (for work on homes that were consfructed prior to ?978 Phone: � S�-�?�G -�"�7�� (office) (cell) Mailing Address: J � � ��f� � ,� � City: u �ry-� � ZIP: 5,�3 - g Contact Person: y� ,"�..L `p� 1.�*� ��_ Applicant is: Contractor� / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �s-�� L� L� � ✓t ��C�/l,Z-� j Phone (day): �"��— 41 a �7 Address: S �}l� --� City:d C�Q ./�Q 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 �Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.ora Overall Project Description: -z ;` � v � Estimated Construction Valuation of Project(excluding land) $ �'� �c.�. UQ 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 infor tion is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I th information, the lication ma not be issued. Applicant's Signature: Date: � �y�G - j � Last Updated: 03-01-2011 DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE �/ SCHEDULED PERMIT NO.;�<� /�� 7 v`��COMPLETED ADDRESS �v2 � d (�O �� S L� <<� � � OWNER TELEPHONE NO. CONTRACTOR C �''L"`"` �"'� �� C �ti S�- >: DESCRIPTION ` ' �� / �dv � � 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAI ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � j - o ' �ti � � _ _____ � - 0 � � � ` � � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site � Inspector_ White Copyllnspector's File Canary CopylSite Notice X DAT TIME ✓ C ITY OF OR N� CALLED IN U INSPECTION NOTICE SCHEDULED =� � / PERMIT NO. ��'�7� COMLPLETED ` ADDRESS �� /�G�'t ��U�-� OWNER TELEPH NE NO.�Sa� "�� '�JZ�� CONTRACTOR �-Ll�t � C�� - L >; DESCRIPTION �L�-� �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � : � "��i'1 � (o} � — `�'�S�c�C�v,c 0 � �� J �P �. ° '►� S c� [-'� rv /� r W k Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT 0 CORRECTUNSAFECONDITIONWITNIN HOURS. C PHOTOTAKEN INSPECTOR W{LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECT�ON 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