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Home My WebLink About2011-00641 - roofing x CITY OF ORONO PERMIT NO.: 2011-00641 , 2750 KELLEY PARKWAY t � ORONO, MN 55356- DATE ISSUED: 07/15/2011 _ � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 555 FERNDALE RD N PIN : 36-118-23-14-0003 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL COI�ISTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 8,500.00 NOTE: ROOPING PERMITS ISSUGD WITHOUT ENOUGH NO'I'ICE FOR TEAR OFF INSPECT[ONS. (WE RGQUIRE 24-48 NOTICE, PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FfNAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING TIiE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST I3E REMOVED. APPLICANT PERMIT FEE SCHEDULE 177.00 AKI CONSTRUCTION LLC STATE SURCHARGE(VALUATION) 4.25 508 15TH STREET SW SUITE B FOREST LAKE, MN 55025- MAIL-IN FEE 2.00 (651)982-6882 TOTAL 183.25 Minnesota State License#: 20356587 OWNER DONALDSON,TIM& KIM 555 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT Thc��ork tbr��hich this permit is issued shall be performed according to die 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 rela[ed 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 nuli and void if construction authorized is not commenced within I 80 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 responsi or assuring all required inspections are requested i for ce � tate Building Code.This permit may be r voked any t ue c se. / / / / pplicant Ye ee ' ature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E. �67%l�12011 15: 46 6519824587 ARI PAGE 02J02 , . City of Orono r Ruilding Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: _ � O.g,D,�O PO Box 66 Crystal Bay, MN 55323-0066 Dste reseived: 7/ / � a Street Address: Received by: �y 2750 Kelley Parkway Plan review fee: �.qkEeHo$� 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 wifl be returned, (Please print) GENERAL INFORMATION: Job Site Address; �� ee� � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No /fyes, s speclal event permit is requiied wi[A Pol/ce Department and City Counci!epproval 80 days prlor to the event. Shuttle bus service wil!be required unless appllcant demonstrates su�cient on-slte parking is available. Non permitted events wlll not be allowed. CONTRACTOR I APPLICANT INF RMATION: Name, �� u�a,-, LG� State License# _ �o � �� g -7 Expiration Date: Lead Certification Number: Expiration Date: (for work on homes fhat were constructed prior to 1978 Phone: ��/.. �"2 � (office) (�.�/ _ (cell) Mailing Address: / � City; k ZIP� S Contact Person: r/ A plicant is: ont�acto / Homeowner (Circle One) Email and/or Fax: i, �7 ,� � p� PROPERTY OWN�R INFORMAT N: Name: Phone(day): � � �Q'/'7 � 7 r� Address: ,.j'ri'� '� ` ,/I Qgi�/(�?j City:_a'gan,�,� ZIP: �s,3�1 / Email and/or Fax � PROJECT INFORMATION: Type of Project: Any earth movement may r�quire ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed�istrict(MCWD) ❑Window(s) ❑ Repair �''btorm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specily) Deephaven, MN 55391 Phane: 952�71-0590 �Re-roof ❑ Fire Damage Fax: 852-471-0692 www.minn hahacreek.ora Overall Project Descr➢ption; Estimated Constructio�Valuation of Project(excluding land) $ ��o,v� APPLICANT ACKNOWLEDGEMENT: . Agrees to provide afl i�formation requlred or requested by the Building Department; . Certifies that the information supplied is true and correct to the best of his/her knowledg�. The applicant recognizes that they are solely r�esponsible for submi(�ing a complete application being aware that upon failure to do so, the staff has no altemative but to rejed it until it is complete; • Some or all of the infnrmation 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 eithe� the public or the subject of the data. Our purpose and intended us f this information is to annually update our records and records of other governmental agencies re uired b law. If ou o su I e information the a lication ma not be issued, Applicant's Signature: � � Date: �/„2—�� 07/i'W 2611 15:46 6519824587 ARI PAGE 61/02 C..Y�/(_G�(�C��-t-�C., '� 7U . 7�3 �r . ,, i9, ARI CONSTRUCTION LI. 0 � f/ � V ' S08 15TH ST SW SUITE B . ti � - � � k' ORES '�' LAKE , MN 55025 y " °� ` . ' " . ��' OFFZCE G51 - 982 - 6882 _ �;"� � A � G51 � 982 - � 587 WWW . ARTCON' STRTJCTION . NF. T �ACSIMxL& '�RA�ISMI'i"I'AL SHEET TO FROM: ARI CO�TSTRUCTZO�T Building Dept � Chexyl COMPANY: UATE: City of Orono Ju1p 12, 2011 FAX NUMBER: # OF PAGES TI�TCLUDING COV�R: 952-ZA�9-4G16 2 PHONE NUMBER: 952-*249-4600 URGENT FOR REVIEW PL�ASE COMMENT Please call vv�th the amount due foar this xezoof pemr�it. I will ma�l a ch�.ck along with a copy of�the applicati.on Thanks Cheryl Z caz�,be xeached at 65�.-982-6882 ox eznaz�is cbengtson@ariconstruction.net Cheryl - c�1�'�r v DA TIME `'' CITY OF ORONO CALLED IN '7 /� INSPECTION NOTICE SCHEDULED �_ _1� PERMIT NO. a�l/ODIo �/ COMPLETED ADDRESS ��S /`�� " � OWNER � TELEPHONE NO.��' ��Z �� CONTRACTOR /�" � ��— >; DESCRIPTION �P�- �� li� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � 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 MEEf YOU:_YES_NO � COMMENTS: W �� ('�Il�Q .�-t�.-ef.� t�<�J 7- i � � � � O � � O � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. C PHOTOTAKEN INSPECTOR W{LL RETURN ❑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 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME r / CITY OF ORONO CALLED IN � INSPECTION N TI SCHEDULED �-,��Z'�_ _ PERMIT NO. � COMPLEfED %t ! ADDRESS OWNER � TELEP ONE NO. _ CONTRACTOR a DESCRIPTION � _. � ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLINC, y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS O ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVA� e ❑ INSULATION ❑ WOOD BURNEA/FIREPLACE ❑ SITE INSPECTION �DON 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 � OWNERI OR TO MEET YOU:_YES_NO � O 11AENTS: a !�1 f►titt� '' D i1 ,L vl �.c �G �� ` � � O �" � W -- � Q � � �c -- W � �u -- � J -- d W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ I 5UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN �NSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION lSSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. � 5 -46QQ OwnerlContractor on site: Inspector. _ White Copyllnspector's File Cenary CopyfSite Notice