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Home My WebLink About2011-00672 - roofing CITY OF ORONO PERMIT NO.: 2011-00672 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 07/18/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 800 FOREST ARMS LA PI N : 07-ll 7-23-12-0004 LEGAL DESC : FOREST ARMS : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING - LINDEFINED VALUATION : $ 13,200.00 NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NO"I'ICE, PRIOR TO WORK BEING STARTED) MUS7 PROVIDE COMPLE"CE SET OF PICTURES OR A FINAL INSPEC"1'[ON MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE"1'IME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. � \ �, �� APPLICANT PERMIT FEE SCHEDULE 250.75 TIMBERLINE EXTERIORS, [NC. STATE SURCHARGE(VALUATION) 6.60 7026 E FISH LAKE ROAD MAPLE GROVE, MN 5531 1- TOTAL 257.35 (65l)329-6916 Minnesota State License#: 20633887 OWNER MAYES,CLIFFORD A&BRENDA L 800 FOREST ARMS LA MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performcd 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 permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended ti�r a period of 180 days at any time after work has commenced. The applicant is responsible for assuring 1 required inspections are requested in confonnarice wit(the�fa Building Code.This permit may be revoked at arfy L�me.for duexaus�,r � `� ', // �yL'' l l l � �Jii'�I C C`( � � 7 �� I Applican Permitee�ignature� Date Issued By�Signature Date SE ARATE PERMITS REQU[RED 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: �� '� -C"��'� / g,�,� PO Box 66 0 Crystal Bay, MN 55323-0066 Date received: .� ��' `�;�, ,, Street Address: Received by: �' "� �� 2750 Kelley Parkway Plan review fee: �L'�gEsHo�`'� Orono, MN 55356 � Total Fee: � � �. � �j 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. (P/ease print) GENERAL INFORMATION:. Job Site Address: % v�; ` _;�j-�,�j.� �y�.y� �� y.z � Will this be a Parade of Homes, Rer odelers howcase Home or other Display Home? ❑ Yes ❑ No !f yes,a specral 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/AP�CANT INFORMATION: � Name: ' � ` -� , ��'L.r�? , a � ` .. , State License# G ,,,_=�" ^ . � Expiration Date: j _ Lead Certification Number. ��,.� "�'.. ,y%y��'� -- ( Expiration Date: � S- � (for work on homes that were constructed prior to 1978 Phone: � j _ 3�'j"j' ; s�<� (office) (cell) Mailing Address: � / �� City: .,-�-t;.�ZIP: �/ l Contact Person: 4�jZ��=f Applicant is: Contract r / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: l '' Name: - �- ; Phone (day): _ � � y Address: „�� - City: �,;-�/ ZIP: �.f`j��- 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.orq Overall Project Description: ��.- �� - Y-�%yl� ' -�" ,� - �.- ,� Estimated Construction Valuation of Pr �ect(excluding land) $ �� (�� , 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 u ate our records and records of other governmental agencies re uired b law. If ou refuse to su the i or ion, th a lication ma not be issued. , / / /! ApplicanYs Signature: � i a° ! - ' c. Date: 1,�G �C- Last Updated: 03-01-2011 �`�� -�� o�� NE V CITY OF ORONO CALLED IN �7/�,P/// INSPECTION NOTICE SCHEDULED '��T�// � PERMIT NO. c�r l,l—' C7��n /�OMPLETED � ADDRESS OWNER TELE�HONE NO. `jj� 3`� " �'��c CONTRACTOR � �rnr-�''�'��- ��- • >; DESCRIPTION �� Cz-�� C' � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL„ ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES�NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � GW ' ,ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED n ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. U PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED G INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 24Q-46o� OwnerlContractor on ite: Inspector. White Copyllnspector's File Canary CopylSite Notice D_ A�„ TIME �/ CITY OF ORONO CALLED IN i �`� INSPECTION 0 CE SCHEDULED f�3_� � PERMIT NO.�� — ��7 2' COMPLETED ADDRESS �d� �6Y`P�-� ��l �L� OWNER TELEPHONE NO. ��l �53 ��`Z CONTRACTOR �n'�- �� >; DESCRIPTION ��`�-� �`-"`�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a o �� --�rPS fi�v �. � 0 � w � Q � z W � W � � � ❑WORKSATISFACTORY:PROCEED '�JECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� Owner/Contractor on site: Inspector. �� < :-�,?-�, � White Copyllnspector's File Canary CopylSite Notice