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Home My WebLink About2014-00715 - roofing CITY OF ORONO * z 0 1 4 - 0 0 7 1 5 * �, 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 800 FOREST ARMS LA PIN : 07-117-23-12-0004 LEGAL DESC : FOREST ARMS : LOT 001 BLOCK 001 PERMIT TYPE : MWORALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATIOIY : $ 16,000.00 NO"I'G: VALUA"I'ION Ol'PGRMIT:$16,000.00 ROOFING PEI2M1'I'S ISSUED WI"1'HOIJT ENOUGH NO��ICE FOR TEAR Ot�F INSPEC'I'IONS. (WE RF,QUIRL 24-48 NO'I'ICE,PRIOR TO WORK BEING STARTGD) MUS"I�PROVIDE COMYLE7�E SET OF PICTURL'S OR A FINAL INSPEC"1'ION MAY NOT BI:ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME Tt IE ROOF IS E3EING DONE. ONCE WORK IS COMPLGTED TFfE S[GNS MUST BG RGMOVGD. APPLICANT PERMIT FEE SCHEDULE 280.25 STATE SURCHARGE(VALUATION) 8.00 A 1 RESTORATION 4720 XENE LN TOTAL 288.25 PLYMOUTH, MN 55446- Payment(s) Minnesota State License#: BUIL-BC680725 LHECK 5104 288.25 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 performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding Code. This permit is Yor only the work described and docs 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 specified hercin.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of�issuance,or if construction is suspended for a period ot� 180 days at any time after work has conunenced. The applicant is responsible for assuring all required inspecfions are requested in confonnance with the State Building Code.This permit may be revoked at any time for due cause. �i 7 �'� -----------___' / / n plicant ermitec Signature Date Issucd I3 ,ignature Date City of Orono Building Permit Application for Maintenance / Replacement / Renovation . (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O�O Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: y � 2750 Kelley Parkway Plan review fee: F �, Orono, MN 55356 `�KESHO�� 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: x v� �o��r /��^^ (.-�,�Z �� ,�� M ^� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No !f yes, a specia/event permit is required with Police Department and City Council approval 60 days prior fo the event. Shuttle bus serwce will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: /� -1 #��zsF�. -.{,,�.. State License# �� ;�� i z S Expiration Date: Z�t e Lead Certification Number: N�� Expiration Date: N�� (for work on homes that were constructed prior to 1978 Phone: (cell) �, � Z, - ?�-,�, - S�4(� (office) NI/1 Mailing Address: �� ,a;; ,�� „` ��,.,e N�,�r�. City: �/��,,,�-.� ZIP: s�- %`�e Contact Person: �`,,, Applicant is: on ra�cfo J / Homeowner (Circle One) Email and/or Fax: 1�t� �w c�- � �t s��,-c _��U„_ PROPERTY OWNER INFORMATION: Name: �,,��,��1�, ��y e s Phone (day): �i Z - � S"�1- �y� ` Address: �c;a Fv,,�s� A��, L4�` City: �,,-�,.,,, ZIP: ,� SS��c� Y' Email and/or Fax: h,�/� PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: [�Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project (excluding land) $ �, 1�??� . 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 required by law. If ou refuse to su I the infor � n,the a lication ma not be issued. ApplicanYs Signatur�_�--�- _:--_- - � Date: � �f��/�� Owner's Signature: Date: Last Updated: 03/06/2013 �� L� v DATE TIME CITY OF ORON CALLED IN 7 INSPECTION NQT�C SCHEDULED � — PERMIT NO. orJ �� COMPLETED ADDRESS OWNER TELEP O ��c.�� CONTRACTOR .,/_.7�� 'S � DESCRIPTION � tu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVEfLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERlFIREPLACE � 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 Q OWNERICONTRACTOR TO MEET YOU:_YES_NO � c4�' r 6'�T ' � _ � COMM r��rs: I �' ° ��f �S a �rre -� l�� d 1,�4� v r�e ��h, � - 0 b � � � ° ,t�r� I�i��/�� %ra tr��o W � v � Q 2 /w D� L;�L�'l o%/�� W � W � � J � ❑WORK SATISFACTORY:PROCEED �T COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WIIL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspect . hite Copyllnspector's Ffle Canary CopylSite Notice DAT TIME �/ CITY OF ORONO CALLED IN �Z— INSPECTION NOTI E SCHEDULED Z 0!� PERMIT NO a0/ —BO 7�s COMPLETED ADDRESS S�DD �DYE'�'' �'�''tis �-'��' OWNER TELEPHONE NO.��Z 7C�� S�o�j CONTRACTOR � � �f��t C17-�� DESCRIPTION / �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS 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 i ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � j d � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W C RRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 RRECT WORK,CAII FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W4LL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours'n advance. 95 49-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSi e Notice