HomeMy WebLinkAbout2011-01488 - roofing CITY OF ORONO PERMIT NO.: 2011-01488
2750 KELLEY PARKWAY
� � ORONO, MN 55356- DATE ISS[1En: 1U29/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 830 FOREST ARMS LA
PIN : 07-117-23-12-0005
LEGAL DESC : FOREST ARMS
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
VALUATION : $ 21,000.00
NO"CG: VALUA7'ION OF PERMIT:$22,000-ASPFiAL'I'ROOF&SIDING
ROOPING PERMITS ISSUED WITHOUT ENOUGH NO'1'ICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SGT OF PICTURES OR A FINAL[NSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THG PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCG WORK IS COMPLETGD'I'HE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 354.00
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUAT[ON) 10.50
5145 INDUSTRIAL ST TOTAL 364.50
SUITE 103
MAPLE PLAIN, MN 55359
(763)479-8700
Minnesota State License#: 20631574
OWNER
CORDES, JEFF& TRACY
830 FOREST ARMS LA
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The��ork for which this permit is issued shall be performed according to
thc�pproved 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 ot�laws and ordinances governing this type of�vork
shall be compicd with whether or not specitied hereia 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 of 180 days at any time atter 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 at any time for due causc. //`
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Applicant ermitee Signature Date � �
[ssued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono � �
t • Building Permit Applicafion for IVlaintenance / Renovafion (��
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
��v 0,� PO Box 66
�� Q� Crystal Bay, MN 55323-0066 Date received:
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� , �' �� �,l Street Address: Received by:
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�� '�� ��� 2750 Kelley Parkway ; Plan review fee:
�`�gESHo�`j� Orono, MN 55356 �
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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 pnnf)
GENERAL INFORMATION: � �l
Job Site Address: z! 3 c'� ,;�`�i4'�-5 f fT/���
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
If yes,a specia/event permit is requrred with Police Department and City Councif approva/60 days prior to the event. Shuttle bus service wil/be
required unless applicant demonstrates sufficienf on-site parking is availabfe. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: /�G�-.ififi� ���-��>�i�G�r�i c�•ci
State License# ���Q�� � y Expiration Date:
�`-� �/��i//Z--
Lead Certification Number. ��j /o���,�/ Expiration Date: � �, �s
(for work on i►omes that were consfructed prior fo 1978
Phone: ��._���'.— ��'v� (office) (celll
Mailing Address: ° �r-. j �� � f�;¢/ �-- City,� ���/= ���; ZIP:�S�'S�
Contact Person: �- /� Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION: �
Name: _ C,�:�'i7= S
Phone (day):
Address: ��.3Ca,��3E3��"�i�/I�'7 City�''�����. ZIP:S��� �S`�
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel MCWD review&permits:
❑ Fire Damage Minnehaha Creek Watershed District(MCWD)
[��Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof, other(specify) � Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description: ,,�jr�_��,�. ,r'�� �,���" y� �_ �� ���
Estimated Construction Valuation of Project(excfuding fand) $ -" f � � �
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 submitfing 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 refus to su I the information,the a lication ma not be issued.
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AppficanYs Signature: �� ��; � � j `��G�:� Date: � ���/
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Last Updated: 08-09-2011
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DATE TIME `�
� CITY OF ORONO �CALLED IN �� /I�
INSPECTION NOTICE Q' SCHEDULED �1��
PERMIT NO. ��II—C'�y�0 COMPLETED
ADDRESS ��s ;�`�r -�� �-r�(�I
OWNER TELEPHONE N . 7� � ' ��7� ���7�,
CONTRACTOR /�/��f�'" C��%rYYJ� "
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�: DESCRIPTION
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� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTAL4 ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL�, ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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GW �1�VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME ✓
CITY OF ORONO CALLED IN �
INSPECTION NOTICE ��p SCHEDULED � �- 1
PERMIT NO.�d�l O�1'-� �COMPLETED
ADDRESS �3D 4���� ��� ���
OWNER TELEPHONE NO(�JZ �9D ����
CONTRACTOR /L�' ���
�: DESCRIPTION �`/7� ���
11� ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSUTATION ❑ WOOD BURNER/FIREPLACE ❑ S�TE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ 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:
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� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W ❑CORRECT WORK R PROCEED '7 SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. _ �
White Copyllnspector's File Canary Copy/Site Notice