HomeMy WebLinkAbout2011-00805 - roofing ' CITY OF ORONO PERMIT NO.: 2011-00805
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08/04/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 835 FOREST ARMS LA
PIN : 07-117-23-12-0012
LEGAL DESC : FOREST ARMS
: LOT 004 BLOCK 002
PERMIT TYPE : MINOR ALTERAT[ONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-LINDEFINED
VALUATION : $ 22,000.00
NOTE: TEAR OFF AND REROOP HOUSE AND SHED
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING S'I'ARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVF,D.
APPLICANT PERMIT FEE SCHEDULE 368.75
TIMBERLINE EXTERIORS, INC. STATE SURCHARGE(VALUATION) 1 1.00
7026 E FISH LAKE ROAD
MAPLE GROVE, MN 55311- MISC FEE 0.00
(651)329-6916 TOTAL 379.75
Minnesota State License#: 20633887
OWNER
RIEMENSCHIVE[DER, BRET C&JENN[FER S
835 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 E3uilding 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
shali be compied with whether or not specified herein.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 after work has commenced.
The applicant is responsi le for assuring all required inspections are
requested in conforman e wi the State Building Code.This permit may be
revoked at any i�f du cause.
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Applic t�iit Signature Issued By Si ture e
� SEPARATE PERMIT REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV .
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
O�v D,�O PO Box 66
Crystal Bay, MN 55323-0066 Date received:
,� y,L� �. Street Address: Received by:
�'� '�sby ti�' 2750 Kelle Parkwa
t_ � Y Y Plan review fee:
`�ESHo�``'� 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:
Will this be a Parade of Homes, Rem delers Showcase Home or other Display Home? ❑ Yes No
!f yes,a special event permit is required with Police Department and City Counci!approval 60 days pnor to the event. Shuttle bus s ice will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted evenfs will not be allowed.
CONTRACTOR!APPLICANT INFORMATION:
Name: ��;,,2.�� '.f � �;ty�
v►�- -
State License# �;�����' Expiration Date: � j r� (_
Lead Certification Number. ��� � ,�/�,�7�-� Expiration Date: �J�S�..r�
(for work on homes that were cortstructed prior to 1978
Phone: _ '' " � �. (office) (cell)
Mailing Address: v; ,� � - ,[� City: - ,'���,�ZIP: ''�
Contact Person: /1,�,�� Applicant i : Contra o / Homeowner (Circle One)
Email and/or Fax: ` �� l'_����,.. 7�-�;�,
PROPERTY OWNER INFORMATIOH: - -
Name: ��iv�7 ��- `�• ��Lrt-c���� l�-f'�I1�2�1 ,�t�'1�C���Z �.�t:��l�
Phone (day): / !� - ;- � -*7(�
Address: SI�� ` %Y��. 7�1 �/? CitY� ,�cvU�tC;'r ZIP:S'-��''.C�`7�
Email and/or Fax '
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review&permits:
❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair Storm Damage 18202 Minnetonka Blvd
❑ Siding Restoration ❑ Other: (specify) Deephaven, MN 55391
�Re-roof Phone: 952-471-0590
❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.orq i
Overall Project Description: {�,;,�v ,_� � � ".,;,, � " 1 •.�-- U,a�<,�,�/
Estimated Construction Valuation of rojec excluding land) $ D (� �
APPLtCANT ACKNOWLEDGEMENT: 7 ;!�Z rrL��- ��G
• Agrees to provide all information required or requested by the Building Department;
• Certifies that the informa4ion suppfied is true and correct to the best of his/her knowledge. The appficant 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 compfete;
• 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 generatly cannot be given to either the pubfic 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 refuse to su I the'nfo � tion, fication ma not be issued.
AppiicanYs Signature: j / - Date: �(1, �
Last Updated: 03-01-2011
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CITY OF ORONO CALLED IN '
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
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_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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Ca11 for the next inspection 24 hours in advance. (952� 249-4600
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Inspector. � ��—�. � �
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OwnerlContractor on site: -
Inspector. �'� �� � � �> ��
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LC�� ATE " TIME ✓
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