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Home My WebLink About2011-00661 - roofing CITY OF ORONO PERMIT NO.: 2011-00661 `, 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 07/15/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 855 FOREST ARMS LA P1N . : 07-117-23-12-0013 LEGAL DESC : FOREST ARMS : LOT 005 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTNITY : O/S BUILDING -UNDEFINED VALUATION : $ 12,000.00 NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICG FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE, PRIOR TO WORK BEING STARTED) 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 TIMF,1'HE ROOF IS f3E1NG DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 221.25 W. F. SMITH CONSTRUCT[ON STATE SURCHARGE(VALUATION) 6.00 6585 SO SALINDERS LAKE DRIVE TOTAL 227.25 M[NNETRISTA, MN 55364- (612)867-3117 PAID WITH CC# 1933 Minnesota State License#: 5309 OWNER GOLZ, ALAN& BARBARA 855 FOREST ARMS LA MOUND, MN 55364 AGREEMENT AND SWORIV 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 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 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 responsible for assuring all required inspections are requested in conformance with the State Building Code.This permi[may be revoked at any ti for due cause. � . / � `�/ // ��-�� (,"�Y�'(Eti�� /S j Ap icant Permitee Sig�ature � �� Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono , , J � � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: Og,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: ,� �� Received b �,� s, Street Address: y� �',�c, ''�' Gti`S 2750 Kelley Parkway Plan review fee: t'�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 int) GENERAL INFORMATION: _ i � �i`'�,� Job Site Address: — s ��/�1. �� s � "{��-/'Yl S Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se �ce�will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATI� �� i Name: �(�,J, ,'1.�, � � 'F State License# S-�� Expiration Date: - / Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 � Phone: � S`� _ y -7� C.; � (office) �"�`��l �i J- — �S 6 7 � �l! (cell) Mailing Address: �s� , S� S� � ,. i� �� ; �.K /� � , City:y� 1i ,..� < � ZIP: S� �, i Contact Person: � ,,.� Applicant i : on racto / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER NFORMATION: ►vame: � �, � ;� L f- � Phone (day): Address: City: ZIP: 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: ( �,�, ;� r x��( ,� �L.,� S�Jf� y�— --c,� ;t ,2� ,,,/— Estimated Construction Valuation of Project(excluding land) $ ) �� G �c� 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 faiture 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 u ref s to su the information, the a lication ma not be issued. ApplicanYs Signature: - `� Date: � "" 1`� � � � Last Updated: 03-01-2011 � ' ��k�'�-/ ` p� �� '�T TIME ITY OF ORONO CALLED IN l�J�� f INSPECTION NOTICE SCHEDULED �/� ��!',��'tiC' PERMIT NO. c�Gll -'[�(��I COMPLETED ADDRESS �5 J �gr�� -S �� OWNER TELEPHONE NO. ��a 4��O�_�� 7 CONTRACTOR �? � �` • �� >; DESCRIPTION �1--�-��- �/� /1- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 FINA� ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � w a � � O a � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W � U CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '-� CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: i , , Inspector. [ ��`/�� White Copyllnspector's File Canary Copy/Site Notice DATE TIME V CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO. �Ull- ll�f��G! COMPLETED 6-� ADDRESS �� r�,fL f1��+2 5 L,�_ OWNER TELEPHONE NO. CONTRACTOR L✓- G- S.•a�-f-k �'e�SZ` a DESCRIPTION ��e— rGQ 'F � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/EfLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL e ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT Q ❑ DEMO•SITE ❑ SEPTIC MAINT. �FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a l�l� ,AL�►+,r�� -- rI0 �iKq� ivlSBec.�eo.� ��' 45z� � J O � /!6 ��.t/'"a f'� /�t 5.I✓�re.� �CCc�a/c��< - O ' � � � i � . - Q �{l� �c r,�! L'�«�, ,D/b dr�i r.� � - z � _ f.(JD f� rkL��s.�5�'e�,ol�.�c - � �er►.1.�i`' ��A � - - a W� ❑WORK SATISFACTORY:PROCEED �+ROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN 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. (g52) 249-4600 OwnerlContractor on site: Inspector._ �i w-.� � White Copyllnspector's File Canary CopylSite Notice