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Home My WebLink About2012-00248 - roofing A - � '' CITY OF ORONO * 2 PJ 1 Z - 0 0 Z 4 8 * 2750 KELLEY PARKWAY DATE ISSUED: 04/03/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 RGPR[NTED ON 4/3/2012 ADDRESS : 860 FOREST ARMS LA PIN : 07-117-23-12-0006 LEGAL DESC : FOREST ARMS : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILD[NG -UNDEFINED VALUATION : $ 10,500.00 NOTE: VALUATION OF PGRMIT: $10.500.00 ROOFING PERM[TS ISSUED WIT}IOUT ENOUGH NOTICG FOR TEAR OFF INSPEC"I'IONS. (WE KEQUIRE 24-48 NOTICE,PRIOR TO WORK BGING STARTED) MUST PROVIDE COMPLE'I�E SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPER'�'Y DURING"I�HE T[ME THE ROOF IS I3EING DONE. ONCE WORK IS COMYLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 206.50 SORENSEN, MR. & MRS. STATE SURCHARGE(VALUAT[ON) 5.25 860 FOREST ARMS LA MOUND, MN 55364- TOTAL 211.75 Minnesota State License#: QB131717 OWNER SORENSEN, MR. & MRS. 860 FOREST ARMS LA MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit�s issued shali be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. 'I'his permit is for only the work describcd 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 aRer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the S e Building Code.This permit may be revoked ny time for due us . ' �� / � ppli nt Permitee Signature Date [ssu By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , . Gity of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: �� _� � ��,L,�,� PO Box 66 Permit number: � �� Q Crystal Bay, MN 55323-0066 Date received: y,� �� Received b .� a, Street Address: y� �'� '��°''�� ti 2750 Kelle Parkwa o Y Y Plan review fee: LRkESH04� 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, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No /fyes, a specia/event permif 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/APPLICANT INFORMATION: �, Name: �S Y�' �'�'.-i-�'%i� i.)��Ti��.-� �•r � State License# �i� J� / 7� 7 Expiration Date: Lead Certification Number: � Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �/j��f (office) �--- (cell) Mailing Address: ,cs-v,v .� � City: �S-�� ZI � �S� 7.5� 3 Contact Person: s�f:='� ��jy-9�yfyG� Applicant is: Contractor / omeown�r (Circle One) Email and/or Fax: ��-" PROPERTY OWNER INFORMATION: Name: _��✓ ,� C-�'!✓ � �'�.N .�'i�rj-�'!/ Phone (day): 9,S Z � 5�S/" _S ,�ES ' Address: ��a /'��S%��9ksi�(S" ,L�2� City: ,iyo ��> ZIP: - �-v d� . 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 ❑ Re-roof, other s eci Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ /� . �Z�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 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 a ally update our records and records of other governmental agencies re uired b law. If ou refuse to su I the informa ' n,the a lication ma not be issued. ApplicanYs Signature: �- �, `�* Date: �- � � � � �� Last Updated: 08-09-2011 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE CHEDULED �-� � •�� PERMIT NO. �D�o?'��o� COMPLETED �' '" �� c ! � ADDRESS > OWNER TELEPHONE NO. CONTRACTOR '�� + ' -� �� (^��S�; n; /� /- /'� �: DESCRIPTION T'P/7I L��T � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y 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 INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q ti Z W � W � � GW_�'WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE W/�CORRECT WORK&PROCEED C, ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ GTATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor on ite: �' • Inspector. _�� ? �� White Copyllnspector's File Canary CopylSite Notice ,✓ —� ��r� DA TIME � CITY OF ORONO CALIED IN ��' INSPECTION TICE ,/� SCHEDULED PERMIT N0. �'��a�`" COMPLETED ADDRESS �� OWNE �� ELEP ONE NO��—�S/-�-3�� CONTRACTO �<,��7/�C�� DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/F�LLING 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITNIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail torthe next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. 1 � White Copyllnspector's File Canary CopylSite Notice