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Home My WebLink About2011-00811 - roofing , CITY OF ORONO PERMIT NO.: 2011-00811 � '' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/1U20ll 952 249-4600 FAX: 952 249-4616 ADDRESS : 890 FOREST ARMS LA PIN : 07-117-23-12-0007 LEGAL DESC : FOREST ARMS : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 12,500.00 NOTF.: ROOPING PERMITS ISSUED WIT'HOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (W�RGQUIRE 24-48 NOTICE,PRIOR TO WOKK BEING STARTGD) 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 REMOVED. TGAR OFF REROOF-36 SQ'CIMBERLINE SHINGLES APPLICANT pERMIT FEE SCHEDULE 236.00 GIERTSEN COMPANY STATE SURCHARGE(VALUATION) 625 8385 IOTH AVE N GOLDEN VALLEY, MN 55427- TOTAL 24225 (763)546-1300 Minnesota State License#: 1796 OWNER CLARK, MR.& MRS. 890 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 approvais,and the S[ate 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��ith whether or not specitied herein.This permit will expire and become null and void if construc[ion authorized is not commenced within 180 days of date of issuance,or if construction is suspended for a period of 1 days a any time after work has commenced. The applicant is responsi e for assur ng all required inspections are requ t d in c nfor e ith}he St te Building Code.This permit may be rev at an time � r e ca se. Q � � � � ��ll � % Applicant Permitee Signature Date Is d y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � • City of Orono . Building Permit Appiication for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �26//—�� O�v�,�0 PO Box 66 � / Crystal Bay, MN 55323-0066 Date received: � , , a � �, Street Address: Received by: �'�n "� �ti�' 2750 Kelley Parkway Plan review fee: t�ESH04'� Orono, MN 55356 Total Fee: � ��J Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us i This appfication form must be completed in full and all required information must be submitted. Incomplete appfications will be returned. (Please print) GENERAL INFORMATION: / Job Site Address: `1D ��-/��S v�5 (�v� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes {�f"o !f yes,a special event permit 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: (�,�,, ` � State License# j"�C�b Expiration Date: �3 �2 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: . -,l �`�b� �� office) 7��._ Z7� ,_v�(h � C�?�� /� (cell) Mailing Address: - S l�� City:�c� q ZIP: � ,�, Z Contact Person: ' Applicant is: o t�actor omeowner (Circle One) Email and/or Fax: - PROPERTY OWNER INFORMATION: Name: '� - � �, v Phone (day): - Z— Address: � � � � �- �, �- City: `�,��; ZIP: `� �3� 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-�590 �Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: � "'�,-� � �. Estimated Construction Valuation o Project(excluding fand) $ � ' � � 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 solefy 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 informafion that you are asked to provide on this appiication is classified by State law as either private or confidential. Private data is information which generalfy cannot be given to the pub(ic but can be given to the subject of the data. Confidenfial data is information which gener cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is annu Ily update our records and records of other governmental agencies re uired b law. If ou ref e o su I the � form ti n,the lication ma not be issued. AppficanYs Signature: Date: � � � Last Updated: 03-01-2011 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. o'�//- DOgfl COMPLEfED � �-.�r ADDRESS �Y� Fa r�s�-` /��.�.�s L OWNER TELEPHONE NO. CONTRACTOR �«�"s�.�. �'a � DESCRIPTION �P-�'o o.� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y O POURED WALL ❑ MECHANICAL RI O LAKESHORFJWETLANDS ❑ FRAMING ❑ MECHANICAL FINAL Z ❑ INSULATION ❑ TREE REMOVAL ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. Q �FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL p HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTFIACTOR TO MEET YpU:_YES_NO � COMMENTS: � !�� r►+srt � ✓10 �i�2qL /vISB te�. r'�X �� ¢ � o . _ o na �� —��l'f�.�3/,.�e c��.. /��c a�� W /� , _ Q �iG 1/G�KT�1Q�6 ti �D/'oa<b�� - z � o r r� �. .� l�e . � c � ar�:-� .�� a - W� ❑WORK SATISFACTORY:PROCEED �R67EI,�OMPLETE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlConVactor on site: Inspector. � �^^- � _ White Copyllnspector's File Canary CopyfSite Notice D TIME � CITY OF ORONO CALLED IN �� INSPECTION NOT� E SCHEDULED —�� __�� PERMIT NO.01 D �ODBI� COMPLETED ADDRESS ��8 ��'''� �� OWNER C��.�'-(-L�,�2, �-'Q�-�— TELEPHONE NO.�SZ- ��7" g71ZJ CONTRACTOR ��' �: DESCRIPTION Q�� — �� ❑ 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 = 0 DEMO-FINAL ❑ SEPTIC INSTALL � ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � `�,�-S��c �--Gn� S a o (� 1"Z��.��^��, � � a , ,- ��, ,� �; � - _-�� r�� ,-��- W � � Q � Z W � W � � d � W� ❑WORKSATISFACTORY:PROCEED ,{`�PROJECTCOMPLETE t W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 24J-460� Owner/Contractor on site: Inspector. ��ti �� White Copylinspector's File Canary CopylSite Notice