The URL can be used to link to this page

Home My WebLink About2016-00423 - re-roof ' - • CITY OF ORONO * Z 0 1 6 - 0 0 4 2 3 * 2750 KELLEY PARKWAY DATE ISSUED: 04/25/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 895 FOREST ARMS LA PIN : 07-117-23-12-0015 LEGAL DESC : FOREST ARMS : LOT 007 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 13,000.00 NOTE: VALUATION OF PERMIT:$13,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE 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-ADVERT[S[NG SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 247.79 STATE SURCHARGE(VALUATION) 6.50 CRAFTSMEN HOME IMPROV INC. MAIL-IN FEE 2.00 7455 FRANCE AVE S#194 EDINA,MN 55435- TOTAL 256.29 (651)430-2244 Payment(s) Minnesota State License#: BUIL-270884 CREDIT CARD 3587 256.29 OWNER GUSTAFSON, CHAD&MEGAN 895 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 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 permit may be revoked at any time for due cause. � Q � / b�-�/ �� Applic Permitee Signature Date Issued Signature Date From:Nic Poncin Far.:(651)430-3706 To:+1952�494GI6 Fax: +1 95224946 1 6 Page 3 of 3 04l2512016 11:3'I RM � . . �t'��/ �'� ��'V il�3 Building Permlt Appllcation for eVlalntenance/Replacement/Remoeiel — Residential +�NLY �5.�". o�U��ka¢i�E7�v�, ?��:t��``'a. s::;z"19£. .''i-.-d"�?�FE", �'��;., m �� .��?u�.s�;��._, ��'� $��4,�+�'��'�P�� ` /��h T MaiJing Address: Perm�t number: � -�� l 1 V� PO Box 66 ' � Crystal Bay,MN 55323-(?066 Date receoved: � -�/� �, � Received by: Sfreet Address: �+5 � 11 2750 Kefl�y Parfcway Plan revigw f2e: �Ft,� w�' t7rono, MN 55356 ��. � '�.,�k�Sti��' � � -�,�.� Total Fee: Main: 952-249-4640 Fax: 952-249-4616 wv�tnr_cLorano.mti_us This appiication form must be completed in fuil and al!required information must be submitted. Ucorrtplete applications wil!b�returned. (Please print) GENERAL iFiFORMATION: �iok�SiteAddress: '�`�j$� �ate�� Ar�,� Lan� r ��"ono YY1N 5 Gy W6EI this be a Parade ot Homes,Remodelers Shouvcase Home or other Display Nome?�--�]Yes No !f yes,a speciaf euent permit is required with Police Oepartmerrt and City Counci!approvaf&0 days prior to the event. ShutUe bus se�vice wit!be required unless app(icant demonsfrates suHrcient orr-site parking is avarlable. Non-psrmitted events will rrof be alfowed. CONTRACTOR/APFUGANS I�dF�RMATION: IVame: ---�r a�-�'S�1'►e.� t�e�rr.P. S�rv.�Oro v'G�er��'S . .�.e C. State License# ��, �� y Expiration Date: ��ao/7 Lead Certificatian Number: �j�.T_ ��y_ �, Expiration Date: /l i��,�.o,�� (for work on homes that were constructed prior ta'1978 Phone: (cell) (office} Mailing Address: �'S' � �, � �� City� � ,�,�� ZIP: �; � Contact Person_ ma,.,��, Applicant is on rac or 1 Homeawner `c;rc�or,e� Email and/or Fax: Ynrar a`wl�?.n �,µ�-S�rv�`ce, eo rrd RROPERT"Y OWNER INFCiRMAT101V: Name: Gk..� t:ua,l-o�s�� Phone{day): �s�— H� P� c7 SSH '_' - Address: $�t5 FD�eS�- A-f�YtS l.a.�� tY� �MnO ZIP: �',5'3b� �mail aesd/or Fax: C.u.� F an $��n��I. �r rri F'Ri3JI�CT IMFORMATION: OveraU projecf descriptian: Type of P'rogeci: dny earth movement may alsa requ[r� ❑Door(S) ❑Rernodel �Fire Damage MC1ND review&permits: ph ❑Repair ❑5torm Damage Minnehaha Greek Watersfsed District MCWD j�'Re-roaf,as �ht 15320 Mi�netonka Blvd ( ? ❑Re-raof,cedar ❑Restoration ❑Water Damage Minnetonka,MN 55345 Phone: 952-471-0590 ❑Re-roaf,other(spe�tty) ❑Siding ❑O4her.(specify� Fax 952-471-d682 ❑Windaw(s) _—__—__� wwtiv minnehahacreek.�rg Estimated Constructlon Valuation of Froject(excludirtg lanef) $ t�, BOD. o� .— APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all informa4ion required or ret}uested by the Building pepartment; • Certifies that the infortnation supplied is true and correct ta the best of hismer knowledge. The appficae�t recognizes ti�a#they are soiely responsibie far submitting a complete application being aware that upon failure tp do so,tha staff has n4 altemative but to reject i4 untii if is camptete; • Some or al1 of the information that you ara asked to provide on this application is classified by State law as either private or confidential. Private data is informaGon which generally cannot be gi�en to the public but can be given to the subject of the data. Canfidential data is information which generally cannot be given to either Ehe pubiic or the subject of the data. Our purpose and intended use of this infofmation is to annually update aur recards and records of other governmenta!agencies required by law. !f ou refuse to su I the information,the a Eication rrza not be issued. Apptieant's Signature: �G�t.� '?K,��r.,�r�c.�. Date� '`l�l.�6I/ �v Owner's Signature: Date: Lasf Updated:January 2096 ('�u.lt� �ew ��"2 2m,a�/ � � ��mr� �' /?'l�c►^,`.�C�Hi�Se�✓�r.t . Cv.s-t? �� - / DATE TIME ` / CITY OF ORONO CALLED IN � �v INSPECTIO NOTIC SCHEDULED �' PERMIT NO �- COMPLETED ADDRESS _�t� ��J�7` ��-'r� � OWNER TELEPHONE NO.�.IJ�c�' �� CONTRACTOR v O��G-� �...� � DESCRIPTION ^t��- � \` ��-� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FI Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FR ING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTFiACTOR TO MEEf YOU:_YES_NO � COMMENTS: � � a f � J � � , � � 0 � W n � V � Q � 2 W � W � j O W �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0/`��p�.ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V J�QEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALI INSPECTOR O CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g5 ) 49-46�� OwnerfContractor on site: inspector. White Copyllnspector's Ffle Canary CopylSite Notice �� DATE TIME CITY OF ORONO CALLED IN �y�, INSPECTION N I E �3 SCHEDULED ��'�� ERMIT NO. COM�LETED � ADDRESS �� J ��P��P��`- /�"`Y, . OWNER TELEPHO NO. LOJ Z�C`�� Q�I CONTRACTOR � � DESCRIPTION 9 )C.- �! hQ' � ��OD� 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 2 ❑ BUILT-SURVEY ❑ SEWERHOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: / i��,�� ,6,� n � �;� W a � ,��C.S � /f��f � `� ✓ �� SS� — o � � � � �L`'G �/¢.��.!{�les�, �/O✓l�.O — W -- - -- � Q � �r� (aY"1,�``��C W 4�i ' � �� j � ❑WORKSATISFACTORY:PROCEED j�RHQILECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector.�j n..- � White Copyflnspector's File Canary CopylSite Notice