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Home My WebLink About20141-01085 - roofing � CITY OF ORONO PERMIT NO.: 2011-01085 . � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/19/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 915 FOREST ARMS LA PIN : 07-117-23-12-0018 LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN : LOT 001 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,500.00 NOTE: VALUATION OF PERMIT: $5500.00 ROOPING PGRMITS 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-ADV�RTIS[NG SIGNS MAY ONLY BE ON THE PROPERTY DURWG THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 132.75 ADVANCED EXTER[ORS, INC. STATE SURCHARGE(VALUATION) 2.75 7000 57TH AVE- SUITE ]22 CRYSTAL, MN 55428- TOTAL 135.50 (763)537-51 17 Minnesota State License#: 20133214 OWNER BELAW�KI &AARON RUSS,JAMIE 915 FOREST ARMS LA MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for addi[ional 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. ;� � --�_' -_ _ j �� : � �� l � GJ l / App tL'er�+�ee-�gnature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. • City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) �--� Mailing Address: �� ,�. D / �,�,�. PO Box 66 Permit number: � � Crystal Bay, MN 55323-0066 Date received: /G' �, �� ,� ' �:�: s, � Street Address: Received by: �,�c,t 't "'�y� �ti 2750 Kelley Parkway Plan review fee: 9kESH�4� Orono, MN 55356 -— Total Fee: ��.�d 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: ��i,: Fis'��.�� %'"t � i�- Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If 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: ��.��c ��,�� E�-r_Ti-r<'� �� Tr �.. State License# Zc/33 Z�Lf Expiration Date: 3-3j-��; 2_ Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (office) �,r�s --��`.�� -� c/i� � (cell) Mailing Address: - � �«�4> � ?;<_:" �q�.�, �J City: .��-�-� ZIP: ��;�z - Contact Person: /'„�� ,�,- ,�� . Applicant is: � ontractor / Homeowner �c��oie o�e� Email and/or Fax: PROPERTY OWNER INFORMATION: Name: /��.iz�•,�� n`-� �� Phone (day): �,�._��-�-%f"�� Address: �;� �-�� ;�m Z- ,-� CitY: ��<.s�c� ZIP: SS��f Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) �'Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ SSn� �a 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 annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I the information,the a lication ma not be issued. -� , ApplicanYs Signature: ,-�--�" ' Date: 7-�1-// LastUpdated: 08-09-2011 �/�( • ✓ ATE TIME CITY OF ORONO CALLED W ` INSPECTION NOTICE CHEDULED � PERMIT NO. ad l��onn LETED ADDRESS l OWNER L��O�S CONTRACTOR ___��`J�� >; DESCRIPTION -��-� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS h ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � \ ��)(_�✓ ,1� �e �. �-S � � 0 � W � Q � z W � W � j GW L71�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Wi ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-Q6QQ OwnerlContractor on site: � Inspector. ��- '�� -S^ White Copylinspector's File Canary CopylSite Notice DATE TIME ✓ CITY OF ORO CALLED IN INSPECTION OTICE ��-j SCHEDULED PERMIT NO.��D�O`'�/ COMPLETED ADDRESS ��Jr OWNER T LEP N NO. l�-�� CONTRACTOR �� >; DESCRIPTION � //V�� ❑ FOOTING ❑ PLUMBIN NAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � �/1, �� [ � V >. � O � W � z Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �P�iOJECT COMPLETE W ❑CORRECT WORK 8 PROCEED J ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONW�TNIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call torthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on sit : Inspector. �� C� White Copyllnspector's File Canary CopylSite Notice