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Home My WebLink About2011-01031 - roofing �, CITY OF ORONO PERMIT NO.: 20��-0�03� f 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 09/09/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 920 FOREST ARMS LA P[N : 07-117-23-12-0017 LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN : LOT 001 BLOCK 00] PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,000.00 NO"fE: VALUATION OF PERMIT: $8,00.00 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-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME TEiE ROOF IS k3EING DONE. ONCE WORK IS COMPLETED THG SIGNS MUST BE REMOVED. APPLICAI�TT PERMIT FEE SCHEDULE 162.25 JENSEN CONSTRUCTION SERVICES LLC STATE SURCHARGE(VALUATION) 4.00 2620 GRANGER LN MOUND, MN 55364- TOTAL 166.25 (952)472-7223 PAID WITH CC# 3589 Minnesota State License#: 20639601 OWNER MEAKINS, MR.& MRS. ROGER 920 FOREST ARMS LA MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be pertormed according to thc 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 oY laws and ordinances goveming this type of work shall be compied with whether or not specitied 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 atter 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 ny time for due cause. � �� 6 �� y � ��lr „ ��'_��.�.� �y��.c�� '�`�� r_ r— ii � � Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ... City of Orono ��01 Building Permit Application for Maintenance / Renovation � J � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �v�,� PO Box 66 � �. 0 Crystal Bay, MN 55323-0066 Date received: ,� ��' f..�;,�, �, � Street Address Received by: �,�, � "h Gti 2750 Kelley Parkway Plan review fee: L`�gESH� 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: ��U c? ��S-{ 1�-��,�t,S � ,� Will this be a Parade of H mes, Remodelers Showcase Home or other Display Home? ❑ Yes �YI No /f yes, a specia/event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus scrrvice wi//be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: `j�'415�-G'� ��5-� ,--„�c-�- � or� 5�,�--v r esz S � � C- State License# �c,�,e 3c��, p � Expiration Date: 3 __ -3 ) _ �c i 3 Lead Certification Number: N � W` Expiration Date: (for work on homes that were constructed prior to 1978 r�'S Phone: ��r� � - ,a_ j p . �� :��; (office) (cell) Mailing Address: � �, �� ,�.��A l_ N CitY: �/y�o,.,�h � ZIP: - �- � G c�/ Contact Person: p � $ �'e A licant is: Contractor / Homeowner ��- �;S'�, � pp (Circle One) Email and/or Fax: ��,�c ��c-��,�s r�� , C v� PROPERTY OWNE FORMATION: Name: � �,-��, �; �, S Phone (day): �� - Lf7� _ �� c� �� Address: C� ��, �� es �-- �-r�S �v�. - City: �'V�,�;,�h � ZIP: ��' 2� �, � Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& ermits: ❑ Door(s) ❑ Remodel ❑ Fire Damage Minnehaha Creek Watersh d 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) $ � p o U 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: �' `� ' O��' � � Last Updated: 08-09-2011 � �� DATE TIME � CITY OF ORONO CALLED IN � �� INSPECTION NOTICE SCHEDULED �� _.�� PERMIT NO. ��I '�D�D� � COMPLETED ADDRESS��L� �(,f�C� f�rmS�/1 • OWNER TELEPHONE N�Sa -��--U��U CONTRACTOR �` ' C 7�"` >; DESCRIPTION G� G� � � W ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 J ❑ PLUMBING Ri ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � �J��W_ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W��LJ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING 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. �952� 249-46�� OwnerlContractor on site: Inspector. � �� White Copyllnspector's Fiie Canary CopylSite Notice � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMITNO. �D/l-O/D3/ COMPLEfED 9- K'�S' ADDRESS 9ao �o��,st �r-rcS Ln _ - OWNER TELEPHONE NO. CONTRACTOR _ J�KS�K Co�s5�- 5`.-v�c� �: DESCRIPTION 12c- �oo-� � - � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVA� � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �NAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAFiD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ' � COMMENTS: a Q� �r.►ti�' - r[� �isti/ �ns�ecz�.a� r�,�tl�ed� j - p t�l�.� • �',��G� ,��i�4r.��D�o�s� - l�JaL` S�EeO - _ � yld �ear o �� ins4ett.tf�. ►^�Gov�o� ^- O ' -- � W - Q �.�D�K ajO/J�a/f �irlD/G��. � W � � W �c�rn.L �.ct��0 _ � J _ a W� �WORK SATISFACTORY:PROCEED ��OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY' 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACGESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 I I OwnerlContra r on site: _ i Inspector. / `"v � White Copyllnspector's Ffle Canary CopylSite Notice I V'��^— , / � � � DATE TIME V CITY OF ORONO CALLED IN � � INSPECTION NO /IC, / /� /��SCHEDULED � PERMIT NO. v ( v/K•�.-*C;OMPLETED ADDRESS �� T6�,'�� L��!�C-�I�J�L/� Ole�� OWNER LEPHO NO. � r �C/ - �� CONTRACTOR �� ' S S >; DESCRIPTION Z�� _ ��` � � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � ti � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED /�ROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site; Inspector. (�� 'i��J White Copyllnspector's File Canary CopylSite Notice