The URL can be used to link to this page

Home My WebLink About2011-00545 - roofing � � CITY OF ORONO PERMIT NO.: 2011-00545 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 945 FOREST ARMS LA PIN : 07-117-23-12-0019 LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN : LOT 000 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 19,000.00 APPLICANT PERMIT FEE SCHEDULE 324.50 THREE PINES CONSTRUCTION STATE SURCHARGE(VALUATION) 9.50 2876 MIDDLE STREET ST PAUL, MN 55109- TOTAL 334.00 (763)244-9199 Minnesota State License#: 20598207 OWNER [VERSEN TRUSTEE, ROSEMARY C 2835 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc work Yor which this permit is issued shall be perfonned according to the approved plans and specifications,applicable City approvals,and thc 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 ot�issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are request in conformance with the tate Building Code.This permit may be revo 'd at any tim o�d cause �� l � � l �fl � A ica ermi ,ignature Date Issu [3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: Q -�� O�yv�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: // � �'`� s�`i� �, � Street Address: Received by: �'� ��' ti� 2750 Kelle Parkwa o y Y Plan review fee: t'�gESH�`y Orono, MN 55356 — Total Fee: -j (,�/��f Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us v�// '�' `� This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: i- Job Site Address: �L��/�j f��c� �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required witir Police Department and City Council approval 60 days prior to the event. Shuttle bus service wil!be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APP CANT I ORMATIO : Name: l� 1�`i<9C %i�C �O -� /r,/C ° State License# c� �` Expiration Date: �j� �—f Lead Certification Number: �� `7` Expiration Date: 'Z�—/ -- l (for work on homes fhat were constructed prior fo 1978 Phone: ��L��—9j�J (office) � — �`�� (cell) Mailing Address: �, <�D �o � City: � o� � ZIP:��' Contact Person: �f7q�� Applicant is: ontrac't� ., / Homeowner (Circle One► Email and/or Fax: G � � c��,.• , �,,,� PROPERTY OWNER FORMATION: Name: � 1G ' �� - Phone (day): , — � � Address: ,� ��? `�� City� �'- ZIP: � 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 id' ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Re-roof Phone: 952-471-0590 ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ ��'� �� ') 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 I the information the a (ication ma not be issued. ApplicanYs Signature: �� Date: �` � � Last Updated: 03-01-2011 ✓ � D/ TIME CITY OF ORONO CALIED IN INSPECTION NOTI �� CHEDULED � PERMIT NO. COMPLETED ADDRESS OWNER . TE HON NO.3��' g-��/ CONTRACTOR J �-� >; DESCRIPTION � � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FI LI 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 _ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: z W a � � O � � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ��ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ��^ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 24Q-46o� OwnerlContractor on site: r �,.� Inspector. �,,�;�_=��-�r White Copyllnspector's File Canary CopylSite Notice � � �� DAT TIME CITY OF ORONO CALLED IN ��G�� INSPECTION NOTICE. �/`� / cHEou�Eo � __��/.'� PERMIT NO. t��C�l—�"�-��J�7�OMPLETED ADDRESS��1 ��Y �C`f L.�,,1 ` OWNER TELEPHON NO.�5��-`j g1� CONTRACTOR i ' !1�� c >; DESCRIPTION �-�'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP�INAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � GW�WORK SATISFACTORY:PROCEED [_i PROJECT COMPLETE � ❑CaRRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN �7 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�� OwnerlContrac Inspector. White Copyllnspector's File Canary CopylSite Notice