The URL can be used to link to this page

Home My WebLink About2012-00319 - roofing CITY OF ORONO * 2 0 1 2 - PJ 0 3 1 9 * , 2750 KELLEY PARKWAY DATE ISSUED: 04/24/2012 '. ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 405 NORTH ARM DR PIN : 06-117-23-32-0003 LEGAL DESC : UNPLATTED 06 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 14,500.00 NOTE: RE-ROOF CLUBHOUSE,CART BARN&MECHANIC BARN APPLICANT pERMIT FEE SCHEDULE 265.50 JENSEN CONSTRUCTION SERVICES LLC STATE SURCHARGE(VALUATION) 7.25 2620 GRANGER LN TOTAL 272.75 MOiJND,MN 55364- (952)472-7223 PAID WITH CC# 3589 Minnesota State License#:20639601 OWNER Lakeview Golf of MTKA,Inc. 855 RED OAK 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 goveming 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[he 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 aze requested in conformance with the State Building Code.This permit may be revoked y time for due cause. .�. � / / A pli ant Permitee Signature Date Issued By ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED ABOVE. City of Orono . Building Permit Application for Maintenance / Renovation � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ;�,0,� PO Box 66 � � � � 1 Crystal Bay, MN 55323-0066 Date received: I,a '� '` '-�` �, � StreefAddress: Received by: E� �'�nt } 'i �'�t �ti 2750 Kelley Parkway Plan review fee: RkESH�4� 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: `�`�''� �v�-i.� }�(L�Iv\ �R, in� �.�il1� d'(1 N S S 3C.�� 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 Counci!approval 60 days prior to the event. Shuttle bus service wil!be required un/ess applicant demonsfrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: '�sz�5e.rn G:.,��rvC-�-i0►7 S E?rV�C�.S State License# �(� (�3 cr (�p � Expiration Date: 3�--3 1 - 2o 13 Lead Certification Number: Expiration Date: (for work on homes that were construcfed prior to 1978 Phone: ��j�, - _ p (office) (cell) Mailing Address: �, �c � p�-� � �y� , City: �ol,�y-) ZIP: , s'3 " Contact Person: (Z�;�� 5�� Applicant is: Contract��/ Homeowner (Circle One) Email and/or Fax: (Z�S s �' -S-Q-r'4SQi'� C5 ►.4�- , LU��✓� PROPERTY OWNER INFORMATION: Name: Cj r�<>..�n-�— l� ��5--�-Q-,r-v� Phone(day): a�s2 � y7�2, �.g!p Address: '�(l� l�% C✓'-�� S l��'�2 �� . City: V/Yl�c�.✓�� ZIP: S.�3 �v� / Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Re-roof, as halt Minnehaha Creek Watershed District(MCWD) p ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-0590 ( p iy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑ Window(s) www.minnehahacreek.orq Overall Project Description: ��' ��,b h�,��,5' �--• �,,.,� i'1��4h ,c_ �,..,.-r� Estimated Construction Valuation of Project(ex uding land) $ �C�� 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 alternafive 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 pubfic 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. Applicant's Signature: J�, —..._. ,� � �-----� Date: .`� �' Z� `" �3/ a Last Updated: 08-09-2011 i �� -�/� -��1 �°�' �� ` / CITY OF ORONO �� CALLED IN pf� � TIME V INSPECTION NOTI�E f�} � SCHEDULED � � �,�[��-,�/ �-Ztj� PERMIT N0. �'� �� /'—�/�COMPLETED ADDRESS `�G� I�d ��r1/1 �� OWNER TELEPHONE NO.��' `�(� ��=�`U CONTRACTOR , �: DESCRIPTION !(�-e Cc i' �- ' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ 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 ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FIN ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a o �,S �'v�S r�d ..�'�1 ,' Q.t � �--�. ^ � ,� p,�.��r� � I�Q OI� 0 � W � Q � z W � W � � W ��CyVORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on i�te: Inspector. W� �� White Copyllnspector's File Canary Copy/Site Notice Z��J bATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTI E SCIiEDULED 5-Z -/Z PERMIT N0.ad�� DD`3`� COMPLETED � ADDRESS �OS �dr� �'l^� �il� OWNER TELEPHONE NO. 4S� �7�- a�� CONTRACTOR �� -�'�� DESCRIPTION �OD� �j rL� � ❑ FOOTING ❑ PLUMBING FiNAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Zp 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 ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W 0. j � � �V � � � � �� ° ln� . W � Q z aLsd 7�0 �t/,SGl�-z0 ,0-c. /.�.> W � W � � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�ERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WlLL RERIRN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ IPiSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cau for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: inspector. White CopyllnspectoPs File Canary CopylSite Notice