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Home My WebLink About2014-01261 - roofing CITY OF ORONO * z 0 1 4 - 0 1 z 6 1 * 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2014 ! � ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 520 NORTH ARM DR PIN : 06-117-23-31-0005 LEGAL DESC : VICTORIA ESTATES : LOT 003 BLOCK OOl PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING - UNDEF[NED VALUATION : $ 42,800.00 NOTE: VALUA"r10N OF PERMIT:$42800.00 ROOFING PERM[TS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK I3E[NG S"I'ARTED) MUST PROVIDE COMPI,E,TE SET OF PICTURES OR A FINAL INSPECTION MAY NO"C BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME TI-IE ROOF IS BEING DONG. ONCG WORK IS COMPLETED THE SIGNS MUST BG REMOVED. APPLICANT PERMIT FEE SCHEDULE 606.50 STATE SURCHARGE(VALUATION) 21.40 COCOON,INC. TOTAL 627.90 6253 BURY DRIVE#110 EDEN PRAIRIE, MN 55346- Payment(s) Minnesota State License#: BUIL-BC679243 CREDIT CARD 0212 627.90 OWNER PELLIZZER, TIMOTHY 520 NORTH ARM DR MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be pe�formed 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 ordinanc;es governing 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 commenccd 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 F3uilding Code.This permit may be revoked at any time for du�use. ,%/ _..__..- � ` �� /2'V / � Applic ermit� Signature Dai Issue y Signature Date City of Orono �uil��g Permit Appiication for Maintenance / Replacement / Renovation (No structural expansion. Oniy windows, doors, siding, re-roof, etc.) �O� Mailing Address: Permit number:��7'— U� oZ � O PO Box 66 Crystal Bay, MN 55323-0066 Date received: lU-Z (� �� Street Address: Received by: y �� 2750 Kelley Parkway Plan review fee: `� L Orono, MN 55356 `�KESH�� 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 appfications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: .-`7 � j't,s� �/U� /� �� ''I?/J J , � Will this be a Parade of H mes, Remode ers Showcase Home or other Display Ho e. ❑ Yes ❑ No If yes, a specral event permit is required with Police Department and City Council approva!60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is avaifable. Non-permrtted events wil!not be allowed. CONTRACTOR 1 APPLICANT INFORMATION: Name: �U� � � State License# � � (� 7 O Z; Expiration Date: �1 .�� S� Lead Certification Num er: �� Expiration Date: (for work on homes that were constru ted prior to 1978 Phone: (cell} �L '7�'� c�� (office) S -- J`�f-'Jc�uv Maifing Address: �L,�.�3 �u��j �� -�//U City: .��r�J ,Q,/�'�IP: .j'�3� (,, Contact Person: ��'�,�3� Applicant is: �racfb�i / Homeowner (Circle One) r Email and/or Fax: �-�''-- , � ,� �v.;� �J • � o L'� -'� ��-�' �_ _ C. s� ��—S`��77 G, PROPERTY OWNER INFORMATION: Name: �,�, f��Lc�r ZZ,E,'z--- , Phone (day): �� Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall pro�ect description: �'ype of Project: Any ea►th movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: �Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq cstimated Construction Vafuation of Project(excluding iand) $ �'� APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the informafion 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 informafion that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generatly cannot be given to the public but can be given to the subject of the data. Confidential data is information which generaliy cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to a nually update our records and records of other governmental agencies required by law. If ou refuse to su I the inform fio ; e a lication ma not be issued. App(icanYs Signature: Date: D �' 4wner's Signature: � Date: �ast Uociated: 03/06/2013 � M ✓ DATE TIME (�/ CITY OF ORONO �� CALLED IN l - - INSPECTION N TICE SCHEDULED / - - _�7�� PERMIT NO. � �� COMPLETED ADDRESS �a� �' �� OWNER TELEPHONE NO. « -�3�'��J CONTRACTOR � d�--- �� DESCRIPTION ��" � � ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADiNG/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS 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 v ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTIiACTOR TO MEET YOU:_YES_NO y COMMENTS: � a �� - df� - 0�� 0 vt��d•� ro�t '� ^ � >. � r f. � "t- ` r O � W � Q � 2 W � W � j O � ATISFACTORY:PROCEED ❑PROJECT COMPLEfE W CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. xt inspection 2a hours in advance. (g52) 249-4600 ctor on site: w ¢� Inspector: `- White Copyllnspector's Flle Canary CopylSite Notiee