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Home My WebLink About2011-00472 - roofing CITY OF ORONO PERMIT NO.: 2011-00472 4 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE 1SSUEn: 06/16/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1140 NORTH ARM DR PIN : 07-117-23-14-0061 LEGAL DESC : UNPLATTED 07 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 5,433.00 NOTE: REROOF GARAGE ONLY! APPLICANT PERMIT FEE SCHEDULE 132.75 J. ROBERT ROOFING LLC STATE SURCHARGE(VALUATION) 2.72 17180 MALLARD CT TOTAL 135.47 EDEN PRAIRIE,MN 55346- Minnesota State License#: 20544370 PAID WITH CC# 3624 OWNER BRO, TIMOTHY 1140 NORTH ARM DR 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 rela[ed work which requires separate permi[s. 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 revok at any time for due cause. ; �rL� � � l/� l l( ��t�C._C � (r�-�CC��i � ( .. �� _// App nt Permitee Signature Date Issued By Signatwe 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: O��,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: � � ^�-!�_ � Street Address: Received by: �c, �ti 2750 Kelley Parkway Plan review fee: t�'kESH04� 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: { ' �7 Job Site Address: �� U ,/�� /��yj � � � Will this be a Parade of Homes, Remodelers Showca�ome 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. Shuttfe bus service will be required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICA I FORMA ON• Name: � �,�-- ,2> State License# �j�/��7� Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (office) -1�� 1 (cell) Mailing Address: � �,. ��-- City: �,,�J,,u;,,,� ZIP: T�-�-�'_ Contact Person: `��.,. Applicant is: on rac or' / Homeowner �c��ie ooe� Email and/or Fax: � PROPERTY OWNER INFORMATION: Name: �� Phone (day): l�G� �'�� %��' 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 ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 �6] Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: ��,� �-� �� -,�� _,,��,� Estimated Construction Valuation of Project(excluding land) $ ,T� ��' �� ----� 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: � ��/�( Last Updated: 03-01-2011 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMITNO. ,�o/I-�f7z COMPLEfED �� ADDRESS /�� o�t� �rw1 �l7ride OWNER TELEPHONE NO. C:ONfTRACTOR �• 2ade�'L` /Poa�.rc e-�'bo � / y DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG q ❑ POURED WALL � MECHANICAL RI ❑ LAKESHOREMIETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � � � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION � ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �LLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL I J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL ; � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: f�r - o {��' �.yo• ` 6-/6 -/( ddGz'd a *OLD PERMIT - NO FINAL INSPECTION REQUESTED. o _ Neu,s e -�- aQo E 4c,( gQ.-sy� � � oc �i� GGrt� /�L�,o.�. ivrOvsa� O � � I ua � � //1�f� ��.v.t.tr 5 �3�/J�G`�,c ' g , W w ,�?Pvr�i� �ixt�� J d W� ❑WORKSATISFACTORY:PROCEED OJE COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C01/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL iNSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector.��M-� White Copyllnspector's File Canary CopylSi4e Notice �/�� D TE TIME CITY OF ORONO CALLED IN � � � INSPECTION NOTICE �'�,j. 1SCHEDULED PERMIT NO.�n�� '"'" �,O COMPLETED ADDRESS � � �D � ' � � OWNER TELEPHONE O. CONTRACTOR - � >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ E CAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FiNAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL'/ ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_4�NO � COMMENTS: µ � . a �—��-C��S.P��_�Y�---�nl�'.�L,tJ1p.� J ° �� C l ,�v s �" .i.1v �° � ° i�, � �� '�S �c�c �e�c-f W � Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. ti White Copyllnspector's Flle Canary CopylSite Notice � � DATE / TIME CITY OF ORONO CALLED IN � a� INSPECTION I�OTIC i`�,/��SCHEDULED � PERMIT NO. a� �f" COMPLETED ADDRESS � j `T� �G� �� q � OWNER T PHON NO. �� /�g^ � �7-3 CONTRACTOR O v �� ^ Q a DESCRIPTION �� ' O d� � 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y O ❑ 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 FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACT TO MEET YOU:_YES_NO � CO MENTS: � / � ' � � - � � �, � � 0 � � 0 � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �` PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ��f�-ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor o sitef " Inspector. � � � White Copyllnspector's Fite Canary CopylSite Notice