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Home My WebLink About2011-00555 - roofing .,r CITY OF ORONO PERMIT NO.: 2011-00555 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 06/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4620 NORTH ARM DR W PIN : 06-117-23-23-0002 LEGAL DESC : UNPLATTED 06 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 3,000.00 APPLICANT pERMIT FEE SCHEDULE 88.50 CVA DESIGNS CONSTRUCTION STATE SURCHARGE(VALUATION) 1.50 15832 VENTURE LANE EDEN PRAIRIE, MN 55344- MISC FEE 0.00 (612)216-5513 TOTAL 90.00 Minnesota State License#: 20634594 OWNER WINTER, DONALD 4620 NORTH ARM DR W MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and speciYications,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. AlI 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 revoked at any ti r du use�- �_� .lv / Z� l ",0I l -��''�_ l Ap cant Permitee Signat Date Issued By i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . ,,, City of Orono - � Building Permit Application for Internai Work (windows, doors, siding, re-roof, etc.) — Mailing Address: Permit number: � PO Box 66 � ��:, Crystal Bay, MN 55323-0066 Date received: �, t` 0�� i � � i) �� r��. ._ F�I SfreetAddress: Received by: �- 2750 Kelley Parkway Plan review fee: \� ';, �a��. o;; �;�y ��:dt` �,ri;i' Orono, MN 55356 kEsxo_ 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. (P/ease print) GENERAL INFORMATION: " f Job Site Address: � I� A'�� v�Q- Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No lt yes,a special event permit is required with Police Department and City Council approval 60 days pnor to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is availab(e. Non-permitted events will not be allowed. CONTRACTOR/APP IC NT INFORMATION: Name: �W� ��-;, E.c��-. C l�A��s� rS �.r.g� r��i� State License# ��3�/59+� Expiration Date: �j � ZOl3 Lead Certification Number: �( ��-_ \p�p`��- � Expiration Date: �� (for work on homes that were onsfructed prior to 1978 Phone: ��_ S(3 X ro (office) (D(Z $�-�- I ZDp (cell) Mailing Address « Z J � City: r0.��;,�_ZIP: � Contact Person: Q�, �,,� �� y�q�,�, Applicant is: Contractor Homeowner (Circle One) Email and/or Fax: Pa�1 (1CJQ�'� iQr►�S Co�s-�rvc�-�on,C ar'` PROPERTY OWNER INFORMATION: Name: � n�Q,,/ Phone (day): t� -(p � Address: C7J r,ry� �� City: �- ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s} ❑ Remodel ❑Water Damage MCWD review$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 �Re-roof ❑Fire Damage Fax: 952-471-0682 �r✓_�_v�v,r7�in��ehahacr��ek_c_r_�� Overall Project Description: -�Qq� � � (ZQ Estimated Construction Valuation of Project(excluding land) $ ��t>a� 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 inforrnation is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I the inf ation, the a lication ma not be issued. Applicant's Signature: C � Date: �p Z f � � DATE TIME � CITY OF ORONO � CAL�ED IN � � INSPECTION NOT/-,ICE /' SCHEDULED " �,._ PERMIT NO. .�l J��'—'�i�.�c�OMPLETED ADDRESS ��G 2-�-' N /��M �le - OWNER TELEPHONE NO ��`� �7� ��`� CONTRACTOR � S �; DESCRIPTION "�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL O 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 � ❑ S€PTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA� ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W C � � -�- �v A-�� ; � t 0 � ,c � 0 � 1 . Q � � M � � `� � J� �l � �� f W ` _ � W � � GW �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN �NSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALC INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: • Inspector. White Copyllnspector's File Canary CopylSite Notice �. �l' �/ . D TIME CITY OF ORONO CALLED IN �� " INSPECTION NOTI�E �CHEDULED � PERMIT NO. aD/ —�55 COMPLETED � ADDRESS ��0 ,/I�LgY`�� '!�! /✓�'' OWNER TELEPHONE NO.�l 2 Z��O SSI,3 CONTRACTOR ___� �A �L��S/�A >`; DESCRIPTION �� `'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O � � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on site: � Inspector. White Copyllnspector's File Canary CopylSite Notice