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Home My WebLink About2011-00527 - roofing CITY OF ORONO PERMIT NO.: 20��-oos2� � 2750 KELLEY PARKWAY � ORONO, MN 55356- �A'rE ISSUED: 06/27/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4700 NORTH ARM DR W PIN : 06-117-23-23-0007 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-LJNDEFINED VALUATION : $ 9,250.00 APPLICANT pERMIT FEE SCHEDULE 191.75 STORM PRO EXTERIORS STATE SURCHARGE(VALUATION) 4.63 600 TWELVE OAKS CENTER DRIVE TOTAL 196.38 SUITE 648D WAYZATA, MN 55391- (952)513-8667 Minnesota State License#: 20634454 OWNER MAIJALA, RAYMOND& DOROTHY 4700 NORTH ARM DR W MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT Che work for which this permit is issued shall be performed according to the approved plans and specifications,app(icable 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 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 assurin all required inspections are request n confonnance with the St Building Code.This permit may be revo d a an time for due cause. �� C`�'yt�F�� `��- �� App nt Pe rtee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , City of Orono t Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �C - C�.-�- Ogv D,�O PO Box 66 Crystal Bay, MN 55323-0066 Date received: 9�'�` ,F- Received b a. ��. �, Street Address: Y� �' A� �,��' 2750 Kelley Parkway Plan review fee: �t`�kEsxo4`'� Orono, MN 55356 Total Fee: f � � , 3� 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: ,/ .�/ d Job Site Address: y70� ND✓�n I�rN'L ,�': Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No !f yes, a special event permit is required with Police Department and City Counci/approval 60 days prior to the event. Shuttle bus service wi//be required unless applicant demonstrates sufficient on-site parking is avarlable. Non-permitted events wil!not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: sf p�wt�o L L G State License# 2 v63ySlS�/ Expiration Date: 3 • 3/. 2013 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: GIS2 • S/3 � �/�b7 (office) /Z, g'/p �7�/ (ce�l) Mailing Address: ,a p. �oX Z�g City: �, n� Z�P: SS36 Contact Person: T So,L �rrg Applicant is: ontracto / Homeowner (CircleOne) Email and/or Fax: PROPERTY OWNER INFORMATION:.,A� Name: �� on c� /�'/4�.� ��.�. Phone (day): q 2, 72 • y b�' Address: !�l700 0�� r. City: ��''ph p ZIP: �s Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& ermits: ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watersh d District(MCWD) ❑Window(s) ❑ Repair [+7�Storm Damage 18202 Minnetonka Blvd ❑ Siding �Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 �Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ -rj'2 S'D ' � tT 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 refus o su I the informa ion, the a lication ma not be issued. ApplicanYs Signature: Date: �o 'Z7- Z � �l Last Updated: 03-01-2011 �' V C�� DATE TIME CITY OF ORONO CALLED IN �7 f INSPECTION NOTICE —7 SCHEDULED PERMIT NO. �%�� O�� /COMPLETED � Z t ADDRESS � OWNER TELEPHON O. �f�� " .� CONTRACTOR >; DESCRIPTION �h � � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h 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 ❑ SEP FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU�Y S O � COMMENTS: � a ��Tt,�l I � �l�.. � J O � � O � W � Q � Z W � W � � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContrac r o Inspector. White Copy/lnspector's File Canary CopylSite Notice DATE TIPv1E ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 2b61- db�o?7 COMPLETED � 3a/ ADDRESS_ �db /yOrth �lra•� ,t�r, !v , OWNER TELEPHONE NO. CONTRACTOR S�o� rK ��» �,x/,er,;,, � DESCRIPTION _ l�C.- /'Gc� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION �Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �QLLOW-UP a ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNER/CONTRACYOR TO MEET YOU:_YES_NO � COMMEI�TS; /�l0 ?eqr- o�"�' �.q5�p��o..`. �or�Q a *OLD PERMIT - NO FINAL INSPECTION REQUESTEL � O � �. � - �G UG�i17�i��/�7%!O�. �/'O f/!�d O W Q lJ0�� Q�.pa�s /h��/t � Z � -- �c rM� �'�.r.t/�O � � J d � ❑WORK SATISFACTORY:PROCEED �Q,IECT COMP�ETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY o ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING ❑CORRECTUNSAFECONDITIONWITHIN HOURS. PERMANENT INSPECTOR WFLL REfURN � PHOTO TAKEN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAtL TO ARRANGE ACCESS_ Call for the next inspectlon 24 hours in advance. (952) Z49-46�0 Owner/Con or on site: Inspector. M- White Copy/lnspector's File Canary CopyfSite Notice