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Home My WebLink About2011-00556 - roofing � CITY OF ORONO PERMIT NO.: 2011-00556 ,' 2750 KELLEY PARKWAY � � ORONO, MN 55356- DA7'E�sSUED: 06/29/20ll 952 249-4600 FAX: 952 249-4616 ADDRESS : 4760 NORTH ARM DR W PIN : 06-117-23-23-0010 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 : $ 2,000.00 APPLICANT PERMIT FEE SCHEDULE 73.75 CVA DESIGNS CONSTRUCTION STATE SURCHARGE(VALUATION) 1.00 15832 VENTURE LANE EDEN PRAIRIE, MN 55344- MISC FEE 0.00 (612)216-5513 TOTAL 74.75 Minnesota State License#: 20634594 OWNER FLEMING, PATRICK&CINDY 4760 NORTH ARM DR W , MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he 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 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 ofthe date of issuance,or if consVuction 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 t e fpr due cause. � � � � 2`� l ��/l ��i}'�2.� l l A licant Permitee ature Date Issued By nature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. City of Orono � � Building Permit Application for Internal Work ' {windows, doors, siding, re-roof, etc.) Mailing Address: permit number. ��.¢,0,�. PO Box 66 j Crystal Bay,MN 55323-0066 Date received: �( ��£.>,: � �� t�, �;� �, StreetAddress: Received by: \,�,t„�,�'��,�� ti`�' 2750 Kelley Pa►tcway Plan review fee: ,,\xESH�// 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 t�e returned_ (Please print) GENERAL INFORMATION: � � �� . Job Site Address: `��- Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑Yes No If yes,a special event permit is required wiH►Police Deparbnent and City Co�dl approval 60 days prror to the everrt. Shuttle bus senrice wi1!be required unless applicant demonstrates�cient on site parking is available. Non�oermitted ever►ts wdl not be allowed. CONTRACTOR/APP IC NT INFORMATION: Name: �� r....: 4.a�.w. C �A�2�: h g �.n��r�tc-��t�1 State License# ,��,3 y��y Expiration Date: 3 � 2a 13 Lead Certification Number. (�( ��-_ �O�D�'�- � Expiration Date: �` (for work on homes that were ons ucted prior to 1978 Phone: a1 le- S I3 ,c r0�office) (o(� $"�-�- �2.D0 (cell) Mailing Address: t Z � City: rc.��.�ZIP: (� Contact Person: Q� ,�. �,_ y�� Applicant is: Contractor Homeowner �ci►�ie o�� Email andlorFax: Pa � �-��Q�� Co�s-�rvc^s-` n ar+� PROPERTY OWNER INFORM�TIpN: Name: ��- (�1.�,,,�,- Phone (day): � y - � Address: p r,ry� �� City: f ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑Door(s) ❑Remodel ❑Water Damage MCWD review 8 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 wvvw.minnehahacreek.ora Overall Project Description: -�ea� � � (Z.Q 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 infortna6on supplied is true and correct to the best of his/her knowl�ge. The applicant recognizes that they are solely responsible for submit6ng a complete application being aware that upon failure to do so, the staff has no altemative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classfied by State law as either private or confidential. P�vate 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 wtiich 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 govemmental agencies re uired b law. If ou refuse to su I the inf ation,the a lication ma not be issued. ApplicanYs Signature: � Date: (o Z 1� C�� D TIME ✓ CITY OF ORONO CALLED IN ��—� INSPECTION NOTI�f E �/� SCHEDULED � _�� PERMIT NO.�D�/��-iltTJ COMPLETED ADDRESS `t �� ``� t'/�� OWNER TELEPHONE NO��Z Z��O 55� 3 CONTRACTOR �V� .UeS��lr�✓ >; DESCRIPTION �'-'J �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ 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 ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � .N'O '-1 G� �� d� �'�t�' �-`�`�/� ' 0 � —TG�Q ��:c-t-� �e 5 � r�P ° i�Q ��, ,; �'�. c � r � � T� �h1 � \ � Q � � �v V �� e lA C �-v�e--S C� �' � !V�1 ��'r.! A � �.J��- 1`�P �,rV � a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PEFiMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL 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 Owner/Contractor on site: Inspector. /� White Copyllnspector's File Canary CopylSite Notice DATE TIME " CITY OF ORONO CALIED IN INSPECTION NOTICE /-� /—SCHEDULED a? -// �� PERMIT NO.�OI��vOSS(�lCOMPLETED ADDRESS 7'7�� ,L��D�Y7�i �/"/'►'► .!�/� � OWNER TELEPHONE NO. � �77 �z� CONTRACTOR C v� �`�- �; DESCRIPTION �l�Z�' �� ❑ 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ��-�� W C � � O a � O � W � Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED `�PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED G INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on s�te: � � � , Inspector. •� � � Whiie Copyllnspector's File Canary CopylSite Notice