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Home My WebLink About2016-0097 - re-roof house only CITY OF ORONO * Z 0 1 6 — 0 0 9 7 6 * c 2750 KELLEY PARKWAY DATE ISSUED: 08/16/2016 ORONO,MN 55356— (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 350 RUANN RD P[lv : 36-118-23-32-0010 LEGAL DESC : WAKEFIELD FARMS 3RD ADDN : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 16,670.00 NOTE: VALUATION OF PERMIT:$16,670(RE-ROOF HOUSE ONLY,REPLACE 2 SKYLIGHTS,REPLACE MASONARY CAP-CHIMNEY) ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOT[CE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECT[ON MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 309.75 STATE SURCHARGE(VALUATION) 834 SELA ROOFING& REMODELING, INC. TOTAL 318.09 4100 EXCESIOR BLVD ST. LOUIS PARK,MN 55416- Payment(s) (952)915-7227 CHECK 37254 318.09 Minnesota State License#: BUIL-BC1050 OWNER SMITH,JAMES 350 RUANN RD WAYZATA, MN 55391- AGREEMENT A1vD SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and Ihe 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 rype 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 afrer 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 time for due cause. ` ! �� '�� (�G...e� I��Je-`�� L, � L lD/ � 4� ; -� flpplica e m� e ignature Date Issued By Signature Date , "d�,, �� . City of Orono �3uilding Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �-O `j Mai��PO Bo�r66� Permit number: Z r � ,� 1 0 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: �. � 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 applications will be returned. (Please print) GENERAL INFORMATION: 2 �� ,n ,.' Job Site Address: ✓ IC�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No If yes, a special event permit is required with Police Deparlment and City Council approva160 days prior to the event. Shuttle bus se i e will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFO ATION: Name: State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes fhat were constructed prior to 1978 . �.. Phone: (cell) (office) � � Mailing Address: City: �,�s ZIP: Contact Person: Applicant is: C ntracto / Homeowner (Circle One) Email and/or Fax: :� PROPERTY OWNER INFORMATIO�I: Name: S Phone (day): • 2 Address: City: � � ZIP: � ?j Email and/or Fax: PROJECT INFORMATION: Overall project description�Lt�.• V n ' ��" � Type of Project: Any earth movement may also require �y� � ) MCWD review 8�permits: ❑ Door s ❑ Remodel ❑ Fire Damage Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd � ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof, other(specify) ❑Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �Nindow(s) s �� www.minnehahacreek.orq Estimated Construction Valuation of Proj ct(excluding land) $ � 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 i r is to annually update our records and records of other governmental agencies required by law. If ou refuse to su the inform io ,the p lication ma not be issued. ApplicanYs Signature: Date: Owner's Signature: Date: Last Updated:January 2016 � " f W1� T�AE (y.TM OF OAONO CALLED IN �_ � OTICE �y SalEOIJLED ' PE�T I�O. � O !JZ C0IAPLETE� `�-�O'/9� AppRESs 3S"o R us�.� �P1�1 OMMOi TEI.EPHOI�NO. - - CONrRACTiOR _St.�t /Po�o�•is 9�- /{�.K�t.r • � pEgC�pT10N �e- �oo� �.s� W Q FOOTNrCi O DEMO-FINAL ❑3EPTIC PMAL � O Pou�u wul 0 a�uMexro Ri D occ�v�a.urb Q O FOUNDATION WA7ERPROOF O PLUMBMN3 FMIIIL O TREE REMOVAL � �RADON SLAB ��AECFIANICAL RI �SRE�PECTION �FRMAYd(i �MECHMIICAL Fq�AI �RATED WALLB � o��►� a��►�E � � a� a W�,�►�� a� � o��,�T-� a�►�.� o�A��. � o�-�� o�� —�_� c�o�w� �,�.:t �c�l�e,• �`Q l�.0 � �./r�6.-•c � , . s.�cL .��,e. j Permit has expired per MN Building Code Sec. 1300.120 subp. 11 � Expirafion, no record of a Final inspection. � � � � i � � � ❑��/NI�Vf1��rf1WGGi/ ❑rfwNG�/�W�rLC�G � ONR�iN��RRw�� ❑�VR\�TwM��VrVVKinY�V� � O�M�f1W��MYi nR\I��nOrGV�M� ■�� O OOI�CT UNSAFE OOND1710N WITHIN HOURS. O PHOTOTAI(�1 II�PBCf�OR YVIL.L AE711fM1 a sroPonoEn Posr�.c�u.�ccron o ar�row�u a wePecnoM aea�a.c�►uro��ocr�s. c.M torui.n�ct trnpscuon u nous tn adwno�(�'i2) 249-4600 on sl� � �' ""' �- ��.e�sr.Fx. c�•nr�ovr��