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Home My WebLink About2012-01152 - roofing - asphalt CITY OF ORONO * 2 0 1 2 - 0 1 1 5� �, 2750 KELLEY PARKWAY DATE ISSUED: 11/13/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 � ADDRESS : 725 SIXTH AVE N PIN � : 26-118-23-44-0006 LEGAL DESC : UNPLATTED 25 118 23 : LOT 1 BLOCK 2 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDIAIG-LJNDEFINED VALUATION : $ 75,000.00 NOTE: TEAR OFF REROOF APPLICANT pERMIT FEE SCHEDULE 869.25 SELA ROOFING&REMODELING,INC. STATE SURCHARGE(VALUATION) 37.50 4100 EXCESIOR BLVD TOTAL 906.75 ST. LOUIS PARK,MN 5541Cr (952)915-7227 Minnesota State License#: 0001050 OWNER Spring Hill Golf Club 725 SIXTH AVE N WAYZATA,MN 55391- 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 related work which requires separate permits. All provisions of laws and ordinances goveming 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 any time f due cause. � � � / //3 / /� c ite ig ature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �:n �E��' �� "E�� EF�� r�� ,�t�� - fV��c�r�a�c� / �er�c�� s�:. ; (v�i�aov��, �ioa€��, siai��, ��-raof, ��c.) Narlrng Aadr�ess: Permit number: ��/ —b/ � ��'�v�.� PO Box o0 �� , Q\ Crysial Bay, MN 55323-0066 �ate received; J//,>:/oZ� ��a ��jP:��'` Received b :_ �, , � E;� a. Srreet Address: Y ��'�� , �" '�s"�' �� 2750 Keliey Parkway `.y�9��rv , Orono MN 55356 Pkansreviewree: ��sxo � ' To.al:Fee: �J�/ l c-� Main: 952-249-4600 =ax: 952-249-401 o www.ci.orono.mn.us I / (G�, J This appfication rorm must be comple'teo in rull and all required inforrration must be submitted. incompfete appficaiions will be returne�. (Please print) ��'=RAL INFORMp.TIOn: Job Site Acidress: �% ;� !��' C'L�U�•{,.1� � � Will tnis be a Parade of Homes, Remodeiers Showcase Home or other Dispday Fiome? I I yos �� o lfyes, a special event permit is required wifn Foiice Deparrmenf and City Council approva!6G days prior to the event. Shuttle bus service wilf be required unless applicant demonstrates sufiicient on-site parking is availabte. Nor-permrtted events will not be alrowed. CON'i"'RACTOR//�PPLICAI�T INrOP.MAT10t�: Name: - State License # L�) '��J cxpiration Qate: (� (� Lead Certification Number, cxpiration Qate: (for work on �omes fhat were constructed prior ro 1978 Phone: � l �,- �,�'� �u�.(�, (ofiice) (cell) �aifing Address: �Lil"() �_� ' �OY' �, ��; � CitY��`�A�'� k� Zlp��j 5�� Contact Person: ��v.,,�� Apphcant is: Contractor / Homeowner (Gircfe One) Email and/or Fax: PROP�R�'Y OWN�R INrORMATIOht: � Name: _S�r^�v�c. �t: � Gi,�`� �� h Phone (�ay): '_C`,��M '� �� a-��-03�� . Address: '� �-� �.��,�,n�� ., Ci"ty� ZIP� ;:� Email and/or Fax '� '� PRC2J�CT IN;ORM�t,TIOR: Type of Project: � � i Any earth movement rnay require �'� ❑ Door(s) � ❑ Remodel I MCWD review&permits: � ❑ �ire Camage �innehana Creel<Watershed District(MCWD) 5 � .�e-roof, asphalt ❑ Repair I ❑ Storm Darrfage ! 15202 Ninneionica Bivo t ❑ Re-roof, ceuar ❑ Restoration ❑VIla'ter Gamage � Deeohaven, MN 55391 � Phone: 952-471-Q590 � ❑ Re-roof, other(specify) ❑ Siding ❑ Other. (specify) � �ar.: 952-471-Oo62 �� i ❑Window(s) I www.minnehahacreek orq � .� ,,�� ; 1,� Overall Froject Descriptiars:'t-e�`i��j L�'�-U'-C3U�� ` ' _stirriated Cor.strucfion �,�aivanon a� ?ro�ect �exciucfing land) � 7�',C�b ;x � pPPLICA ^ R � �� — � � I�T ��E�f+�OVIA_�D.z�M�f�ET: ,� � � Agrees to provide all inrormation required or requested by tne Building Department; ;� � � i! ` • Certifies t'nat the inrormaiion supp(ied is true and corre�t to the bes� or nis/ner knowledge. Tne applicant recogntzes that tney � are sofefy responsible fo�submitfing a compfete appiicaiion beina aware trat uoon �ailure to do so, tne s�aff h2s no atierrafive � � but io reject it until it is complete; _� t ` � � � Some or all of the informafion that you are asked to provide on tnis appfication is ciassified by Sta'te iaw as eitne~ private or � :� i coniidentiaf. Private da;a is inforrration wni�r� generally cannot be given to the pubiic but can be given to the subiect of ihe � iu , da:a. Confideniial data is inr"ormafion which generaliy cannot be give� io eifher the oubli� o; tnG suoiecf o� tne data. Our I � purpose and intended use of this informafion is tc annualf� update our recorcis and records o� otner governmen;al agen�ies I reauired bv lav,�. If vou reruse to sup�iv informaiion, the aopiicatior mav not b� issued. � � � l��/�/��- �: Appii�anYs Siqra'ture: � Cat�: L2st Updated: 08-Q9-201^ � � c^,�-P/� DATE TIME � CITY OF ORONO � CALLED IN �� INSPECTION NOTICE/� SCHEDULED —�� /D�� PERMITNO.�� 'C./�I�� COMPLETED ADDRESS �� l(L� �_ OWNER TE NE NO. S��S' �� CONTRACTOR (�4 �1 �: 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. ❑ FOILOW-UP _ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRAC R TO MEET YOU:_YES_NO � COMMENT - UYj � W a � �r G"�`�J✓� � /Q V-- 0 � � 0 � w � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (J52� 24J-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice