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Home My WebLink About2013-00621 - roofing � � CITY OF ORONO * Z 0 1 3 - 0 0 6 2 1 * 2750 KELLEY PARKWAY DATE ISSUED: 07/08/2013 ORONO, MN 55356- . (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1920 SIXTH AVE N PIN : 27-118-23-42-0002 LEGAL DESC : LTNPLATTED 27 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LTNDEFINED VALUATION : $ 11,700.00 NOTE: VALUATION OF PERMIT:$11700.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 221.25 SELA ROOFING&REMODELING,INC. STATE SURCHARGE(VALUATION) 5.85 4100 EXCESIOR BLVD ST. LOUIS PARK,MN 55416- MISC FEE 0.00 (952)915-7227 TOTAL 227.10 Minnesota State License#: BC 1050 OWNER CARRINGTON,BRIAN&BETH 1920 SIXTH AVE N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformanc with the State Building Code.This permit may be revo ed y time e cau e. / / / / A ica�t ' ee nature Date Issued y Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE . �� City af Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number. g,0,�. PO Box 66 Crystal Bay, MN 55323-0066 Date received: � e.,, � - ,� `��r�-;� � StreetAddress: Received by: '$'�c,t�� • t -a�' �ti 2750 Kelley Parkway Plan reviewfee: yk SH��,� 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 be returned. (Please prinf) GENERAL INFORMATION: Job Site Address: i� '�L C�- �,�C.l �; Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a specra/event permit is required with Police Department and City Council approval 60 days prior to the evenf. Shutt/e bus service will be required unless applicant demonstrafes sufficient on-site parking is available. Non-permitted events wilf nof be allowed. CONTRACTOR/APPLICANT INFO MATION` :�,n Name: ��C.�, �CC., r�^ �"�C-�'-1'1'1<:t.�.� State License# �� L`,��S� Expiration Date: � Lead Certification Number: �L ��'j 5� Expiration Date: _ 1�� 1 � _ (for work on homes fi►at were consfructed prior fo 1978 Phone: �� _ � ��.�yL, (office) (cell) Mailing Address: � � zX�,�.�`��; p5j�,.,( City:S�- �1�«' 1�J L ZIP: . ��.tl , Contact Person: Applicant is: Contra�tar / Homeowner (Circle One) Email and/or Fax: �S� �}-�._�-{�t;� PROPERTY OWNER INFORMATION: Name: �j� Ic�� 4 � ,,�-�,�-� �� ( 1�`� Phone (day): �1�� y�� ,� Address: � � ,��; C�h� v2�1 L,� City: z}•;Cr� ZIP: 5� 3S(r Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) �e-roof, asphalt ❑ Repair ❑ Sform Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: � � � �;U� 7- _ � - �_-- ' t,�.� � Estimated Construction Valuation of Project (excluding land) $ ' / ��)(), c.�- 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 submitEing a complete application being aware that upon failure to do so, the staff has no alternative but to reject it unfil it is complete; • Some or all of the inrormation 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. I# ou refuse to su I the information,the a lication ma not be issued. .. ' ✓ � 7_ �---, ApplicanYs Signature� %,, Date: � Last Updated: 08-09-2011 -7 D TE TIME � CITY OF ORONO c �� (�� INSPECTION NOTICE SCHEDULED �3 - __<�'� PERMIT NO. aD I.3� ��z� COMPLETED ADDRESS � �Z� S�'�-�' �U'P /v • OWNER TELEPHONE NO.�SL '�1�5 7Z�3 CONTRACTOR �� : DESCRIPTION r/� �� 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS h ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � 0 a � 0 � W � Q � z W � W � � � GW ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W p ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAfECONDiTIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �� C�TY OF ORONO CALLED IN .��Tf� �n TIME� C.� 2-�� NsPECT10N�OoT�I i� �Z1 SCHEDULED �� C�FI rERMIT NO. COMPLETED ADDRESS ��1 2-C� SI,K'4'� C�� IJ . OWNER � � TELEPHONE NOL��2- �Z3 �`�S' C�NTAACTOR Ct hu � tJ � DESCRIPTION ��'� �d� -E--��• � 1a+5 S� �oicft.�,�e.� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERfCONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: a� W a � J O ). � O � W � Q � 2 W � W � J ��WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on sit : Inspector. White Copyllnspector's File Canary CopylSite Notice