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Home My WebLink About2013-00627 - roofing ,.' CITY OF ORONO * 2 0 1 3 - 0 0 6 2 7 * 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2013 ORONO,MN 55356- (952 249-4600 FAX: (952)249-4616 ADDRESS : 1990 SPATES AVE PIN : 10-117-23-42-0023 LEGAL DESC : ORA PARK ON LAKE MTKA : LOT O15 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,500.00 NOTE: VALUATION OF PERMIT:$5500.00 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 132.75 SELA ROOFING&REMODELING, INC. STATE SURCHARGE(VALUATION) 2.75 4100 EXCESIOR BLVD ST.LOUIS PARK,MN 55416- TOTAL 135.50 (952)915-7227 Minnesota State License#: BC 1050 OWNER BLANKENSHIP,TIMOTHY 1990 SPATES AVE 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due ause. / � / 1 � / / Applican ermitee Signature Date ssue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,�� -�-�---�:;-� � : f � City of Orono �� P � �' Building Permit Application for Maintenance / Replacement / Renovation � (No structural expansion. Only windows, doors, siding, re-roof, etc.) �` �O� Mailing Address: Permit number: `3�0 �a O PO Box 66 Crystal Bay, MN 55323-0066 Date received: -'g l� Street Address: Received by: „� y �� 2750 Kelley Parkway Plan review fee: �� `� � Orono, MN 55356 �qKFSHo�� 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 ubmitted. � Incomplete applications will be returned. (Please print) �" GENERAL INFORMATION: Job Site Address: � � � ,� ��5 �� r Will this be a Parade of Homes, Remo elers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFQRMATION: � Name: ��c�v�v�c,� ��i c� � State License# ��j US� Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 � Phone: (cell) (office) Cp L 2— �6Z3--�U`��O Mailing Address: �t tUo ��c�e.�s��r �Q I�c� City: S-}� �-e�� Ia� ZIP: SS�l � �{ Contact Person: �,��,,,,� l,t �,-�� Applicant is: rac / Homeowner (CircleOne) Email and/or Fax: �52-�1 ZL—k�� , ;Y PROPERTY OWNER INFORMATION: Name: �`W1 ��jvlke�S�i►/� � Phone (day): � qSL- �Z(�-Z S`b(� Address: �(1�aU pc��eS G�,�� City: �,.(�y 2� ZIP: S S�j�( � � Email and/or Fax: ` �` `� PROJECT INFORMATION: Overall pro�ect description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: � Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) � 18202 Minnetonka Blvd � ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 R ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 � Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq ;, Estimated Construction Valuation of Project(excluding land) $ • 4� ,_ 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 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 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 required by law. If � ou refuse to su I the information,the a lication ma not be issued. Applicant's Signature: r�''t'�'�,+� ��S Date: l��-�(�� Owner's Signature: Date: Last Updated:03/06/2013 �� ...��^ D E TIME CITY OF ORONO CALLED I�$ � � INSPECTION NO CE�,y�/ SCHEDULED � � PERMIT NO��'l/�Z 7 COMPLETED � ADDRESS � �9C� SL��,�� OWNER TELEPHONE NO. gs�' 9�s �Z��J CONTRACTOR ��Z'Z9D' 77� >: DESCRIPTION /�-Q�� '� � � ❑ FOOTING ❑ PLUMBING FINAL—f'(�P(,J,.Q� ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI �h�N�.{Q�❑ �qKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL � �j J❑ 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 R L ❑ FOUNDATION/REMOVAL � OWNE NTRACTORTOMEETYOU: Yi� NO � COMMENTS: � W a o � l�,�' n � C�s "'� ��✓�, �� 1� � �-l`�� S i� �_�t � � �'e' � � �l .� ca � � � �=`�._ W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED � OJECT COMPLETE W ❑CORRECT WORK&PROCEED r ISS E CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL 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� 249-4600 OwnerlContractor on site: Inspector. �j y White Copyllnspector's File Canary CopylSite Notice