HomeMy WebLinkAbout2013-00826 (Re-roof) �• CITY OF ORONO * 2 0 1 3 - 0 0 B 2 6 *
, � 2750 I�ELLEY PARKWAY DATE ISSUED: 08/20/2013
• ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 1271 ARBOR ST
PIN : 10-117-23-31-0033
LEGAL DESC : CRYSTAL BAY MINNETONKA
: LOT 000 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 6,000.00
NOTE: VALUATION OF PERMIT:$6000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 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) 3.00
4100 EXCESIOR BLVD
ST. LOUIS PARK,MN 55416- TOTAL 135.75
(952)915-7227
Minnesota State License#: BC 1050
OWNER
RICHARDSON, STEVEN&SARAH
1271 ARBOR ST
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specificafions,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.
7'he applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This pertnit may be
rev ked t any ti e for due cause. ��
� �� � i i
pplicant ermitee Si at re Date Issued y ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHE N DESCRIBED ABO .
-� City of Orono
�
• Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
�O�O Mailing Address: Permit number:
PO Box 66
Crystal Bay,MN 55323-0066 Date received:
Street Address: Received by:
��, `� 2750 Kelley Parkway Plan review fee:
G Orono, MN 55356
�qkESHO�� 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. (P/ease print)
GENERAL INFORMATION:
Job Site Address: __(Z �1 ��c,� �✓�
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑Yes `�No
If yes,a special event permit is required witi►Police Department and City Counci!epprova/60 days prior to the event Shuttle bus service will be
required unless applicant demonsirates sufficient on-site parking is available. Non permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ��i Z��i,�.� ��S ��
State License# (��� L �S C� F�cpiration Date:
Lead Certification Number. Expiration Date:
(for work on homes that were consbucted prior to 1978
Phone: (cell) (offlce) ClS Z- ��S—7ZZ CP
Mailing Address: �,�,(�7 ��c�l;S�� �(�- City: � �� pL„� ZIP: s�3 w�
Contact Persorr. �=��� \�-e S S Applicant is: ontracfi / omeowner (Clrcle One)
Email and/or Fax: �sz.-�Z�y ���
PROPERTY OWNE�INFORMATION:
Name: ���� �e� S�^
Phone(day): aSZ- 2.1t- �I`1
Address: 1271 /�w-h� S . City: ����� ZIP: ���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�permits:
�Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD)
18202 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven,MN 55391
Phone: 952�71-0590
❑ Re-roof,other(specity) ❑Siding ❑Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.ora
Estimated Construction Valuation of Project(excluding land) $ b
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Certfies 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 applica6on 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. Private data is information which generally cannot be given to the public but c�n 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 govemmental agencies required by law. If
ou refuse to su I th information,the a lication ma not be issued.
Applicant's Signature: Date: � � / �
OwnePs Signature: Date:
Last Updated:03/06/2013
� � D TIME �/
CITYOFORONO �!���EDIN ' �'�
INSPECTION OTIC �,/�-� SCHEDULED - -
PERMfT NO. � v�/ � OMPL ED
ADDRESS ��7� GQ��i('/�J/���i�:��X�l
OWNER TE EPHONE NO �s '1�S"7 .�
CONTRACTOR . �
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� DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RAQON SLAB ❑ WATER HOOK-UP 0 PRO(�RESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPUUNT
v ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI � SEPT�C FINAL ❑ FOUNDA710WREMOVAL
2 OWNERlt�NTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLtTE
W ❑CORRECT WORK 8 PRdCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
0 �CORRECT WORK,GALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑C:flRRECTUNSAFECONDITIONWRHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETIJRN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTlON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlCoMractor on sfte:
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Inspector: �
White Copylinspector's Flle Cenary CopylSite Notiee
TE TIME V
CITY OF ORONO CALLED IN '—
INSPECTION�T�CE�Q�SCHEDULED
PERMfT NO. � a COMPLETED
ADDRESS � � �
OWNER TELEPI jpNE N � /�✓�-7 z�3
CONTRACTOR ��
�; DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SffE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAlNT
v O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FlNAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
a OWNERfCONTRl1CTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� 0 WORK SATISFACTORY:PROCEED ❑ OJECT COMPLEfE
W ❑CARRECT WORK 8 PROCEED �ISSUE CERTIFlCATE OF OCCUPANCY
� ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERINO PERMANENT
❑CORRECTUNSAFECONOITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑�ATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALL TO ARRANCiE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OvmeriContractor on site: �
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White CopyRnspector's File Canary CopylSite NotFce