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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 . � — � 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: � • � P�rwt t� q/rtG�•r �i h�./cA O _�I�P I/6d!i f�G � /��r !/`�fV� r a� � /`�l e��2 C.F l/ GlT�. �1�!l 4�� �ii,r � V � Q i�/��� ^ W W � j d 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: . 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: � � � ��� �_S o , � 0 W � Q � W � j � 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: � L�' � �1IS�CtW: White CopyRnspector's File Canary CopylSite NotFce