HomeMy WebLinkAbout2014-00205 - roofing CITY OF ORONO * 2 0 1 4 - P1 0 2 PJ 5 *
- ` 2750 KELLEY PARKWAY DATE ISSUED: 03/14/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS ; 2760 DEER RUN TR E
PIN : 04-]17-23-13-0009
LEGAL DESC : N/A
: LOT 002 BLOCK 00l
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
COI�ISTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION ; $ 23,000.00
NOTG: VALUA"I10N OF PER'�11"C: $23,000.00
ROOFING PERMITS ISSUED WITHOUT ENOUGf{NOTICE FOR"CEAR OFP INSPECTIONS. (W}�REQUIRE 24-48 NO"['ICE, PRIOR TO
WORK BEING S"I'AR"I�ED) MUST PROVIDE COMPLGTE SET OF PIC"fURF,S OR A FINAL INSPEC"i'ION MAY NOT E3G ISSUED.
SIGNS-ADVER7�IS[NG S[GNS MAY ONLY BE ON THF PROPERTY DURING��HE'I�IME THE ROOF IS [3I;ING DONE.
ONCE WORK IS COMPLE"I'ED TH�SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 383.50
STATE SURCHARGE(VALUATION) 11.50
SELA ROOFING& REMODELING, INC. TOTAL 395.00
4100 EXCESIOR BLVD Payment(s)
ST. LOUIS PARK, MN 55416-
(952)915-7227 CHECK 34175 395.00
Minnesota State License#: BUIL-BC1050
OWNER
FIORE, PETER&JOAN
2760 DEER RUN TR E
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
[he approved plans and specifications,applicable City approvals,and [he
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
pennits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied herein.This permi[will
expire and become null and void if construction authorized is not
commcnced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time atter work has commcnced.
The applicant is responsible for assuring all required inspections are
requested in contbmianee with the Statc E3uilding Codc."I�his pemiit may be
rcvok�d at any time foc�dc�e-sau�;
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A p cant Permitee Signature Date Issued E3y, ig ature
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� 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:
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Street Address: Received by:
'y�, G� 2750 Kelley Parkway Plan review fee:
Orono, MN 55356
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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:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus s rvi will be
required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: s
State License# Expiration Date:
Lead Certification Number: N � -~ Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (office) I � •� �
Mailing Address: � City: �pK ZIP:
Contact Person: Applicant is: ontracto / Homeowner (Circle One)
Email and/or Fax:
.
PROPERTY OWNER INFORMATION:
Name: ) � � �
Phone (day): - �
Address: 2—� � .��C'L��/ YL(,�1 I�'. � CitY: V��� ZIP: '�j �j� lX
Email and/or Fax:
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PROJECT INFORMATION: Overall ro'ect description: ��, �,/f� .
Type of Project: Any earth movement may also require � v � ��
❑ 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
❑ 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) $ �
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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 alternative 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 u date our records and records of other governmental agencies required by law. If
ou refuse to su I e i ation,th ` lic 'on a not be issued.
ApplicanYs Signature: Date:
Owner's Signature: Date:
Last Updated:03/06/2013
��� / D�T� TIME �
CITY OF ORONO CALLED IN �o ��
INSPECTION NO ICE -- scHE�u�Eo �� l -�� __C�y,=;
PERMIT NOa7s r���� COMPLETED
ADDRESS a��G'C 4C1��-�JLC�t /�' �
OWNER TELEPHONE NO. g5z ��S 7Z/3
CONTRACTOR � �LC(.
�; DESCRIPTION ���"� ��
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL "� ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_ � �
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� COMMENTS: ��. Iti�v�
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W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN �CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours' advan � g5��249-460�
OwnerlContractor on site: ��
Inspector. Y
White Copyllnspector's File � Canary CopylSite Notice
�", DATE TIME �
CITY OF ORONO CALLED IN S-Z7-�`�
INSPECTION NOTIC yv O��HEDULED �L -� _�`��
PERMIT NO. cOMPLET� �
ADDRESS �Z76 D �cp
OWNER TELEPHONE NO. �Z ��S 7Z�3
CONTRACTOR ���
�: DESCRIPTION ���"� ��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ IN LATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ ADON SU+B ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTtiACTOR TO MEET YOU:_YES_NO
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GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours i advance. (952� 249 6��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopyfSite Notice