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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�; � ` .: � . . ,.� __�- __ � ���� � � , , A p cant Permitee Signature Date Issued E3y, ig ature 11� �� � 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: � y Street Address: Received by: 'y�, G� 2750 Kelley Parkway Plan review fee: Orono, MN 55356 `qkf S H O�� 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: � �� � �� � � � 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) $ � I ° 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 ���"� �� � � ❑ 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_ � � ��- � % � COMMENTS: ��. Iti�v� � f W � � � ' O >. � O � W � Q � 2 W � W � j d 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 � COMMENTS• � W a � � J O � � O � W � - Q � � W " � W � j 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