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Home My WebLink About2013-00194 - roofing � CITY OF ORONO * Z 0 1 3 - 0 0 1 9 4 * ` 2750 KELLEY PARKWAY DATE ISSUED: 03/22/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1280 NORTH ARM DR PIN : 07-117-23-41-0009 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,300.00 NOTE: VALUATION OF PERMIT:$6300.00 ROOFING PERMITS ISSUED WI"I'HOUT 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[SSUED. 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 147.50 SELA ROOFING& REMODELING, INC. STATE SURCHARGE(VALUATION) 3.15 4100 EXCESIOR BLVD ST. LOUIS PARK, MN 55416- TOTAL 150.65 (952)915-7227 Minnesota State License#: 0001050 OWNER PANCHYSITYN, TIMOTHY&JEAN 1280 NORTH ARM DR MOUND, MN 55364- 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 governing 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 consVuction is suspended for a period of 180 days a[any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoke t any tim aus / / / � / L�-/ �� Applic i � �gnature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � City of Orono `,��,1J� �� ' �uilding Permit Application for Maintenance / Renavation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O4v�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: a � ' � �, Street Address: Received by: �'�,c, �ti 2750 Kelley Parkway Plan review fee: L9kESH04'� Orono, MN 55356 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. (Please print) GENERAL INFORMATION: �� -/1 Job Site Address: � O� 7'tYliY� � ;�' 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. Shutt/e bus service 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�I Q. R C�O-� � ►'1G� 02l� ►�-�I'�GP� I� ��n�c- State License# xpiration Date: 3 j 3� � � Lead Certification Number: �(-', �<<'jd � _- � Expiration Date: � -� (for work on homes t t were constructed prior to 197� Phone: �j `Sa2_ /s (office) (cell) Mailing Address: � �( �r (� � City:s{. �S ZIP: S Contact Person: ��nr,.`� Applicant is: ontractor Homeowner (CircleOne) Email and/or Fax: ��j Lp� �� SP/�� 0��. CQ �� PROPERTY OWNER INFORM TION: Name: a � h Phone (day): ��a — G--(o �Cl ij Address: ��--g'Q /�I�-r„�. .Ar� �j� City: ��.i,0 ZIP: Ss�3 (� Email and/or Fax '— PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Re-roof, as halt Minnehaha Creek Watershed District(MCWD) p ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-0590 ( P fY) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 3 � 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 update our records and records of other governmental agencies re uired b law. If ou refuse t su I the information,the a lication ma not be issued. ApplicanYs Signature: Date: �f�-`�,3 Last Updated: 08-09-2011 ��N\ DATE TIME � CITY OF ORONO CALLED IN � INSPECTION NOT/IC2E / SCHEDULED � PERMIT NO. �D`�J""L�< �� COMPLETED �� —� ADDRESS l�� ,/UD!''�� rf�'I /,� OWNER TELEPHONE NO. 1�5Z- `�l� 7ZU 9 CONTRACTOR >; DESCRIPTION �v� �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � � O � � O � W k Q ti Z W � W � � d W� �OGORKSATISFACTORY:PROCEED ,,�PROJECTCOMPLETE W�O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on e- Inspector. �^--- White Copyllnspector's File Canary Copy/Site Notice I-� �� D E TIME Y CITY OF O17VIYO CALLED IN ~ INSPECTION NOTICE SCHEDULED — PERMIT NO.�-�l�—D�D� '�'l�COMPLEfED ADDRESS � � /�/' OWNER TELEPHONE NO.��-'�1�5 7?J3 CONTRACTOR � DESCRIPTION � � ❑ FOOTING O PLUMBING FINAL � EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z O 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 OWNERlCONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � rQ3� �0�'��og�lT/N 6 Dec�w� '�4— � �;ti�� = 3 - /3 L.� G 4!� 0 o� 0 � Q �c�c s� C 4l[ Orona Ct�`c. ��l G,J� � � 2 `� , K W � W R � J O W� O WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECTVIfORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspect�n 2a hours in advance. (952 j 249-4600 OwnerfContractor on site: � Inspector: �^' Whi CopyflnspectoPs File Canary CopylSite Notice