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Home My WebLink About2013-01121 - roofing r CITY OF ORONO * z 0 1 3 - 0 1 1 2 1 * ' 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1317 NORTH ARM DR PIN : 07-117-23-41-0032 LEGAL DESC : SAGA HILL REVISED : LOT 003 BLOCK 007 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOI�T TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -LTNDEFINED VALUATION : $ 6,500.00 NOTE: VALUATION OF PERMIT: $6500.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NO'I'ICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PR[OR 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 TH�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) 3.25 4100 EXCESIOR BLVD ST. LOUIS PARK, MN 55416- TOTAL 150.75 (952)915-7227 Minnesota State License#: BC 1 O50 OWNER DERBY,ANN& LORIN 1317 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 goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if consVuction 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. T applicant is responsible for assuring all required inspections are r que ed in conformance with the State Building Code.This permit may be i� voke at any ti for due c e. � � � � l� �� AP}2 t igna ure at Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. � City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �OA r Mailing Address: Permit number: ^v Z �VO PO Box 66 _ Crystal Bay, MN 55323-0066 Date received: � �. a Street Address: Received by: :- � 2750 Kelley Parkway Plan review fee: `�t " Orono, MN 55356 �kFst,�� /SD 7� 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: � '/, Job Site Address: � � �/� f� � � �� 1� � 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 rvice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowe . CONTRACTOR/APPLICAI�T INFORMATION: Name: � � State License# �� , ', Expiration Date: Lead Certification Number: Expiration Date: ' (for work on homes that were constructed prior to 1978 Phone: (cell) (office) �� —�� Mailing Address: ; � Cit : � r � � Contact Person: Applicant is Contractor / omeowner (Circle One) Email and/or Fax: �;� � � � _ � PROPERTY OWNER�NFORMATION: ( Name: �.(,�1�� j' Phone (day): � � Address: � � City: ZIP: �,5 3 Email and/or Fax: PROJECT INFORMATION: Overall project description: � - � '�' � ? � r��`i Type of Project: Any arth 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 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minn hahacreek.or Estimated Construction Valuation of Project(excluding land) $ 'J � 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��is information which generally cannot be given to the public but can be given to the subject of the data. Confidential da is,rt�for ation which generally cannot be given to either the public or the subject of the data. Our purpose and intended use f s inf matio is to annually update our records and records of other governmental agencies required by law. If ou refuse t s inf , e app i ma not be issued. ApplicanYs Sign � . Date: 1�/ �i � " � � Owner's Signature: Date: Last Updated:03/06/2013 � ,�`� I 3 I � N�o f�'�1-� r��Z�'V� ��l VL� � •� f�w P oSe-� �'fli��.1�fv5 w a�� -'�'we.e n� 13 17 ro►n►� t331 nro �a� p2�� con�.an,.� G�,-oa,� t�-�ei,� P�r�' o wNe2s, w�►�. �s r�pP�x -z' N�6►-� N o f3�.�Ot� (�-eRiw�.r �R-c��i� �',�o l�J�'� U (�- 1-�'2, >� - . a-�s� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED LQ -�O 4%�b PERMIT NO. �/3w Oh�l COMPLETED ADDRESS�.�/?'_LY�� • OWNER TELEPHONE NO. CONTRACTOR � �; DESCRIPTION , � � ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J U NG RI ❑ SEPTI INAL ❑ FOUNDATION/REMOVAL OWNE NTRACTOR TO MEET YOU:_YES_NO v, COMMENTS: � %�?.s O�.-,«:� �;��/�� oti y -«-�y /y � ��, — 0 �. � _ , � O cG7�la� l� W _ � �t a Q z �� ,, �� ;� - W � W � j W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPIEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY w � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 tor the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector_ r' White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN �'' - INSPECTION NOTICE SCHEDULED �- - _l�� PERMIT NO. ��3+��2-) COMPLEfED ADDRESS I � I7 NC�� / v� /"'t7 YYl �Yl I/�J OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION �L n�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS O � FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FINAL ❑ SEWER HOOK-UP O COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAl10N/REMOVAL 2 OWNERICONTRACTOR TO MEEf Y'OU:_YES_NO WCOMMENTS:, ��SP �- �e� �✓QSG '� t � �`fu✓e� �-� IGc�- 4Ja?�e✓ ,D/'�eU�ra,,1 oJ�Oo � r�,�.�/�y��L'� .er0 v��el� — �. � � �G �/Q� �r �ld�1. 17✓'C3 L[lOC� W � Q 2 ��rl� Lt.,�J78[Y'S �Q��Q � � � j r�,•a c'� �`l.Gr� � ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE w ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advan�. (g52) 249-460� OwnedContra or on site: � Inspector. �^''' White Copylinspector's File Canary CopylSite Notice