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HomeMy WebLinkAbout2011-00922 - roofing CITY OF ORONO PERMIT NO.: 20��-00922 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 08/24/2011 , 952 249-4600 FAX: 952 249-4616 ADDRGSS : 4730 NORTH ARM DR W PIN : 06-117-23-23-0016 LEGAL DESC : MCHANEY ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 30,900.00 NOTE: VALUATION OF PERMIT: $30,900.00 -NEW ASPHALT ROOF&SIDING ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR"1�0 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 477.50 SELA ROOFING&REMODELING, INC. STATE SURCHARGE(VALUATION) 15.45 4100 EXCESIOR BLVD TOTAL 492.95 ST. LOUIS PARK,MN 55416- (952)915-7227 Minnesota State License#: 0001050 OWNER WHITE, ROBYN 4730 NORTH ARM DR W MOLJND, MN 55364- AGREEME1vT 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 Yor 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 construc[ion authorized is not commenced within I 80 days of the date of issuance,or if cons[ruction is suspended for a period of 180 days at 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 revoked at any time for due cause. EL�%7 3 � j� ,� ;�� ,, �'-.�Y-i/ _1..,�.�-��. ,��, : ,V.X l� � �� � � � �� _�.�� L< <�-y����, � � Ap icant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. L�� Z� '' City of Orono -. ���` 2 �, , Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) MailingAddress: Permit number: �,0,�. PO Box 66 Crystal Bay, MN 55323-0066 Date received: 0 �:. 0 — ��� a �v�t �,i Street Address: Received by: r��. ` 's'�c, y����'�"',d�_ �ti� 2750 Kelley Parkway Plan review fee: l.y l' ���`�``�F� Orono, MN 55356 kESHo4 �_= 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: / /7� , I v�� � � Job Site Address: �7 1��1 /'/�'1 � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No /f yes,a special event permit is required with Po/ice Department and City Counci/approva/60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Q �; ` State License # JQ� Expiration Date: 3�3 I I Lead Certification Number: - �,5O3y_� Expiration Date: ���5— (for work on homes that were constructed prior to 1978 Phone: aFJa.-q�5-`71a.G (office) (cell) Mailing Address: L{�Q(� �,,�S;a- � c�tyS�l�-. tau;3 ziP: r�5y Ko Contact Person: D�,a+�no.., �,�,��� Applicant is: ontract / Homeowner (CircleOne) Email and/or Fax: ���(��,��,,,����.C� PROPERTY OWNER INF M�`TION: r 1�i� Name: OYJ W Phone (day): � /a — (o-- (a c� Address: L�730 O►r m D ►� City: d/'�Gi.�l� ZIP: s.s3(o� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 ,�R-roof �5��� �Q Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description• � /h.e.�,� Go� Estimated Construction Valuation roject(e luding I d) $ v�' 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. Confdential 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 to su I the information,the a lication ma not be issued. ApplicanYs Signature: ����m,� L,�,Q�+,� Date: ��f4'�I i Last Updated: 03-01-2011 � ✓ TE TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED — -��1C-- PERMIT NO. �o��-0D���- COMPLETED ADDRESS �73� ��� �r�n ,�N Lc� OWNER TELEPHONE NO. gs Z 9� S 7Z27 CONTRACTOR S'eLGL- �; DESCRIPTION ��n� ��� � S� d� /'l� � ❑ FOOTING � ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEEf YOU:_YES_NO , � COMMENTS: D������ a�_�'��� � W a � � O � � O � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �,� � l L� White Copy/lnspector's File Canary CopylSite Notice