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Home My WebLink About2011-00979 - roofing CITY OF ORONO PERMIT NO.: 20ll-00979 2750 KELLEY PARKWAY t ' ' DATE ISSUED: 09/OU2011 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3458 NORTH SHORE DR PIN : 08-117-23-43-0025 LEGAL DESC : LYDIARDS PARK LAKE MTKA : LOT 019 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATTOI�T : $ 4,100.00 NOTE: VALUATION OF PERMIT:$4100.00 ROOFING PERMITS ISSUED WITHOUT 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 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 118.00 SELA ROOFING&REMODELING, INC. STATE SURCHARGE(VALUATION) 2.05 4100 EXCESIOR BLVD ST. LOUIS PARK,MN 55416- TOTAL 120.05 (952)915-7227 Minnesota State License#: 0001050 OWNER LINDBLOOM, MARY&DEAN 3458 NORTH SHORE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT "Che 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[he 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 construction 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. The applicant is responsible for assuring ail required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. - �'� � � �!'�� ✓^ � ` � ; ,o� , / Appl�can�Permitee ig�atwe Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono ',��.P,�U �'�"�p � . . , . Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: /OZ'j O�,D,�.O PO Box 66 Crystal Bay, MN 55323-0066 Date received: p/ �/ a s, Sfreet Address: - Received by: ''�, � �ti 2750 Kelley Parkway Plan review fee: L9kESH04'� Orono, MN 55356 Total Fee: ��a, Q�� 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: � vr (/ e� ,\ Job Site Address: �� -�'�n J �v'e U r• Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes l�No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the evenf. Shuttle 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: N a m e: S�I G� R c�0.-� �rYa 42t� ►�I`�'L0 c1�t I+� ��n�c- State License# Expiration Date: Lead Certification Number. -(�'� �5�� .- � Expiration Date: S/� � � 5--� � +-- � (for work on homes tI,�t were constructed prior to 197 Phone: C'j 'j�_ /s (office) (cell) Mailing Address: � �( �r � City:S�. �� ZIP: S Contact Person: ��nr� Applicant is: ontractor Homeowner (Circle One) Email and/or Fax: �L j L�,� �� sP/�� 1'�� CQ r,�,� PROPERTY OWNE INFORMATIO :� Name: Z� �, � Phone (day): 5a - 73- �� Address: 3cf�� DY av.e ��,- City:ar�r'1 t� ZIP: �j��g � Email and/or Fax d(�,�,j,�ck (�S' �roo�ir�c .Cpw. f�,c �J'S Z-- �a� -�-(�f�$ �, PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& ermits: ❑ Door(s) ❑ Remodel ❑ Fire Damage Minnehaha Creek Watersh d District(MCWD) e-roof, asphalt ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar Deephaven, MN 55391 ❑ Restoration ❑Water Damage Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: �p� �� ,� � ,� �,�_ Estimated Construction Valuation of Projec (excluding land) $ �ffl�� 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 to I the information,the a lication ma not be issued. ApplicanYs Signature: ` Date: 4 /� �/( LastUpdated: 08-09-2011 � ' DAT TIME ✓ CITY OF ORONO CALLED IN INSPECTION N TIC p, SCHEDULED� - PERMIT NO. ��Gy / co PLETED ADDRESS OWNER ELEPHONE NO. � / �� CONTRACTOR � �; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL R ❑ 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/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 4 o ��'J r'�-'� i�ILl Q��- � � 0 � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONW�THIN HOURS. r� pHOTOTAKEN INSPECTOR WIIL 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 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice