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Home My WebLink About2013-00877 - roofing � ' ' CITY OF ORONO 2750 KELLEY PARKWAY * z 0 1 3 - 0 0 B 7 7 * DATE ISSUED: 08/28/2013 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 VALUATION : $ 860.00 NOTE: VALUATION OF PERMIT:$860.00 REPAIR DAMAGED ROOF-4 SQUARES ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 38.00 SELA ROOFING&REMODELING, INC. STATE SURCHARGE(VALUATION) 0.43 4100 EXCESIOR BLVD ST. LOUIS PARK,MN 55416- TOTAL 38.43 (952)915-7227 Minnesota State License#: BC 1050 OWNER LINDBLOOM,MARY&DEAN 3458 NORTH SHORE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in confor aeTc�ifTi'fhE Building Code.This permit may be rev ed at an ime for du ca e. 8 /L.(� l L�%i� O l �l /� pplicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . . . Ci�y of Orono Building Permit Applica�ion for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ��,�. PO Box 66 O F., O Crystal Bay, MN 55323-0066 Date received: �' Received by: a � 'r ;-;� �, Street Address: '$',�, �� `t��;� Gti 2750 Kelley Parkway Plan review fee: 'tqx�sH g,� 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. (P/ease print) GENERAL INFORMATION: /�..� Job Site Address ��`"1��' I �'��1 � �%, �J � � �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 'No If yes, a specral event permit is required with Police Departmenf and Cify Council approva/60 days prior to the event. Shutt/e bus se i will be required unless applicant demonstrafes sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: � � , Name: `) ! ; l n C� V� � l;� V �.t� State License# ` � � � Expiration ate: � Lead Certification Number: _ - � " "?- — Expiration Date: �j (for work on homes fhat were constructed prior fo 1 78 '' Phone: � (� ��C -� L.�(� (office) (cell) Mailing Address: /�-- ! '" l(�V � V� City: , � � �ZIP: ' � ( Contact Person: � , Applicant is: ontracto / Homeowner (Circle One) Email and/or Fax: ` � , � PROPERTY OWNER INFORMATION: Name: � /� �� Phone (day): (,Q �7 Address: �' Cit : � � �2'�'�/ � ZIP: � � � � �-� �� NU/�e/�1C%�_ ��' . y �i� �11� � C Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ��'�'Re-roof, asphalt �''� epair �Sform Damage 18202 Minnetonka Blvd ��. ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: " % � '' � � ` !(j ' � � , � , Estimated Construction Valuation of Project (excluding lan ) $ �,(� �,�, (��(1 � 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. Confidenfial 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 up te our records and records of other governmental agencies re uired b law. If ou re�e'to u I the infor ation, lic tion ma not be issued. �, r � s ,' �, �- �:� � ApplicanYs Signature: � � �� Date: � � � LastUpdated: 08-09-2011 �� DATE TIME V CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED PERMITNO.�13-06�9?7 COMPLETED ADDRESS 3� � N S ' {� 4 r. OWNER TELEPHONE NO. CONTRACTOR s�la. �aD�c�.� Re►+,q6Q�►� i DESCRIPTION �c- "�'� � � � FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FIWNG a ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORE/WETLANDS 4j ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS J '�1NAL ❑ SEWER HOOK-UP ❑ COMPUUNT _ ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNbATION/REMOVAL 2 OWNERICONTqACTOR TO MEET YOU:_YES_NO � COMMENTS: � C�� .�C?r ryrt '' I�D 7iKq� /v1SBl��ina r@�L 45� j O 1 � /�D TP►�� l�I,SD¢�lQ K t {d�� O W rl�a�se � ��a 1�D �� Q 2 ��r '' ��p2a,,f �.�r �/�� W � j � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE w �CORRECT WORK fl PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector. ��6� � r White Copylinspector's Flle Cenary CopylSite Notfce DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMfT NO. �Dl3-��77 COMPLETED �- - ADDRESS c37 �J'wS riC/ cS�o�G- iOr� OWNER TELEPHONE NO. CONTRACTOR ScJ4 �4��r-.1.,� � DESCRIPTION r�- ro� � t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �EJNAL ❑ WATER HOOK-UP �QLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEEf YOU:_YES_NO v�i COMMENTS: � P�f,.�.-� ��e� �.%o �-- �� - � -t�K.GG /i15��GL'�la� � � �,L � C d "�eGile� /'t t - w Q /JU S�IOc�-� D/1 rG� � � � 7�Z•�c 2 !�o r K �!!/��5 �'b�.D/�L`� � � , _ � /�/N�l��i' �.,�t.t�.�� ..- � � ❑WORKSATISFACTORIF PROCEED �R01iGT COMPLEfE � ❑CORRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector: �-- White Copyllnspectw's Ffle Canary CopylSfte Notiee