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HomeMy WebLinkAbout2013-00152 - roofing CITY OF ORONO I �l�1 � ��� � F '1 1 1 1 !1 * 20 1 3 - 00 1 52 * 2750 KELLEY PARKWAY DATE ISSUED: 03/06/2013 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 120 ORONO OAKS DR PIN : 35-118-23-34-0018 LEGAL DESC : ORONO OAKS : LOT MB BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 12,448.00 NOTE: VALUATION OF PERMIT:$1448.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PR VIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY NLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE GNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 236.00 SELA ROOFING&REMODELING, INC. STATE SURCHARGE(VALUATION) 6.22 4100 EXCESIOR BLVD ST. LOUIS PARK,MN 55416- TOTAL 242.22 (952)915-7227 Minnesota State License#: 0001050 I OWNER ARNESON,GERALD R PO BOX 4224 HOPKINS,MN 55343-4224 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shah 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 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 are requested in conformance with the State Building Code.This permit may be revoked . any time fo . - cause. �� ._.� '' / / � � 65143 Le L3 • .plicant :`rm. e Si:" re Date Issue I:y Signature Date `/ SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono `,f ik Cnf P 1- Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: aD/ 3-0-75a-� ‘4,0,iti0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: &—1 .7-3 ( �' s, Street Address: Received by: �t�,^l o~ 2750 Kelley Parkway Plan review fee: --)41- ''‘ 1 � Orono, MN 55356 L9kESHo4 2 Total Fee: as, a U 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: (rCtO C rorte -S bi(. 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 service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: (� Name: 6e_ I Q Roo f. t r� 0252.e.41 -I [,--LI. ,MQ(-- . State License# 0'1'z-0 1 �J JExpiration Date: Lead Certification Number: N W-- a JU3(-/ .- I Expiration Date: J �// S--- (for work on homes t t were constructed prior to 1978 Phone: "1,S-,,,..).__ 5/s----701, (office) (cell) Mailing Address: a E _co( .6r- ( of City:S4-_ ,IS P l_ZIP: S _ Contact Person: Applicant is: ontractor P Homeowner (Circle One) Email and/or Fax: d to ., 1 LIQ 4, Se /&-c(C O lwn • Co r PROPERTY OWNER INFORMATION: ,, Name: M. t K— Le t ,e- Phone (day): /a- aPU-- 1 Address: IagD ()repno ( tcS L,r City: env ZIP: ',5 355(, Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel illFire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) e-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ElRestoration ❑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: Estimated Construction Valuation of Project (excluding land) $ /2RI Llg6 �_`=-- 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 required by law. If you refuse to supply the information,the application may not be issued. .delz l5li.3 Applicants Signature: 6 ���-n,yz�1 �� 1��'� Date: Last Updated: 08-09-2011 TIME CITY OF ORONO ALLED IN INSPECTION NOTICE SCHEDULED 2,61-)3 PERMIT NO. 02ol3 -OD/S2 COMPLETED n ,_ ADDRESS `.z 97 Oro © L OWNER TELEPHONE NO.6/' ed 3 So W- CONTRACTOR G2..—, . DESCRIPTION 72', -€ L 0 FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS y 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION 0 RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS I, ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT • ❑ DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP 0 DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER RE AL v ❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOyAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO oy COMMENTS: cc Q. CC Ro1 Re Pce c e-c( cc W ccti z cc • ❑WORK SATISFACTORY:PROCEED - ROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ UE CERTIFICATE OF OCCUPANCY ▪ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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. (952) 249-4600 Owner/Contractor on site: BAs Inspector. White Copyllnspector's File Canary Copy/Site Notice