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Home My WebLink About2011-00098 - roofing CITY OF ORONO PERMIT NO.: 2011-00098 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/14/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 1205 TONKAWA RD PIN 08-117-23-13-0018 LEGAL DESC REG.LAND SURVEY NO.0853 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-RUBBER ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 15,000.00 NOTE: TEAR OFF RUBBER ROOF APPLICANT PERMIT FEE SCHEDULE 265.50 SELA ROOFING&REMODELING,INC. STATE SURCHARGE(VALUATION) 7.50 4100 EXCESIOR BLVD ST. LOUIS PARK,MN 55416- TOTAL 273.00 (952)915-7227 Minnesota State License#: 0001050 OWNER WALD,JOE 100 11TH AVE 415A NEW YORK,NY 10011 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 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 180t any time after work has commenced. The applicant is responsibl or as ring all required inspections are requ d in conformanc ith t to Building Code.This per it may be r oked at a 'm ue ca e. 2 / 1 l Applicant Permitee Signature IDate 'IssuedBy Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. t City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) -- Mailing Address: Permit number: 0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: ;' 2750 Kelley Parkway Plan review fee: E 'oyg�vj� Orono, MN 55356 Total Fee: a 7 3 (� 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: Q I /� Job Site Address: � a.0 S _1 (U W Al ) k't,(1� � o,,0V .6J 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: 5 el ,— State License# o p 6 l o GO Expiration Date: Phone: _ '1103- 3 6 office — �kA 6 cell Mailing Address: f kZk 101 City:4,t% 60.. —Z,P: Contact Person: 3 a s Applicant is. Contracto / Homeowner (circle one) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Phone (day): Address: l 9 Apr JgA Cit ZIP: /twit Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 'K_Re-roof ❑ Fire Damage www.minnehahacreek.org Overall Project Description: _— Estimated Construction Valuation of Pro ect(excluding I d) $ /r5,,eV y 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 i5AvWnually update our records and records of other governmental agencies required by law. If you refuse to su ply the inf Fmatid,tlzp application may not be issued. Applicant's Sighature: Date: 14 /11 Last Updated: 05-04-2009 o D T TIME v CITY OF ORONO C LLED IN �- INSPECTION NOTICE SCHEDULED eQ- !2� PERMIT NO..20 2POV8 COMPLETED ADDRESS 14 D OWNER TELEPHONE NO. CONTRACTOR 61:aa— 3Z DESCRIPTION 7 Tae 0741-- I- 0 741--I- ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS H ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: Cc a i v \l� 3 tM (1 -1n 0 0 a Cc 0 W Cc Q Z W " W WWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE r1c ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN C1STOP ORDER POSTED.CALL INSPECTOR C1 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor onsite: Inspector. � 13 White CopylInspector's File Canary Copy/Site Notice C,^ J C>. A TIME CITY OF ORONO CALLED IN INSPECTION NOTICE . SCHEDULED ox-InZ/2�; PERMIT NO.;-, l71 1 CCV78 COMPLETED ADDRESS OWNER TELEPHONE NO t C I3-'JqO -77 CONTRACTOR a, DESCRIPTION c`�C l V10� i r�q_ W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS O4:1 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO Zn COMMENTS: cc LU :tI c, occ O O yy cc O W W QCQ Z W z W CC 11 WORK SATISFACTORY:PROCEEDCC ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector.�n White Copy/Inspector's File Canary Copy/Site Notice