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Home My WebLink About2013-00652 - repair roof left on entry/soffit ti CITY OF ORONO * 2013 - 006,S2 * 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 320 WAKEFIELD RD PIN 36-118-23-31-0014 LEGAL DESC WAKEFIELD FARMS 2ND ADDN LOT 005 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE REPAIR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION $ 1,100.00 NOTE: REPAIR ROOF LEFT ON ENTRY AND SOFFIT. APPLICANT PERMIT FEE SCHEDULE 44.50 SELA ROOFING&REMODELING,INC. STATE SURCHARGE(VALUATION) 0.55 4100 EXCESIOR BLVD ST.LOUIS PARK,MN 55416- TOTAL 45.05 (952)915-7227 Minnesota State License#: BC 1050 OWNER CIBUZAR,MARK 320 WAKEFIELD RD 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 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 7re ested in conformance with the State Building Code.This permit maybe r v k d at y u e r due cause. 7/ Applicant Permitee Signature Date ISSUVBy Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) -Y,� Mailing Address: Permit number: Qf/s 3-6 y O�O Crystal Bay, MN 55323-0066 Date received: -� Street Address: Received by 2750 Kelley Parkway Planseviewfee: 4�a Orono, MN 55356 5D Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION- Job n Job Site Address: _ to Will this be a Parade of Homes, Remodelers Shovkase 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: State License# Chop ( a civ Expiration Date: Lead Certification Number: {�T , a-Sv3�— ( Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (o/o2— a 3 (office) (cell) Mailing Address: k City- SL-Cot.,is 10kr Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: 011 r-I(_ r l 16 U 2 a_, — Phone (day): �� c _-1 S -Re,(oq 4 r&jfi-t_ Address: 3 �p . �`�6- ie( � City: ZIP: Sj' 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 .Enepair -Ota•t ❑ Storm 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.org Overall Project Description: et4pa.A Q-M- gp, "e�y of Estimated Construction Valuatiob of Projec (exc uding land) $ l �OO..W 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. Applicant's Signature: Date: 71/�,13 Last Updated: 08-09-2011 -4 4�pT TIME V CITY OF ORONO CALLED IN ✓— INSPECTION NOTI E / SCHEDULED PERMIT NO. -UDIoSZ.COMPLETED ADDRESS 3210 OWNER TEL HONE NO. `1z 9/�' 7 Z13 CONTRACTOR S 11411( 4 DESCRIPTION e�_w )e__e k_�) F`AO-1 ❑ 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 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: W a j cc 0 W Q z W Z W W ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11STOP ORDER POSTED.CALL INSPECTOR 11 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. 1 -1 ZR& White CopylInspector's Fite Canary CopylSite Notice