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Home My WebLink About2010-00925 - roofing CITY OF ORONO PERMIT NO.: 2010-00925 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/30/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 1165 WYNDMERE RD PIN 26-118-23-41-0010 LEGAL DESC WYNDMERE LOT 004 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-CEDAR ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 79,717.00 APPLICANT PERMIT FEE SCHEDULE 906.75 SELA ROOFING&REMODELING,INC. STATE SURCHARGE(VALUATION) 39.86 4100 EXCESIOR BLVD ST.LOUIS PARK,MN 55416- MISC FEE 0.00 (952)915-7227 TOTAL 946.61 Minnesota State License#: 0001050 OWNER HONG,BACK 1165 WYNDMERE 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 requested in conformance ith the State Building Code.This permit may be rev ked y time fo cwse / / &'i' p icant gn ure Date Issued By Si ure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER TITAN DESCRIBED ABO City of Orono M Building Permit Application for Internal Work • (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 0PO Box 66 //0 O Crystal Bay, MN 55323-0066 Date received: i r b I "=g �, Street Address: Receivedy' 2750 Kelley Parkway Plan review fee: S140 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. (Please print) GENERAL INFORMATION: Job Site Address: ( � (u l/, t4 Je-,M 6 Will this be a Parade of Homes, Remo lers 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: State License# 10 ,5-0 Expiration Date: Phone: (office) cellL_ Mailing Address: 4) (yu iQ,k;i- ��,, City: i (�;�;� IS ZIP: Contact Person: Applicant is: ons/ Homeowner (circle one) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: lit,s ( o"J c1 Phone (day): --I(() Address: �5 i," v\ r_ ILL City: ZIP: 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 Re-roof ❑ Fire Damage www.minnehahacreek.org Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ "7 21 '7 1-7 7 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: Last Updated: 05-04-2009 "J -1 / DATE TIME CITY OF ORONO ILED IN �v l � INSPECTION a51/ -/b �y� SCHEDULED /,("&12 l GL�J PERMIT NO. �4J co PLETED 0 ADDRESS OWNER LEPHONE NO-151 _J!- -72-316 CONTRACTOR >; DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL O El TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL 11SEWER HOOK-UP El 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 vOi COMMENTS: W 0. J O O 0. W cc Q Z W Z W rc LQ ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ElSTOP 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. d White CopylInspector's File Canary CopylSite Notice