HomeMy WebLinkAbout2014-01203 (roof) CITY OF ORONO * 2 0 1 4 - PJ 1 2 0 3 *
i ' 2750 KELLEY PARKWAY DATE ISSUF,D: 10/16/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2469 CARMAN ST
P[N : 20-117-23-12-0016
LECAL DESC : NAVARRE
: LOT 000 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING- UNDEFINED
VALUATION : $ 5,400.00
NOTE: VALUATION OF PF_,RMIT: $5400.00
ROOFING PERMITS ISSUED WIT�IOUT ENOUG}i NO'T'ICE FOR TEAR OFF INSPECT[ONS. (WE RGQUIRE 24-48 NOTICE,PRIOR TO
WORK f3EING STARTED) MUST PROVIDE COMPLETE SF,'I'OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING S[GNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BIiING DONF..
ONCG WORK IS COMPLETF_D THF:SIGNS MUST BE RGMOVED.
APPLICANT PERMIT FEE SCHEDULE 132.75
STATE SURCHARGE(VALUATION) 2.70
SELA ROOFING& REMODELING, INC. TOTAL 135.45
4100 EXCESIOR BLVD
ST. LOUIS PARK, MN 55416- Payment(s)
(952)915-7227 CHECK 35239 135.45
Minnesota State License#: BUIL-BC 1050
OWNER
MALIK, MICHEAL&JANET
2469 CARMAN ST
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
l�he work for which this permit is issucd shall be performed according to
the approved plans and specitications,applicable Cit�y approvals,and the
State Building Code. This pennit 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 ordinanees governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void ir construction authorized is not
commenced wi[hin 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 confonnance with the State Building Code.�Chis permit may be
revo�e at any t� e for duc cause.
_ ._._..._.... ._...`,,
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li nt ermitee Signature Date [ssue y Signature Date
` City of Orono
Building Permit Application for Maintenance / Replacement 1 Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: �� �l��
���j PO Box 66 Date received: D �f -/
�` Crystal Bay,MN 55323-0066
Received b :
Street Address:
� ,� 2750 Kelley Parkway Plan rev e:
yt v1 Orono,MN 55356 / ��
lqkCSN�R� Total Fe �
Main: 952-249-4600 Fax: 952-249-4616 wvuw.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:
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 rvice will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR 1 AP�LICANT INFORMATION:
Name: V Expiration Date: '�j Fj
State License# Expiration Date: r �
Lead Certification Number• nJ�"j"- Z, "�
(for work on homes fhat were construcfed prior to 1978 (offiCe) �,• ' ►J ����
Phone: (cell) �p�, ZIP: �
� City:
Mailing Address: �
Contact Person: Applicant is: ontracto / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: r
Phone (day): ` �l r7 •!�'�. � ' �'�� City: ��V l V ZIP: ��V��y�-� �
Address:
Email and/or Fax:
PROJECT INFORMATION: Overall pro'ect description: �� qny earth movement may al require
Type of Project: MCWD review&permits:
❑Door(s) ❑Remodel ❑ Fire Damage
Minnehaha Creek Watershed District(MCWD)
e-roof,asphalt ❑Repair ❑Storm Damage �g202 Minnetonka Blvd
� Water Dama e Deephaven, MN 55391
e-roof,cedar ❑ Restoration ❑ g Phone: 952-471-0590
❑Re-roof,other(specify) ❑Siding ❑Other:(specify) Fax: 952-471-0682
❑Window(s) . innehahacreek.or
Estimated Construction Valuation of Project(excluding land) $ '
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 u date our records and records of otf�er governmental agencies required by law. If
ou refuse to su pl e�i ation,th " piic' 'on a not be issued.
Applicant's Signature:
Date:
Date:
Owner's Signature:
Last Updated:03106I2013
l � C�-��d �-�-`�� ✓
�J �� DATE TIME
CITY OF ORONO C�" CALLED IN
INSPECTION NOTIjC�E( ',J scHE�u�e� �
PERMIT NO. ���/l7 'D�2�!7 COMPLETED
ADDRESS ���C� C�' 'a.-'�YY1C��'1 �f
OWNER TELEPHONE NO.�� ��S �"��
CONTRACTOR C-!? �C.d �/
� DESCRIPTION �� ` `��
�
W ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS
�
O O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPT��FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:y�YES_NO
� COMMENTS:
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GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPIEfE
��GQBRECT WORK 8 PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY
O❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector_ ►-^'
White Copyllnspector's Ffle Canary CopylSite Notice
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� CITY OF ORONO CALLED IN `�"2D�E 3'.Z'Z'
INSPECTIOI�.j��TI�E�U3 SCHEDULED �� 3'� �..�^-
PERMIT NO�J� `F' COMPLEfED
ADDRESS �'�'�9 ��`'`R^�-
OWNER TELEPHONE NO��"��S��-�3
CONTRACTOR ��
� DESCRIPTION
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ IN LATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� INAL ❑ SEWER HOOK-UP ❑ COMPIAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 49-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice