The URL can be used to link to this page

Home My WebLink About2010-01038 - roofing CITY OF ORONO PERMIT NO.: 2010-01038 c p ' 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE [SSU�D: 10/20/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 113 CHEVY CHASE DR PIN : 36-118-23-41-0012 LEGAL DESC : H[LL O'WAY MANOR : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,100.00 NOTE: TEAR OFP R�ROOP APPLICANT PERMIT FEE SCHEDULE 147.50 SELA ROOFING& REMODELING, INC. STATE SURCHARGE(VALUATION) 5.00 4100 EXCESIOR BLVD ST. LOUIS PARK, MN 55416- TOTAL 152.50 (952)9l 5-7227 Minnesota State License#: 0001050 OWNER JAMSA, JONATHAN &MARTHA 113 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfornicd according to the approved plans and specitications,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 specitied herein.This permit will expire and become null and void if construction authorized is not commenced within i ays of the date of issuance,or if construction is suspended for a'pe od 180 days at any time after work has commenced. The applican�is r spons ble Yor assuring• quired inspections are requested in o onn �e with e Sta Buil ing Code.This permit may be revoked at an ime du c u . ? �l 2(J l /� i v�D �/� plicant mitee Signature Date Is� ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , . . City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �(, !�— �� ,�,�. PO Box 66 0 �\ O Crystal Bay, MN 55323-0066 Date received: �U �-� a ��'�-��,'� a � Street Address: Received by: 4.,> �'.�, .�� oti 2750 Kelley Parkway Plan review fee: r`�kESHog,� 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: C��L� � ��T�C�� Will this be a Parade of Homes, emodelers Sh wcase 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 w�I be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLIC�NT INFQ RMA ON: �. �� J /',-� �; Name: _��►�F y��`-�C� �% 3 State License# (�5�J Expiration Date: Phone: — � office cell Mailing Address: - - Cit : ZIP: — Contact Person: ,�(� /3 Applicant is: tractor Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �`�,,(� /� Phone (day): Address: �. G�( � Cit : � 'y�'Q ZIP: � ( Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�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.orp verall Project Description: -i �? 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 ' '�re asked to provide on this application is classified by State law as either private or confidential. Private data is infor tion which generally cannot be given to the public but can be given to the subject of the data. Confidential data is infor a ion ich generally cannot be given to either the public or the subject of the data. Our purpose and intended use of t is nfor ati n is to annuall date our records and records of other governmental agencies re uired b law. If ou refuse s I h info tion,t a lication ma not be issued. ApplicanYs Signature: Date: f � �� LastUpdated: 05-04-2009 DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDU�ED PERMIT NO. otOlo-D103 g COMPLETED G—lb -/Si' ADDRESS /�.3 C��v.. C'l�s� Dr• OWNER TELEPHONE NO. CONTRACTOR S��l•[ �crF�rs �- IQe.rt�c�� iZ' >: DESCRIPTION �Pi�`o0� �i r1sG r-e.��-�',.Cc.�. � ' � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GAADING/FILLING y � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS �Qr�I1VAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: o� . a ol� �r.,z� - vto �i`tt/ �ns�ec.�.a.c r�.artr�C�� O � �� f2ri i-6 �'� �irSD�c��.�, �c co��e� O � Q RTJ� YG�►I.fi i�4,L'�an, �/'Ov�e,/� � 2 ' W G+Jd�k' e.D�si 1 L'o Nc�� ,��wt�� i/Y��{� J a W� ❑WORK SATISFACTORY:PROCEED �T COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�1 forthe next inspection 2a hours in advance. (952� 249-46�� OwnerlConVactor on site: Inspector.�1�--"�— White Copyllnspector's Ffle Canary CopylSite Notice � �� / � ��I��" " AT � TI M E CITY OF ORONO � CALLED IN (` � INSPECTION N ICE CHEDULED PERMIT NO. ��D�O/� COMPLETED � ADDRESS l� OWNER LEPHONE NO. — � CONTRACTOR � �: DESCRIPTION l/� � � 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCA RADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ 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�NSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �� O'C� �'�� t`��'G ��`�v tiJ S� r� �(� '' ��C [�...►lL�� SU�l1C� C A t l�cl t=c�r' � � J�'► [.� ��- � �-4-� �e. S ��- �c_�' �1�.c� W Q � .�1-t-�J` �,`.; �;.'�'�'� ----• � � � C'� ��d/a � �=l�}✓� C� '�-�- �( � i_,,t1 I � ( i3� G-� c%��J � � _ G W ❑WORKSATISFACTORY:PROCEED -"""" C� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI�NSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: � �� S Inspector. � White Copyllnspector's File Canary CopylSite Notice