HomeMy WebLinkAbout2011-01117 - reroof -� CITY OF ORONO PERM�T No.: 2oii-oiii�
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssuEn: 09/26/20ll
952 249-4600 FAX: 952 249-4616
ADDRESS : 2476 DUNWOODY AVE
PII� : 20-117-23-21-0004
LEGAL DESC : REG. LAND SURVEY NO. 0660
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING- RUBBER
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 1,000.00
NOTE: VALUATION OF PERMIT:$]000.00 REMOVG OLD FLAT ROOF MATERIAL, INSTALL NEW WAFER BOARD&RUBBER
M�MBRANE
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BGING STARTED) MUS"I'PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY N01'BE ISSUED.
SIGNS-ADVERI'ISING S[GNS MAY ONLY BG ON THE PROPERTY DURING THE"I'IME THE ROOF IS BEING DONE.
ONCC WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 41.25
SELA ROOFING & REMODELING, INC. STATE SURCHARGE(VALUATION) 0.50
4100 EXCESIOR BLVD
ST. LOUIS PARK,MN 55416- MISC FEE 0.00
(952)915-7227 TOTAL 41.75
Minnesota State License#: 0001050
OWNER
OGLAND,AUDRY
2476 DUNWOODY AVE
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
l�he 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 goveming this type of work
shall be compied with whether or not specified hereia This permit wili
expire and become null and void if consiruction authorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any Lme atter work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with[he State Building Code."I�his pemiit may be
revoked at any time for due cause.
�izi�1—� �inc_l�e E�ey-, C� l 2-� l �� � /uLJ l �
pplicant Per i Signature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�. . -. City of Orono `,r1 Q,1iU ����� ��
Building Permit Applic�tion for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: �� /�
O�j,�,�.0 PO Box 66
MN 55323-0066 Date received:
a s, Street Address: Received by:
�',�, �ti 2750 Kelley Parkway Plan review fee:
L9kESH0¢� 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: ��� tvp0
Will this be a Parade of Homes, Remodelers Showcase Home r 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 su�cient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION: (��,�
N a m e: S�I Q- R C�O.��►'1Gt b�1� ►�Y�.i'�G� I�.q ,�n�c-
State License# Expiration Date:
Lead Certification Number: '�'_.. ���j�� .- � Expiration Date: y� � � 5--�
(for work on homes t t were constructed prior to 197 �� '
Phone: �j `S�_ /s (office) (cell)
Mailing Address: � �( ��- � City:S}. j� �ZIP: S
Contact Person: ��rr� Applicant is: ontractor Homeowner (CircleOne)
Email and/or Fax: �L 1 C-I'�. nQ� SP lC��t) O-(�I�r�S • CQ ►'1.1
PROPERTY OWNER INFORMATION:
Name: � 'ti,y� �C�q.ln01
Phone (day): 9S1 � �? l - /�
Address: �7 p Duh��� ��„L City: !�� � ZIP: �53�/
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits:
Minnehaha Creek Watershed District(MCWD)
❑ Re-roof, asphalt ❑ Repair ❑ 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
�iLQ.l91f?� �Rim�orry.s.� ❑Window(s) www.minnehahacreek.orq �'
3 54,�
Overall Project Description: e d �I �-roo I'����a ZNS�0.1f r��� w .! + (�.� be✓ Y►�,P,►��ira�t,�.
Estimated Construction Valuation of Project(excluding land) $ p(��
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
re uired b law. If ou refuse to su I the information,the a lication ma not be issued.
Applicant's Signature: , Date: ������/
Last Updated: 08-09-2011
C �� �
�� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE a�D� SCHEDULED
PERMIT NO. ��..� COMPLETED
ADDRESS 2'��� � u���d `�d -�9-�>-Q-
OWNER TELEPHONE NO. �S 3-�f 5-��
CONTRACTOR �
� DESCRIPTION �7 � n �� �� �
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� �INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC STALL
2 OWNERICONTIiACTOR TO MEEf YOU:_YES�NO �
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W ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLETE
W �CORRECT WORK 8 PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerfContractor on site:
Inspector. ��'''
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