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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 � � COMMENTS: ��\i )?G ,�� �C� DY� � .-f c�c�d/� - o =PrGtu/�s a-�" �c.� �r t.��,� ��ot• ,�i0v� � � � -�1��G �e•cfi�/.E���,�, ,r�rvvi�crJ W • � - �Iew �l�,s�i•�'t a-� vn�s� c��•-�.� ►�t�Y Q z � �/'o v��� � h L�d o n �yD e d� �'�{�•;s � �,rdlerl,oy. � � Gsc� �'�L �"c�' �r¢L �' � � ��a�' ✓'av F �ot �e-rtaa-��� — o.a���2 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. ��''' White Copyllnspector's File Cenary CopylSite Notice