HomeMy WebLinkAbout2014-00662 - roofing . CITY OF ORONO * 2 QJ 1 4 - 0 P1 6 6 2 *
� � 2750 KELLEY PARKWAY �ATE �SSUE�: 06/30/2014
OItONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 75 FERNDALE RD N
P[N : 36-118-23-44-0006
LEGAL DESC : ALLO-RAE TERRACE
: LOT 002 BLOCK 001
PERMIT TYPF. : MINOR AL�I�F.RATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHAL"I�
ACTIVITY : O/S BUILDING - UNDEFINF,D
VALUATION : $ 17,200.00
NOTE: VALUn"I']ON OF PERMI"I': $17200.00
R[?MOVGRGPLACE SIDING ON I�fOUSE&GARAGE�,
CI:AR OFF/REROOF HOUSG AND UARAGE
REMOVG/REPLACE 17 WINDOWS
ROOFING PERMI7�S ISSUED WITHOU"C LNOI!GH NOTICE FOR TEAR OFF INSPGCTIONS. (WE REQUIRE 24-48 NOT[CE, PRIOR TO
WORK BE[NG STARTGD) MUS7'PROVIDE COMPLGTE SET OF PICI'URES OR A FINAL [NSPGCTION MAY NO"C BE [SSULD.
S[UNS-ADV}:RTISING SIGNS MAY ONI,Y I31�,ON THE PROPI?RTY DUKING TI ll:"CIMP,"I'HI?ROOI�1S BEING DONE.
O�iCI: WORK IS COMPI.I':I�FD"I�I IF; SIGNS MUS"f 13G RI:MOVI�,D.
APPLICANT PGRMIT FEE SCHEDULE 309.75
STATE SURCHARGE(VALUATION) 8.60
SELA ROOFING & REMODELING, INC. TOTAL 318.35
4100 EXCESIOR BLVD Payment(s)
S'T. LOUIS PARK, MN 55416- CHECK 34416 318.35
(952)915-7227
Minnesota State License#: BUIL-BC1050
OWNER
KNABENSHUE, PAUL&ALYCIA
75 FF,RNDALE RD.N
WAYZ_ATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
Che work ibr���hich this permit is issued shall be perfonned according to
Uic approved plans and specitications,�pplicable City approvals,and thc
State C3uilding Code. l�his permit is for only the work dcscribcd and does
not grant permission fbr additional or related work which requires separate
permits. nll provisions of la��s and ordinances governing this type of work
shall be compied with�vhether or not specified herein."l�his permit will
expire and become null and void if consVuction authorized is not
commcnced 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 commcnced.
l�he applicant is responsible for assuring all requircd inspections are
requcsted in conformance with the State Buildin;Code.This permit ma�°be
revoked at any time for due cause.
�, - --. ._ ���d �
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App c ermitcc; ignaturc Date Issucd B}� i nature Date
� ��i�
� � � City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
� �O�O Mailing Address: Permit number:
PO Box 66
1 Crystal Bay, MN 55323-0066 Date received:
i� Street Address: Received by:
Z��� �i 2750 Kelley Parkway Plan review fee:
L Orono, MN 55356
�"��E.tt{��� 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: � — �n n�-}, �
Job Site Address: `� r �(�
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 service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be al/owed.
CONTRACTOR/APPLI I,�V� N TI : ��I r�
Name: �rn- �r�
State License# C l Expiration Date:
Lead Certification Number: � 2 � Expiration Date:
(for work on homes that were constructeId rior to 1978 -1 'n
Phone: �`YQ��G�f � ' V � ' I Z (office) � � L ' �2 ' � ��lV
Mailing Address: � City: � ZIP:
Contact Person: Applicant is: ontracto / Homeowner (Circle One)
Email and/or Fax: Q, � • 2Z•
PROPERTY OWNER INFORMATION: ',,Otn /�
Name: � � (�,►�✓� 1' IS v
Phone (day):
Address: � City: O ZIP:
Email and/or Fax:
�mov��►r2� Gc Si . ,�ry►�u�
PROJECT INFORMATION: Overall pro�ect description: l��
Type of Project: ny earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ��
e-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)�
18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ Re-roof, other(specify) �iding ❑Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
�ndow(s) . 'nneh hacreek.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 ' or ' n which gener y ca not be given to either the public or the subject of the data. Our purpose and
intended use of thi � o mati is to a al d ur records and records of other governmental agencies required by law. If
ou refuse to su I t e for a o ,t e a ic tio not be issued.
ApplicanYs Signature: Date:
Owner's Signature: Date:
Last Updated:03/06/2013
ATE TIME ✓
CITY OF ORONO CALLED w �-' -
INSPECTION NOTIC SCHEDULED G�- -
PERMIT NQ� � � Q��MPLETED
ADDRESS -�� �-�-
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� DESCRIPTION �G , �" � ��
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
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? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAFiD COVER REMOVAL
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V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
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O CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
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L � DATE TIME �
CITY OF ORONO C LLED IN 7/5
INSPECTION N�QTICE CHEDULED 7- -/
PERMIT NO lD 'U COMPLETED �
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� ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARFANGE ACCESS.
Ca11 ' spection 24 hours in advance. (J5Z� 249-4600
Owner ontractor on site:
Inspector. �^'
White Cop spector's File Canary CopylSite Notice
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�DATE TIME
CITY OF RONO CALLED IN
INSPECTION I�LQTICE SCHEDULED � � �/. ��;
PERMIT NO. �-�_1� C.�C�I'�-2 COMPLEfED
ADDRESS ��� t F- �-_�7 c�I��C� �� c� �;,
OWNER TELEPHONE NO.���C��s� �3
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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
r ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
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2 OWNERICONTiiACTOR TO MEET YOU:_YES NO
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V BEFORECWERING PERMANENT
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INSPECTOR WILL REfURN
❑STOP OfiDEH POSTED.CALI INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-460�
OwnerlContractor on site:
Inspector. �
Whi e Copyllnspector's File Canary CopylSlte Notice
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DATE TIME
CITY OF ORONO CALLED IN �� -� �
INSPECTION NOTIC SCHEDULED /b/S--/S�
PERMIT NO.o�� �� �OMPLETED
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OWNER — ELE O�VE NO�a � ����
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOO BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP O COMPLAINT
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❑STOP ORDER POSTED.CALL INSPECTOR
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Cail for the next inspection 24 hours in advance. (J52� 249-4600
OwnedContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice