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Home My WebLink About2010-00815 - roofing w CITY OF ORONO PERMIT NO.: 2010-00815 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE ISSUED: 09/09/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 715 FERNDALE RD N PIN : 36-118-23-11-0017 LEGAL DESC : REG. LAND SURVEY NO. 103] : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE . ROOFING -ASPHALT ,a � r�-� VALUATION : $ 11,000.00 �''�`' ��`{��i �� APPLICANT PERMIT FEE SCHEDULE 206.50 SELA ROOFING& REMODELING, INC. STATE SURCHARGE(VALUAT[ON) 5.50 4100 EXCESIOR BLVD ST. LOUIS PARK, MN 55416- MISC FEE 0.00 (952)915-7227 TOTAL 212.00 Minnesota State License#: 0001050 OWNER LYMAN, RICHARD 715 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 typc of work shall be compicd with��fiether or not specified herein.This permit will expire and bccoi d void if construction auth ed is not commenced wi m 180 d ys of the date of issuan ,or f construction is suspended fo period o I �lays any time er ork has commenced. The applica t i respo b fqr• suring a A quir inspections are requested co for an� wi ic State ildin Code.This p �mi may be revoked a any � for due use. / / �� / / ' ant mitee Signature D� e Issued By nature SEPARATE PERM[TS R QUIRED FOR WORK OTHE HAN DESCR[BED AB V . � City of Orono - Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) O Mailing Address: � ,�� PO Box 66 Permit number. � � � ��\ Crystal Bay, MN 55323-0066 Date received: �� II a � s �, � Street Address: Received by: �� ' � 2750 Kelley Parkway Plan review fee: t�kESH04�' 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: �� Will this be a Parade of Homes, Remodelers Showcase Home or other isp ay 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 6us service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: . Name: �L�� y�(,� 'I�� State License# � �j �(� Expiration Date: Phone: Z office cell Mailing Address: ( ()Z� K %� �(��(,, '� C� : ZIP: Contact Person: ti-bU -/ Applicant is: Contractor / Homeowner (CircleOne) Email and/or Fax: – Z-Z . � PROPERTY OWNER IN�ORMATION: / �� Name: �vL (., Phone (day): � `7 So Address: 1 v �f,�CL— Cit : �y"Z��vC� ZIP: � cl Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door s MCWD review&permits ( ) ❑ 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.orq Overall Project Description: " 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 i ormation which generally cannot be given to either the public or the subject of the data. Our purpose and intended use is i ormation is to an Ily update our records and records of other governmental agencies re uired b law. If ou ref to su the' formati , th a lication ma not be issued. ApplicanYs Signature: Date: s �`��O Last Updated: 05-04-2009 L— � �� AT TIME ..�-- �, /� � CITY OF ORONO CALLED IN / /`� INSPECTION ICE �SCHEDULED � � PERMIT NO.��C,—��5 co LETED ADDRESS [ � ��-Q OWNER TELEPHONE NO. � � � CONTRACTOR �; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS � O FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � " J � O � W � Q � Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED r� SUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �, �J� White Copylinspector's File Canary CopylSite Notice