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Home My WebLink About2011-00473 - roofing V CITY OF ORONO PERMIT NO.: 20ll-00473 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEu: 06/16/20ll 952 249-4600 FAX: 952 249-4616 ADDRESS : 165 LUCE LINE RIDGE PIN : 31-118-23-34-0008 LEGAL DESC : PAINTERS CREEK : LOT 006 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILD[NG-UNDEFINED VALUATION : $ 28,200.00 NOTE: TEAR OFF REROOF-CEDAR SHAKES-HOUSE AND GARAGE -REPLACE(3)SKYLIGHTS SAME SIZE APPLICANT PERMIT FEE SCHEDULE 456.00 SELA ROOFING&REMODELING, INC. STATE SURCHARGE(VALUATION) 14.10 4100 EXCESIOR BLVD TOTAL 470.10 ST. LOUIS PARK,MN 55416- (952)915-7227 Minnesota State License#: 0001050 OWNER BURGER, SCOTT& SHANNON ]65 LUCE LINE RIDGE MAPLE PLAIN, MN 55359 AGREEMENT AND SWORN STATEMENT The 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 additionaf 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 specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of[he date of issuance,or if construction is suspended Yor a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revok d at any time for due cause. � l l� lil ,(� /(p� �� plicant Permitee Signature Date ]ss 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.) MailingAddress: Permit number: /�� g,0,�. PO Box 66 � : � Crystal Bay, MN 55323-0066 Date received: � / ��' � Received by: ,� '�� ,� StreetAddress: '$'�c, ��i `�".U_ �titi 2750 Kelley Parkway Plan review fee: P�� v Orono, MN 55356 L 1.� yY` '�kEsxoti`' -- Total Fee: �j�O ,lO 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: I (� 1 Job Site Address: � �� l—►� �' �, �.I Y12. K lG�G2- Will this be a Parade of Homes, Remodelers Showcase Home or oth 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-permifted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Se�Q ItCJO�iIGt C1��► 1p�.r�Ot��i�lq� State License# JQ� Expiration Date: �j 31 I Lead Certification Number: - �c�p3y_� Expiration Date: � ��,.r (for work on homes thaf were construcfed prior to 1978 Phone: L15a--q�5--�aa� (office) (cell) Mailing Address: y►QQ V,�S�a- � City�. �du�s ZIP: �jy�p Contact Person: Dl.o�c-�t�ci, u,��y,�, Applicant is: ontract / Homeowner (Circle One) Email and/or Fax: ��,,�,�a,p��,��y.,�1 PROPERTY OWNER INFORMATION: Name: ShG.r1h01r1 ��Q� Phone (day): ��_ $�' � 3�'�j Address: )�5 /�,�v �n� (��.� City�►''OnC� ZIP:�j�j 3�j�' Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ D9or(s) ❑ Remodel ❑Water Damage MCWD review&permits: / ' Minnehaha Creek Watershed District(MCWD) L�Window(s)s�� ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �/$�g� ❑ Restoration ❑ Other:(specify) Deephaven, MN 55391 Phone: 952-471-0590 �Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: �D�� ,�('pC��,��_ .4- �-�-�.�� L Q_ �, G��{�3 5�('� Estimated Construction Valuation of Project(excluding land) $ a8',a��.' .Scw�t S�t'� 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: �/r �I u v Last Updated: 03-01-2011 TE TIME � CITY OF ORONO CALLED IN 3 � INSPECTION NOTI E SCHEDULED 3 /Z �! — PERMIT NO.o�� PJD �73 COMPLETED ADDRESS l(O� �Q2-�� "-Yc— OWNER TELEPHONE NO. gSZ 9/� 7Z�o CONTRACTOR SeL�. � DESCRIPTION �1�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ 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 INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � a o r..� a 1�/►ti �-�- C'� /�l S . -� r � � � � � �A r ��s��c-F�u�v -- c.�ti. +��- Q �8s `�-L� �rl A� Q �(- �c�� A�' ? � � �C v .S � r C' e� �- j � z� ,� � .� �o �3 �Zl=d �e. � �11 W ❑WORK SJATISFACTORY:PROCEED'�— � ' ` � PROJEC"f COMPLETE � ❑CORREGT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTiONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: r/� Inspector. � � /1 1�1 White Copyllnspector's File Canary CopylSite Notice