HomeMy WebLinkAbout2011-00706 - roofing CITY OF ORONO PERMIT NO.: 2011-00706
�' ` - 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/22/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3596 LYRIC AVE
PIN : 17-117-23-43-0153
LEGAL DESC : NAVARRE HEIGHTS
: LOT 000 BLOCK 004
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 2,500.00
NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR
TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
TEAR OFF REROOF-GARAGE ONLY.
APPLICANT pERMIT FEE SCHEDULE 88.50
SELA ROOFING&REMODELING,INC. STATE SURCHARGE(VALUATION) 1.25
4100 EXCESIOR BLVD TOTAL 89.75
ST.LOUIS PARK,MN 55416-
(952)915-7227
Minnesota State License#: 0001050
OWNER
ONKEN,ERIK
3596 LYRIC AVE
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 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 sepazate
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 the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commence � ,
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This pe may be
revoke at an e for due caus .
7�3 / ,Z z , �
Applicant itee Signature Date Is y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OT THAN DE BED ABOVE.
* n tl City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
MailingAddress: Permit number:
O�,�,j�.O PO Box 66
Crystal Bay, MN 55323-0066 Date received:
a , � �, Street Address: Received by:
'��, • ., �titi 2750 Kelley Parkway Plan review fee:
L9kEsII04'� 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: �� �� n_ ,'
Job Site Address: TT�•
Will this be a Parade of Homes, Remodelers Sh wcase Home or other Display Home? ❑Yes ❑ No
If yes,a special event permit is required with Police DepaRment and City Council app�oval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonst�ates su�cient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: Q
State License# JQ� Expiration Date: 3 3 p ' J�,
Lead Certification Number: - �,503y-� Expiration Date: �,/. 8' /,�
(for work on homes that were constructed prior to 1978
Phone: dlFJa•-q�5-`73'd:�"o (office) (ce11)
Mailing Address: �{►QQ �,�,� ;p�- � City'�, �S ZIP: �j y�p
Contact Person: Dlwc��o,.. �,�,���, Applicant is: ontrac / Homeowner (CircleOne)
Email and/or Fax: '�'���(p��,�a,,,(ap�{�q ��
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PROPERTY OWNER INFORMATION:
Name: �r i K f�Ke.l�
Phone(day): �� � �jp/ •D o y
Address: ��G'js L (�yr��, /-�,�. City: Q�'�p ZIP: 'S��j�
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd
❑ Siding ❑ Restoration ❑Other: (specify) Deephaven,MN 55391
Phone: 952-471-0590
�e-roof ❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.orct
Overall Project Description:�� p� ai n��� �. 9�Q�X _
Estimated Construction Valuation of P ' ct(excludin�a�l) � ,,,7
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: 7/�! ��
Last Updated: 03-01-2011
� DAT TIME �
CITY OF ORONO CALLED IN ���
INSPECTION NOTICE SCHEDULED _��.� �
PERMIT NO.a U�I—UI3?O� COMPLETED
ADDRESS �JS�Co � rlG f�'U�-
OWNER TELEPHONE NO. 95�- ��S � �Z�3
CONTRACTOR S�LQ
� DESCRIPTION �1 n�
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL Fil ❑ LAKESHORENVEfLANDS
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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNEHICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
��RRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECQVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on sit •
Inspector._�,�9��.
White Copyllnspector's File Canary Copy/Site Notice