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Home My WebLink About2017-00678 - roofing ' ` ' CITY OF ORONO * z g 1 7 - 0 0 6 7 8 * 2750 KELLEY PARKWAY DATE ISSUED: 06/2U2017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 380 LEAF ST PIN : 04-117-23-23-0027 LEGAL DESC : AUDITOR'S SUBD.NO.230 : LOT 026 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 24,900.00 NOTE: VALUATION OF PERMIT:$24900.00 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. APPLICANT PERMIT FEE SCHEDULE 433.67 STATE SURCHARGE(VALUATION) 12.45 SELA ROOFING&REMODELING,INC. 4100 EXCESIOR BLVD TOTAL 446.12 ST. LOUIS PARK,MN 55416- Payroent(s) (952)915-7227 CHECK 38346 446.12 Minnesota State License#:BUIL-BC1050 OWNER BURKE,FORREST&RENEE 380 LEAF ST LONG LAKE,MN 55356 AGREEMENT AIVD 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 dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this rype of work shall be compied with whether or not specified herein.This permit will expire and become nuil and void if conswction 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 commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time r due cause. 1^ � �"f a +� -� � , , � 7 Applican �tee Signature Date Issued By 'gnature Date . . City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) MailingAddress: Permit number: 4`� —D"O 7 g g-��O PO Box 66 — Crystal Bay, MN 55323-0066 Date received: �/—'� � Street Address: Received by: ��,, �' 2750 Kelley Parkway Plan reviewfee: L Orono,MN 55356 /'/,- �) tq'FESHp4`� Total Fee: (�y'�� (/ — Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 7 � 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: c,.� 5� 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 s rvice will be required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be al/owed. CONTRACTOR/APPLICAN�T I/N;FORMATION: / Name; �� I�,�st'��S G� �ur^�i�e�i'"� State License# C K��ps Expiration Date: 3/31�1�( Lead Certification Number: NqT-a5o3y-01 Expiration Date: �aa f a a (for work on homes thaf were constructed prior to 1978 Phone: (cell) (office) q5a- 915-7dd6 Mailing Address: y ap �(�;,� (31,, City:S}. I.,a,��s p��k ZIP: �Sy((, Contact Person: �,,� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: ��,� (�k �, ;,,,�,�,r„r PROPERTY OWNER INFORMATION: Name: �cKce aw�k� Phone(day): 612- �aN- 9oNa Address: 38o Lo�,F' Sf C�tY� OfsnO Z�P� �53�G Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑Door(s) ❑ Remodel ❑Fire Damage MCWD review 8�permits: �Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Minnetonka,MN 55345 ❑Re-roof,other(specify) ❑Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ dN.9o0''= 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 required by law. If ou refuse to su I the information,the a lication ma not be issued. Applicant's Signature: �,��W Ai�z�°"�� Date: ��a�� Owner's Signature: Date: Last Updated:January 2o16 401/(72 ` � TIME CITY OF RONO CALLED IN DATE I INSPECTION NOTICE SCHEDULED /U -a- -/ 7 I/ eio PERMIT NO. '7 - ? C! PLETED ADDRESS -3 fr ` 6-� _ OWNER T - :HONE NO.j-5a-9/5---7)-g7 CONTRACTOR k. E DESCRIPTION "j� ' 14 0 FOOTING 0 DEM -FIL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL C Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT v FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ A BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL si Z▪ OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: 4. o - * --i(t6 /k1 J 5ii,ay hcc& o- N. cc j14' - CAI"Te, 0 Q I PI a ea aakc /ems .L 4't_— Z �•'-o� /0�cls lead-r �, epi` ku - C.(4 Q cor07,4-060v -- /� ,e-s_cye 0 b - wt •G ,c.. `g--ieoge WU 0 WORK SATISFACTORY:PROCEED O , O PROJECT COMPLETE 144 RRECT WORK&PROCEED ...---71,141:44‘41e,"#‘4 F❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSP IG$ TEMPORARY V BEFORE CONERING /' -c_-.t . calc7 PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Can for the next Inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on Bite: Inspector. /iv/ White Copy/Inspector's File Canary CopylSite Notice DATE TIME '/ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED a y PERMIT NO., '/7 -006.2 /6- 2 ' COMPLETED ,, ADDRESS 3 go J f 56 - OWNER TELEPHONE NO. CONTRACTOR `sri moo 0.9 14 DESCRIPTION ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL O Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q _FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO co COMMENTS:ur o. Pict,,.€.5- d 4' IL a�4 i- 1310,4C-Z«640..s,� It O X00r 44 /7,4Q C-/P'1w•!`o0 75-- cc 0• f.. -¢ re«ds' D/c---O y - Q ile reel 6-', 6r� t 00/'4:56//4ake 2 -- • .x,s�.Kf 14,-,'5;-ors- u5P� 6 & /7,25 - Lii R; k/O✓/‹. ' ,,,,,,,/,,,z(G - rest.0W �.i1G/Vac) W 0 WORK SATISFACTORY:PROCEED AOIFCI.COMPLETE etW 0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY C 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL.INSPECTOR 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector.(r'-- White Copy/Inspector's File Canary Copy/Site Notice