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Home My WebLink About2011-00501 - roofing CITY OF ORONO PERMIT NO.: 2011-00501 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/21/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 900 NORTH SHORE DR W PIN 07-117-23-22-0012 LEGAL DESC ENGLUND 2ND ADDN LOT 001 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 11,350.00 APPLICANT PERMIT FEE SCHEDULE 221.25 SELA ROOFING&REMODELING,INC. STATE SURCHARGE(VALUATION) 5.68 4100 EXCESIOR BLVD ST.LOUIS PARK,MN 55416- MISC FEE 0.00 (952)915-7227 TOTAL 226.93 Minnesota State License#:0001050 OWNER PRATT,DAVID&PATRICIA 900 NORTH SHORE DR W MOUND,MN 55364 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 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 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 for due cause. A46e,,,q�Le ignature Date Issuca By S' afore to SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED O City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: Og, jVO Cr Box 66 Crystal Bay, MN 55323-0066 Date received: a Street Address: Received by: 2750 Kelley Parkway Plan review fee: �9xE3H0 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: qt's 14• Sham ctJ w Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes -0-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 allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Selo, R004nC4 Q.T- ► 1&TrW& M, State License# low Expiration Date: 3150 Lead Certification Number: • 250314-1 Expiration Date: g /6 _ (for work on homes that were constructed prior to 1978 Phone: Ci%-qV5-`7*1 C (office) (cell) Mailing Address: L{JQQ Ca,! ;0r TWCity§ ZIP: Contact Person: DtAxy-a- LAA; k, Applicant is: ontra / Homeowner (circle One) Email and/or Fax: Ct Sa.�a.Coo4t,n4 arm PROPERTY OWNER INFORM TION: Name: _ �pk_4— Vr Phone(day): _p /� Address: `U S�'lcX� City:Ors n p ZIP: 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.org Overall Project Description: -TEOL- - G.n x`!'00 +gL+4-a� gpn4A..2 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 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 you refuse to pply the information,the application may not be issued. I Applicant's Signature: JLl�.� Date: �°��0/1 Last Updated: 03-01-2011 0?jam DAT TIME V CITY OF ORONO CALLED IN / INSPECTION NOTICESCHEDULED DOso PERMIT NO. (/- 1 COMPLETED � / ADDRESS 9, (/ OWNER ELEPHONE NO. CONTRACTOR 0- DESCRIPTION DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ElMECHANICAL RI El LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O [I 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 _ El DEMO-FINAL El SEPTIC INSTALL El HARD COVER REMOVAL v ElPLUMBING RI EJSEPTIC FINAL ElFOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO COMMENTS: LU CC A 0 0 wCC _ W W d W ❑WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE W W 11CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED E,STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice DA TIME / fi i CITY OF ORONO CALLED IN INSPECTION LSIOTICE SCHEDULED 1�11 IL PERMIT NO. 5�)I COMPLETED ADDRESS Cbac [/U • kc)(� L-k , U ') - _ �WNER (� lc1 3y44C LEPHONE NO. ��a 7� 0,301 CONTRACTOR '> DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ 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 v ElPLUMBING RI ElSEPTIC FINAL ElFOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_X_NO COMMENTS:CC W Cce✓rCL n1/1 f r kzr- CC O O CC O W W CC Q ti Z W Z W O d W4 11WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN -I CITATION ISSUED 1 1 STOP ORDER POSTED.CALL INSPECTOR L: INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector.-(o/ ✓1E S S White Copy/Inspector's File Canary Copy/Site Notice