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Home My WebLink About2015-00853 - roofing ' ' CITY OF ORONO * 2 0 1 5 - 0 0 8 5 3 * 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1675 SHADYWOOD RD PIN : 17-117-23-21-0004 LEGAL DESC : MAPLEGATE INLET : LOT 003 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTNITY : O/S BUILDING-LJNDEFINED VALUATION : $ 12,300.00 NOTE: VALUATION OF PERMIT:$12300.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 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 TI-IE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 247.83 STATE SURCHARGE(VALUATION) 6.15 ROOFS R US MAIL-IN FEE 2.00 1922 TWENTY SIXTH AVE NW NEW BRIGHTON,MN 55112- TOTAL 255.98 (612)282-8092 Payment(s) Minnesota State License#: BUIL-BC639588 CREDIT CARD 0330 255.98 OWNER ZJAWIONY ETAL,BRIAN 1675 SHADYWOOD RD 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 dces not grant permission for additional or related work which requires sepazate permiu. All provisions of laws and ordinances goveming 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. C � d� 0 i�-�( � 7 � 9 �lS Applicant Permitee Signature Date Issued Signature Date �«y �E VIVIIV Building Permit Application for Maintenance/ Repiacement/ Remodel 49.r�.. �•93E'��i✓v�"`�F�, .,��if�� n�7� �9 � � �.�,� �: �n ��r �r^`�� t � �,�, °�"2'"� 'd�-fP-:.rr9G�.� �`c�4.. .�- �a'al1 � � ��.+�r J mJ��3&`�!� l�ra��°P.1b��'o.:��:, O Mailing Aaldress: permit number: p7��S�O � � �TO PO Box 68 _ Crysta{Bay,MN 55323-0066 Date received: "- � 1 � j Sfreet Address: Received by: y � 2750 Kelley Parkway Plan review f � � � Or�no,MN 55356 �� k�SH�'�� Tolal Fee: Main: 952-249-4600 Fax: 952-249-46'k6 v,rww.ci.orono.mn.us This application form must be completed in full anci all required information must be submitted. Incomplete applicatfons will be retumed. (Please prinr) GEN�RAL ENFORMATION: ` Job Slte Address: ��_ g�G.�i L(WLY�[J� {�-[��. WiA this be a Parade of Homes,Remodelers Sh�ase Honte or other Display Home? Yes �No !f yes,a spec�al event permit is required with Potice Department and City Council approva160 days prior io Ghe event. Shutlle bus servrce will be required unfess applrcant demonstrates suHicient on-sRe parlcing is availabfe. Non-pem�itted events wi11 not be a(lowed. CONTRACTORlAPPLICANT INFORMA170N: Name: ��-..� 2 [J C State License# f��c�� s,s __ Expiration Date: '�� Lead Certification Number n�,.i-j�2 F;y 2► Expiration Date: ��1 (for work an homes that were corrshucted prior to i978 Phone: (ce(I) �j�-��-- ��1��° (office} ��,'��- �j�(�C( �-. Maiiing Address: � Ci 2�.- 2Ln-N,. ��t� /�_ C��'� �l,P�(.1J ic�iYtCh�'�_ ��i ) � �' Contact Person: �.�� ,��(r��f Applicant is: Contractor / omeowner (Cirde One) Email andlor Fax: �.i�I-x;��r�r3Fc— r—u�r,P sn�a [ r�'rn lG�I -(n��"�I(�{�J —� . PROPERTY OWNER INFORMATION: Name: 1�Y1 G+-irl � j �--i1J l 0 1� y Phone(day}: �l �=�'�S-- Q��l l Address: � p��y�y� � City: 21P: Email andlar Fax: PROJECT fNFORMQTION: Overall ro" ct descri tian: � � �� 7ype of Project• Any earth mavement may also require ❑Door(s) . ❑Remodel ❑ Fire Damage MCWD revlew&permits: ,�Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Waiershed District(MCWD) 18202 Minnetonka B[vd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven,MN 55391 ❑Re-roof,other(specify) ❑Siding ❑Other: (specify) Phone: 952-479-0590 Fax: 952-4'71-0682 ❑Wirxiow(s) •r�;vvr.minnehahacreek.orq Estimated Constructlon Valuafion of Project(excluding land) $ / '7_ �[�[3_ �'a APPLICANT ACKNOVI�LEDGEMENT: • Agrees to provide ali information required 4r requesied by the Bui{ding Departrnent; • Cert�es that the information supplied is true and correct to the best of hislher knowlec�e. The applicant recognizes that they are solely responsible for submitting a complete applic�atron being aware that upon failure to do so,Ihe staff has no alkernative but to reject it until it is complete; • Some or a11 of the informaiion that you are aske� io provide on this appfication is ctassiRed by State law as either pr�vate or oonfidenlial. Private data is information which generally cannol be given to the public but can be given to the subject of the data. Confident�al data is information which generally cannot be given to either the public or the subjed of ihe cSata. Our purpose and intended use of this information is to armua9y update our records and records of other govemmental agencies required by law. If refuse to su I the infarmation,the a Ifcati�n ma not be issued. Applicant's Signature: ,�.f 1r7 �Z.�� OwnePs Signature: fl�� Z'd E616-££9-699 sn y s;oo�{ �EZ�06 96 601nf � v DATE TIME CITY OF ORONO CALLED I INSPECTION OTICE SCHEDULED �� PERMIT NO. ' COMPLEfED ADDRESS � OWNER TELEPHONE O. � r ' } CONTRACTOR , � � DESCRIPTION �� / �� / ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ,I�-FtiQAL ❑ WATER HOOK-UP ❑ FOLLOW-UP Q W �b AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC I ALL Q OWNER/CONTRACTOR TO MEET YOU:_YES NO � � COMMENTS: � ` � � � a �vl �i•�� - � � o _ � .�ic��s U� ►c` � �t�� r�a� ° !,t rl��s lCe�t a�+-�� o K sv� c � W � Q � (�o� �L �t.D/r'u✓5 �'v�,�1�� _ W j � � � �ie/r.�..fi. �c..c�/�.P J � ❑WOHKSATISFACTORY:PROCEED �ROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�� OwnerfContractor on site: Inspector: �'^' White ylinspecto►'s File Canary CopylSite Notice