HomeMy WebLinkAbout2016-01309 - roofing � , ��' CITY OF ORONO * 2 0 1 6 - PJ 1 3 0 9 *
2750 KELLEY PARKWAY DATE ISSUED: 10/14/2016
ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 2177 SHADYWOOD RD
PIN : 17-117-23-43-0136
LEGAL DESC : WILEYS PARK LAKE MTKA
: LOT 008 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 6,400.00
NOTE: VALUATION OF PERMIT:$6400.00
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 154.85
TRADITION ROOFING&EXTERIORS STATE SURCHARGE(VALUATION) 3.20
2080 ITASCA AVE TOTAL 158.05
ST PAUL,MN 55109- Payment(s)
CHECK 3578 158.05
(651)698-3024
Minnesota State License#:BUIL-206434827
OW1�1ER
HEINS,KENT&MICHELLE
2177 SHADYWOOD RD
WAYZATA,MN 55391-
AGREEMENT AND SWORI�T 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 consdvction 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. ��
�o �y �� � �� � I o � r� � I�
A t Permitee Signature ate Issued By Si ature Date _
Oct 13 16 02:14p Tradition Roofing and Ext 651-698-3028 p.1
'r
� ' Gity of Orono
Building Permit Apptication for Maintenance/ Replacement! Remode!—Residential �NLY
(i.e.win�iows, doars, siding, re-roof,etc.- NO STRUCYURAL EXPANSION)
�O�TO MOailing Address: Perrnit number. 1 ' d�3 q
1 y PO Bux 66
Crystal Bay,MN 55323-0065 Date received:
a � Sfreet Address: Received by. � •
z � 2750 Kelley Pa�kway Plan review fee: "��
� " Orono, MN 55356
`�KfSH��� ��g, a
Total Fee:
Main: 952-249�600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required in#orrnafion must be submitted.
Incomplete applications will be retumed. (P/ease prinf)
GENERAL INFORMAT101�:
Job Site Address: �f 7 '� ,�_j��_�_�__v�f,� n�
WiN this be a Parade of Hom�,�temodelers Shclwcase Hame or ther Display Home? Yes No
!f yes,a specia!everrt pemr'd is reqrurvd with Potice dapartment and City Councll approval 60 days prior to the everrt. Shultfe bus service wlll be
requrred unless appficant demonstrafes suft/cieni onsite parkfng is available. Nort-pam►itted everNs w'r!!not be affowed.
CONTRAC70R!APPLtCANT INFORMATION:
Name: ���i�'ion �o01-rr�Gt Ar�(� ��(��#'"10✓'S
5iate License# ��-`�`��g�7 Expiration Date: 3���Z��7
Lead Certifiqtion Number: ���}-T Zt�yZ� —Z Expiration Date: yfz2 J�o2�'
(for work on homes#hat were constrvcted prior to�978
Phone: (cell) (o�ce) _(� � n '
Mailing Address: City: ZIP: � G
Coritact Person: ,,S'�.o.�.t- �r,,?�� Applicant is: ntractor ! Homeowner cc���o►�.�
Email andlor Fax: .SC v�'���,�,�-i���a�i..,�. cs�
PROPERTY OWNER INFORMATION• j�
Name: �i C-�,C�JP_ *f- K_�n�' ��r r�S
Phone(day): !o/ _- _�d- 5l6/� Z
Aa�r�s: 7�' 7 7��d,�sc,� IQr� c�ty: Dr-ono ziP: ����9/
Email andlor Fax:
PROJECT INFORMAIlOIV: Overall project descri tian:
Type of Project: I Any earth movement may also require
❑Daor(s} ❑ Remode) ❑ Fire Damage
I MCWD review 8 permits:
�Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed Districk(MCW D)
45320 Minnetonka 8ivd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka,MN 55345
❑ Re-roof,oRher(specify) ❑Siding ❑ Other:(specify) Phone: 952-471-0590
Fa�c 952-471-0682
❑Window(s) www.minnehahacreek.ora
Estimated Consfruction Valuation of Project(exciuding land) $ l o y on
APPLICAN7 ACKNCIWLEDGEMENT:
• Agrees ia pravide alt information�equired or requested by the Building Department;
• Certifies that the informafion supplied is true and coRect to ihe best of his/her knowledge. The appl�cani recognizes that they are
solely responsible for submitting a complete appliqpon being aware that upon failure to do so,the staff has no aftemative but to
reject it untif it is complete;
• Some or all of the information that you are asked to provide on ihis application is classified by State law as either private or
confidentiat. Pmrate data is inforsnation which generally cannot be given to the public but can be given to tfie subject of the data.
Con�idential data is informaUon which generaNy cannot.be gfven to either the public or the subjecl of the data. Our purpose and
intended use of this informat�n is to annually update our rec;ords and recorcls of other govemmental agencies required by law. If
re(use to su I the information,the a lication ma noi be issued.
ApplicanYs Signature; /�'" Date: ��f I Z��/�+
Owner's Signature: Date:
i.ast Updated:JanuaryZOt6