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Home My WebLink About2015-01057 - roofing � ` CITY OF ORONO * 2 0 1 S - 0 1 0 5 7 * 2750 KELLEY PARKWAY DATE ISSUED: 08/19/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2465 SHADYWOOD RD PIN : 20-117-23-11-0031 LEGAL DESC : ORONO HILLS : LOT 001 BLOCK 001 PERMTC TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-RUBBER ACTNITY : O/S BUILDING-LJNDEFINED VALUATION : $ 2,400.00 NOTE: VALUATION OF PERMIT:$2400 -REMOVE RUBBER MEMBRANE AND DAMAGED DECKING,REMOVE/REPLACE DAMAGED 2 X 10'S AND REPLACE DECKING RUBBER MEMBRANE(6 SQUARES) 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-ADVERTISMG 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 92.93 STATE SURCHARGE(VALUATION) 1.20 SELA ROOFING&REMODELING, INC. TOTAL 94.13 4100 EXCESIOR BLVD Payment(s) ST. LOUIS PARK, MN 55416- CHECK 36194 94.13 (952)915-7227 Minnesota State License#: BUIL-BC1050 OWNER DELANEY,DANA 2465 SHADYWOOD RD EXCELS[OR, MN 55331- 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 pe�mits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified hereia This permit wi11 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 l80 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. . _. .. /'. - �3 • I'� • 1S �� - ` �l �G -�"_� �� ic nt�ermitee nature Date Issued ignature Date / • City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O� Mailing Address: Permit number: �lS' �l� O PO Box 66 Crystal Bay, MN 55323-0066 Date received: ��'J— � � SfreetAddress: Received by: '`� � 2750 Kelley Parkway Plan review fee: � G �'9kESH0�� Orono, MN 55356 Total Fee: �j�/� 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. C�' i'�` �7 Incomplete applications will be returned. (Please print) GENERAL INFORMATION: � �� Job Site Address: Will this be a Parade of Homes, Remodelers h� owcase Home or ther Display ome? ❑Yes ❑ No lf 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-permitfed events will not be allowed. CONTRACTOR/APS�C�NT I�FO�ATION: Name: � State License# �b�`�� Expiration Date: 3'31��—� Lead Certification Number: �j �2,ri1'(�3 �2 Expiration Date: 4.)Z2I ZD (for work on homes fhat were constructed prior to 1978 Phone: -(� �1�/J2 • G�� -`) (office) �� , ' �D�'l.P Mailing Address: �Y City: 6}. �,�,IS VK ZIP:��.1(p Contact Person: i�(,(, Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: '�Z.G�22. PROPERTY OWNER INFORMATION• Name: ��,v��I �� Phone(day): • " Address: City: ZIP: 3 Email and/or Fax: �m c7v�e ru,e�e�r wt,em �t.c, �. aoy�d PROJECT INFORMATION: Overall projectdescription. Y$ Gl,yy( d Z ld�S Type of Project: Any e rth movement may also require MCWD review&permits: {/ ❑ Door(s) Remodel ❑ Fire Damage �� ❑ Re-roof,asphalt �epair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) �, i � 18202 Minnetonka Blvd Y�O�� ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other(specify) ❑Siding ❑Other:(specify) Phone: 952-471-0590 � Fax: 952-471-0682 `(� ��, ❑Window(s) ww.minnehahacreek.or 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 gen rally cannot be given to the public but can be given to the subject of the data. � � r rpose an intended use of this inf a ann al p ate our records and records of other governmental agencies required by law. If ou refuse to su I e i rma the lica n a ot be issued. Applicant's Signature: 0. Date: � � ' Owner's Signature: Date: Last Updated:January 2015 � � `� ; . v�, DATE TIME � CITY OF ORONO CALLED IN ' INSPECTION NOTICE scHEou�e� ' � \%= PERMIT NO. ,2(��'�pf��`�7COMPLEfED ADDRESS �-�� '-� ��'7C.��e./ (.z�`�� '�,�s_�aQ . OWNER TELEPHONE NO. � CONTRACTOR �`- � DESCRIPTION �� '��%�� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POUR D WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FO DATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ R ON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ A BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ ❑ DEMO-SITE ❑�PTIC INSTALL J � OWNERlCONTAACTOR TO MEET YOU•_YES_NO L�, � COMMENTS: �—/" -t�[p ��f�' �iC�� / � a ` �> �,��-� ��it. • � vT O �. � O � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY W 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS_ p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in adva ) 249-46�� OwnerlContractor on site: Inspector: White Copyllnspector's File Canary CopylSite Notice